Prevalence of smoking in a rural community of Bangladesh.

Background: Smoking is a global public health concern. It causes huge premature death, health issues and possess economic burden in the developing countries. Despite of mass anti-smoking camping prevalence of smoking is increasing in developing countries. The aim of this study was to determine the prevalence of smoking and factors associated with smoking among a rural population of Bangladesh. Methods: A cross-sectional study was designed to collect data from rural community of Bangladesh in February to April 2011. Sample was determined purposively and size was 500. Results: The study’s current smoking prevalence was 39.4%. Respondents mean age was 34.63 years and current smokers mean age was 35.7SD ± 9.23 years. The prevalence of current smoking amongst male (89.3%) was significantly higher in comparison with the female (10.7%). Current smoking habit had been gradually decreased with the level of education. The prevalence of current smoking was significantly (P = 0.000) highest among the day labour (30.5%) and two-third smokers was initiated to smoking within the age of 10 to 20 years. About 36.4% of the current smokers smoked 5 to 15 sticks per day. Both ever (42%) and current (45.2%) smoking prevalence was highest amongst the population those monthly family income below 5000 Taka (60 USD). Conclusions: Overall rural smoking prevalence was 39.4%. Ever and current smoking prevalence was significantly higher among males. Smoking prevalence was highest among the illiterate and reduced with the increase of level of education and socio-economic status. To reduce the smoking prevalence amongst the risk group, policy-maker should be implementing massive anti-smoking program.

Prevalence of ischemic heart disease in a rural population of Bangladesh.

Bangladeshi people, as other South Asians, have high susceptibility to ischemic heart disease (IHD) but population-based data are lacking in Bangladesh. We investigated for IHD burden in a rural population of Bangladesh in 2001. Information was sought on use of medications for IHD and electrocardiogram was done in 447 adults (157 men and 290 women) aged 20 years or older (mean 40 years). Prevalence of IHD defined by presence of pathological Q wave on electrocardiogram or current medication for IHD is 3.4% (95% confidence interval, 1.7% to 5.1%). Prevalence in men (4.6%, 1.3% to 7.9%) was almost twice than in women (2.7%, 0.8% to 4.6%). However, this sex-difference should be cautiously interpreted because of small sample size for men. It appears that IHD is an important problem even in this traditional rural population of Bangladesh.