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Health Education Research Advance Access published online on February 14, 2007
Health Education Research, doi:10.1093/her/cym002
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

The impact of health education in managing self-reported arthritis-related illness among elderly persons in rural Bangladesh

AKMM Rana1,2,*, CS Lundborg3, Å Wahlin2,4, SM Ahmed1 and ZN Kabir2

1 Research and Evaluation Division, BRAC, Dhaka 1212, Bangladesh
2 Division of Geriatric Epidemiology, NVS, Karolinska Institutet, Ageing Research Centre, 9th floor, Gävlegatan 16, 113 30 Stockholm, Sweden
3 Department of Public Health Sciences, Division of International Health (IHCAR) Karolinska Institutet, Stockholm 171 77, Sweden and Nordic School of Public Health and Apoteket AB, Goteborg, Sweden
4 Department of Psychology, Stockholm University, Stockholm 106 91, Sweden

Correspondence to: * Correspondence to: A.K.M.M. Rana. E-mail: Rana.Akm.Masud{at}ki.se

This study examines the impact of health education on prevalence of and expenditure on treatment of self-reported arthritis-related illness among elderly persons in rural Bangladesh. An intervention study was conducted, including 1135 elderly persons (≥60 years) from eight randomly selected villages, four each of an intervention and a control area. The analyses include 839 elderly persons who participated in both pre- and post-intervention surveys (intervention area: n = 425, control area: n = 414). Participants of the intervention area were further categorized as compliant (n = 315) and non-compliant (n = 110) based on adherence to the intervention instructions. The intervention that lasted for 15 months comprised home-based physical exercise, dietary instructions and other aspects of management. Results show that although there was no significant difference in self-reported arthritis-related illness between the compliant and non-compliant groups at baseline, it was significantly lower in the compliant group (71%) at post-intervention compared with the non-compliant (81%). Related monthly expenditure on treatment was significantly reduced in the compliant group (from Taka 104 to Taka 52) but not in the other two groups. Logistic regressions further showed that the control group had a higher probability of increased treatment-related expenditure compared with the compliant group (OR 2.0, 95% CI 1.4–2.8).


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