A survey of awareness of retinopathy among diabetic patients in communities of Shenzhen_Chinese Journal of Ocular Fundus Diseases

Authors：

Peng Yun ¹ , Guo Qianqian ² , Liu Jun'an ² , Guo Hui ¹ , Wang Yuan ¹ , Yao Yuanyuan ¹ , Ye Lin ¹

1. Shenzhen Eye Hospital, Affiliated Shenzhen Eye Hospital of Jinan University, Shenzhen Oculopathy Control Institute, Shenzhen 518040, China;
2. School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;

Corresponding author：

Keywords：

Diabetic retinopathy; Health education; Preventive medicine; Root cause analysis

DOI：

10.3760/cma.j.cn511434-20201119-00570

Video：

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Objective To investigate the awareness of diabetic retinopathy (DR) prevention and treatment knowledge of diabetic patients in the community of Shenzhen, and analyze its influencing factors.Methods A cluster random sampling method was used to select 904 patients with diabetes diagnosed in 6 community health service centers in 2 administrative districts of Shenzhen and included in this study. Questionnaire survey of patients were performed to understand their knowledge of DR prevention and treatment. The multi-factor logistic regression analysis method was used to analyze the related influencing factors of DR prevention knowledge awareness.Results Among 904 patients, 144 patients (15.93%, 144/904) knew about DR prevention and treatment knowledge. The highest awareness rate were about "Diabetes can affect vision and even cause blindness" (88.60%, 801/904). The lowest awareness rate (6.20%, 56/904) were about "DR treatment methods". About "diabetes requires regular fundus examinations" and "diabetics", the awareness rate of fundus examination interval were less than 50.00%. The results of multivariate logistic regression analysis showed that gender [odds ratio (OR)=1.595], education level (OR=2.963, 3.937), monthly income level (OR=3.871, 4.675), diabetes course ≥15 years (OR=1.829), treatment measures (OR=3.318, 4.512). Whether people had DR (OR=1.605) were important factors that affected the awareness of DR prevention and treatment knowledge (P＜0.05).Conclusions The overall awareness of DR prevention and treatment knowledge among diabetic patients in the community of Shenzhen is relatively low. Males, low education and income levels are the main influencing factors.

Citation： Peng Yun, Guo Qianqian, Liu Jun'an, Guo Hui, Wang Yuan, Yao Yuanyuan, Ye Lin. A survey of awareness of retinopathy among diabetic patients in communities of Shenzhen. Chinese Journal of Ocular Fundus Diseases, 2021, 37(1): 21-26. doi: 10.3760/cma.j.cn511434-20201119-00570 Copy

