Knowledge, attitudes and eye health-seeking behaviours in a population-based sample of people with diabetes in rural China.

Autor:	Chen T; The Ophthalmology Department, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., Jin L; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., Zhu W; The Ophthalmology Department, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., Wang C; The Ophthalmology Department, Sun Yat-sen University First Affiliated Hospital, Guangzhou, China.; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., Zhang G; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., Wang X; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., Wang J; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., Yang K; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., Cochrane GM; Faculty of Health, School of Medicine (Optometry), Deakin University, Burwood, Australia., Lamoureux EL; Health Services Research Unit, Singapore Eye Research Institute, Singapore, Singapore., Friedman DS; Glaucoma Center of Excellence, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA., Gilbert S; Innovation & Sight Programs, Seva Foundation, Berkeley, California, USA., Lansingh VC; HelpMeSee, Inc, New York, New York, USA., Resnikoff S; Brien Holden Vision Institute, Sydney, Australia., Zhao J; Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Dongcheng-qu,China., Xiao B; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China., He M; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China.; Centre for Eye Research Australia; Ophthalmology, Department of Surgery, University of Melbourne, Melbourne, Australia., Congdon N; State Key Laboratory of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center, Guangzhou, China ncongdon1@gmail.com.; Centre for Public Health, Queen's University Belfast, Belfast, UK.
Jazyk:	angličtina
Zdroj:	The British journal of ophthalmology [Br J Ophthalmol] 2021 Jun; Vol. 105 (6), pp. 806-811. Date of Electronic Publication: 2020 Jul 31.
DOI:	10.1136/bjophthalmol-2020-316105
Abstrakt:	Aims: To assess knowledge of diabetes and acceptance of eye care among people with diabetes in rural China, to improve service uptake. Methods: Population-based study of people in Guangdong, China, with glycosylated haemoglobin A1c≥6.5% and/or known history of diabetes. Between August and November 2014, participants answered a questionnaire (based on Delphi process/previous focus groups) on medical history, demographic characteristics, self-rated health and vision, knowledge about diabetes and diabetic retinopathy, quality of local healthcare, barriers to treatment, likely acceptance of eye exams and treatment, and interventions rated most likely to improve service uptake. Presenting visual acuity was assessed, fundus photography performed and images graded by trained graders. Potential predictors of accepting care were evaluated and confounders adjusted for using logistic regression. Results: A total of 562 people (9.6% (256/5825), mean age 66.2±9.84 years, 207 (36.8%) men) had diabetes, 118 (22.3%) previously diagnosed. 'Very likely' or 'likely' acceptance of laser treatment (140/530=26.4%) was lower than for eye exams (317/530=59.8%, p<0.001). Predictors of accepting both exams and laser included younger age (p<.001) and prior awareness of diabetes diagnosis (p=0.004 and p=0.035, respectively). The leading barrier to receiving diabetes treatment was unawareness of diagnosis (409/454, 97.2%), while interventions rated most likely to improve acceptance of eye exams included reimbursement of travel costs (387/562, 73.0%), video or other health education (359/562, 67.7%) and phone call reminders (346/562, 65.3%). Conclusions: Improving diagnosis of diabetes, along with incentives, education and communication strategies, is most likely to enhance poor acceptance of diabetic eye care in this setting. Competing Interests: Competing interests: NC works as the Director of Research for Orbis International, a non-governmental organization which carries out programs I eye health, including diabetic retinopathy, in China. (© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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