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Tareque MI and Saito Y

                                       status of women in Bangladesh. It could deprive women of many necessities including
                                       food, nutrition, health care, secure life, a respectable living, mental peace, and an
                                       abuse-free life (Tareque, Begum, and Saito, 2014). Consequently, compared to men,
                                       women could have more health problems as well as HTN. Therefore, to effectively
                                       detect, prevent, and control HTN, especially unawareness of HTN and uncontrolled
                                       HTN, older people, and women in particular, should receive special attention. This will
                                       help to increase HFLE and quality of life.
                                         The Sullivan method has several advantages. As a prevalence-based method it is
                                       straightforward to apply on data from cross-sectional studies, which are less costly and
                                       more readily available than longitudinal studies. It is less influenced by survey design
                                       and analytic strategies than methods relying on longitudinal data. The Sullivan method
                                       has some limitations as well. The method’s assumptions constrain the portrayal of the
                                       expected life cycle or functional status histories of persons who are exposed to current
                                       mortality and morbidity conditions. It does not permit recovery, once individuals
                                       have experienced a health problem. It will yield an inaccurate portrayal of the timing
                                       and volume of a cohort’s health experiences under conditions in which individuals
                                       experience both the onset of health problems and recovery (Robine, Jagger, Mathers
                                       et al., 2003). Although the Sullivan method could not detect a sudden change in health
                                       problems, it provides fairly stable estimates as multistate life table method if there are
                                       smooth and relatively regular changes in health problems prevalence rates over long
                                       times (Mathers and Robine, 1997).

                                       5  Conclusions

                                       The most recent and reliable nationally representative data sets from the 2011 BDHS
                                       provided insights into gender differences in HFLE and the size of the population at
                                       risk for HTN, unawareness of HTN, and uncontrolled HTN among the Bangladeshi
                                       people. To prevent and control HTN and to increase HFLE and quality of life, attention
                                       should be given to women and older adults. The findings of this study shed important
                                       light on the risk of disease and the lowering of quality of life associated with HTN in
                                       Bangladesh. The knowledge that HTN among the Bangladeshi people, particularly
                                       Bangladeshi women, may be the result of a number of past life-time experiences
                                       related to education, health care, physical inactivity, life styles, unhealthy food habits,
                                       etc., can serve as a guide for public policies in the country. Further work is needed
                                       to determine the correlates of HTN, unawareness of HTN, and uncontrolled HTN
                                       in Bangladesh to help policy makers and planners formulate appropriate policies
                                       regarding HTN.
                                       Authors’ Contributions

                                       MI Tareque originated the study and contributed to the study design, analysis, writing
                                       and revisions of the article. Y Saito participated in the conception and design of the
                                       study, helped analyze data, and critically revised the article. Finally, this version was
                                       approved by both the authors.
                                       Acknowledgements

                                       We are grateful to the Monitoring and Evaluation to Assess and Use Results
                                       Demographic and Health Surveys (MEASURE DHS) for providing us with the data
                                       set. In addition, we would like to acknowledge all individuals and institutions in
                                       Bangladesh involved in the implementation of the 2011 BDHS. An earlier version
                                       of this paper was presented at the annual REVES meeting (The 27th International
                                       Conference on Health Expectancy) in Singapore in June 2015. The authors would also
                                       like to thank the participants of the REVES meeting for their thoughtful insights.

                                       Conflict of Interest
                                       The authors declare that they have no competing interests.

            International Journal of Population Studies   2017, Volume 3, Issue 1                            117
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