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3.	Wong TY, Sabanayagam C. The war on diabetic retinopathy: where are we now?[J]. Asia Pac J Ophthalmol (Phila), 2019, 8(6): 448-456. DOI: 10.1097/APO.0000000000000267.
4.	Song P, Yu J, Chan KY, et al. Prevalence, risk factors and burden of diabetic retinopathy in China: a systematic review and meta-analysis[J/OL]. J Glob Health, 2018, 8(1): 01080[2018-06-01]. https://pubmed.ncbi.nlm.nih.gov/29899983/. DOI: 10.7189/jogh.08.010803.
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6.	吴真祎, 彭涛, 谢美娜, 等. 某三级甲等医院住院糖尿病患者视网膜病变知晓率调查[J]. 中国医院统计, 2019, 26(2): 127-129. DOI: 10.3969/j.issn.1006-5253.2019.02.013.Wu ZW, Peng T, Xie MN, et al. Investigation on the awareness rate of retinopathy in patients with diabetes mellitus admitted to a tertiary hospital[J]. Chinese Journal of Hospital Statistics, 2019, 26(2): 127-129. DOI: 10.3969/j.issn.1006-5253.2019.02.013.
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8.	万雪梅, 方宁, 李云瑞, 等. 糖尿病视网膜病变患者疾病相关知识-态度-行为的调查及相关因素分析[J]. 中华现代护理杂志, 2020, 26(2): 198-203. DOI: 10.3760/cma.j.issn.1674-2907.2020.02.012.Wan XM, Fang N, Li YD, et al. Investigation of disease-related knowledge-attitude-practice in patients with diabetic retinopathy and its influencing factors[J]. Chin J Mod Nurs, 2020, 26(2): 198-203. DOI: 10.3760/cma.j.issn.1674-2907.2020.02.012.
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11.	Xu J, Wei WB, Yuan MX, et al. Prevalence and risk factors for diabetic retinopathy: the Beijing Communities Diabetes Study 6[J]. Retina, 2012, 32(2): 322-329. DOI: 10.1097/IAE.0b013e31821c4252.
12.	胡娣, 徐宏辉. 上海某镇糖尿病患者的糖尿病视网膜病变防治知识知晓情况调查[J]. 上海医药, 2019, 40(6): 44-45, 62. DOI: 10.3969/j.issn.1006-1533.2019.06.015.Hu D, Xu HH. Investigation of the knowledge of prevention and treatment of diabetic retinopathy in diabetic patients in a community of Shanghai[J]. Shanghai Medical & Pharmaceutical Journal, 2019, 40(6): 44-45, 62. DOI: 10.3969/j.issn.1006-1533.2019.06.015.
13.	苏加丽, 张怡, 许英. 上海市花木社区居民糖尿病视网膜病变防治知识及行为现况调查研究[J]. 中国全科医学, 2018, 21(20): 2493-2498. DOI: 10.3969/j.issn.1007-9572.2018.00.136.Su JL, Zhang Y, Xu Y. Survey on the awareness and prevention of diabetic retinopathy among patients with diabetes mellitus and impaired glucose tolerance in the Huamu Community of Shanghai City[J]. Chinese General Practice, 2018, 21(20): 2493-2498. DOI: 10.3969/j.issn.1007-9572.2018.00.136.
14.	邵洁, 徐飞燕, 胡燕华. 社区糖尿病患者视网膜病变认知度调查及影响因素分析[J]. 中国社区医师, 2019, 35(32): 49, 51. DOI: 10.3969/j.issn.1007-614x.2019.32.032.Shao J, Xu FY, Hu YH. A survey of cognition of retinopathy in community diabetic patients and analysis of influencing factors[J]. Chinese Community Doctors, 2019, 35(32): 49, 51. DOI: 10.3969/j.issn.1007-614x.2019.32.032.
15.	何子健, 罗林峰, 许信红, 等. 2015年广州市居民健康素养水平及影响因素研究[J]. 华南预防医学, 2018, 44(3): 231-237. DOI: 10.13217/j.scjpm.2018.0231.He ZJ, Luo LF, Xu XH, et al. Level of health literacy and influencing factors among residents in Guangzhou, 2015[J]. South China Journal of Preventive Medicine, 2018, 44(3): 231-237. DOI: 10.13217/j.scjpm.2018.0231.
16.	罗银波. 健康中国背景下的城市居民健康素养纵向监测研究[D]. 武汉: 华中科技大学, 2019. DOI: 10.27157/d.cnki.ghzku.2019.004209.Luo YB. Research on longitudinal monitoring of health literacy of urban residents under the background of healthy China[D]. Wuhan: Huazhong University of Science and Technology, 2019. DOI: 10.27157/d.cnki.ghzku.2019.004209.
17.	王占国, 牛静雅, 武鸣, 等. 社区糖尿病患者糖尿病足病知识状况及其影响因素研究[J]. 中国慢性病预防与控制, 2017, 25(9): 662-665. DOI: 10.16386/j.cjpccd.issn.1004-6194.2017.09.006.Wang ZG, Niu JY, Wu M, et al. Investigating the knowledge related to diabetic foot and influencing factors among diabetic patients in communities[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2017, 25(9): 662-665. DOI: 10.16386/j.cjpccd.issn.1004-6194.2017.09.006.
18.	田蕊蕊, 韩海仙, 周瑞芳, 等. 山西晋中农村地区糖尿病视网膜病变认知度调查及影响因素分析[J]. 中国药物与临床, 2017, 17(9): 1314-1316. DOI: 10.11655/zgywylc2017.09.022.Tian RR, Han HX, Zhou RF, et al. A survey of awareness of diabetic retinopathy in rural areas of Jinzhong, Shanxi and analysis of influencing factors[J]. Chinese Remedies & Clinics, 2017, 17(9): 1314-1316. DOI: 10.11655/zgywylc2017.09.022.
19.	张振华, 王树真, 孙清秀, 等. 糖尿病患者糖尿病视网膜病变相关知识认知度调查与影响因素研究[J]. 中国实用眼科杂志, 2017, 35(4): 424-427. DOI: 10.3760/cma.j.issn.1006-4443.2017.04.019.Zhang ZH, Wang SZ, Sun QX, et al. Investigation on awareness of diabetic patients in diabetic retinopathy (DR) and influencing factors[J]. Chinese Journal of Practical Ophthalmology, 2017, 35(4): 424-427. DOI: 10.3760/cma.j.issn.1006-4443.2017.04.019.
20.	Liu Y, Duan C, Fang D, et al. Protective factors for diabetic retinopathy in type 2 diabetes mellitus patients: long duration of no less than 10 years[J/OL]. J Diabetes Complications, 2019, 33(10): 107383[2019-05-29]. https://pubmed.ncbi.nlm.nih.gov/31371129/. DOI: 10.1016/j.jdiacomp.2019.05.014.
21.	许晶晶, 何霞, 姚平立, 等. 对某三甲医院2型糖尿病患者教育接受程度及糖尿病基础知识掌握程度的调查分析[J]. 中国药房, 2018, 29(23): 3280-3285. DOI: 10.6039/j.issn.1001-0408.2018.23.24.Xu JJ, He X, Yao PL, et al. Investigation and analysis of the degree of education acceptance and basic knowledge of diabetes in patients with type 2 diabetes in a third grade class a hospital[J]. China Pharmacy, 2018, 29(23): 3280-3285. DOI: 10.6039/j.issn.1001-0408.2018.23.24.
22.	Vujosevic S, Aldington SJ, Silva P, et al. Screening for diabetic retinopathy: new perspectives and challenges[J]. Lancet Diabetes Endocrinol, 2020, 8(4): 337-347. DOI: 10.1016/S2213-8587(19)30411-5.

1. IDF Diabetes Atlas 8th Edition[EB/OL]. [2017-11-14]. https://www.idf.org/e-library/epidemiology-research/diabets-atlas/134-idf-diabetes-atlas-8th-edition.html.
2. Yau JW, Rogers SL, Kawasaki R, et al. Global prevalence and major risk factors of diabetic retinopathy[J]. Diabetes Care, 2012, 35(3): 556-564. DOI: 10.2337/dc11-1909.
3. Wong TY, Sabanayagam C. The war on diabetic retinopathy: where are we now?[J]. Asia Pac J Ophthalmol (Phila), 2019, 8(6): 448-456. DOI: 10.1097/APO.0000000000000267.
4. Song P, Yu J, Chan KY, et al. Prevalence, risk factors and burden of diabetic retinopathy in China: a systematic review and meta-analysis[J/OL]. J Glob Health, 2018, 8(1): 01080[2018-06-01]. https://pubmed.ncbi.nlm.nih.gov/29899983/. DOI: 10.7189/jogh.08.010803.
5. Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation[J]. Diabet Med, 1998, 15(7): 539-553. DOI: 10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S.
6. 吴真祎, 彭涛, 谢美娜, 等. 某三级甲等医院住院糖尿病患者视网膜病变知晓率调查[J]. 中国医院统计, 2019, 26(2): 127-129. DOI: 10.3969/j.issn.1006-5253.2019.02.013.Wu ZW, Peng T, Xie MN, et al. Investigation on the awareness rate of retinopathy in patients with diabetes mellitus admitted to a tertiary hospital[J]. Chinese Journal of Hospital Statistics, 2019, 26(2): 127-129. DOI: 10.3969/j.issn.1006-5253.2019.02.013.
7. 杨冬梅, 王玉洁, 梁歌, 等. 住院糖尿病患者视网膜病变知识、态度、行为现状及相关因素分析[J]. 中华现代护理杂志, 2020, 26(8): 1069-1074. DOI: 10.3760/cma.j.cn115682-20190928-03522.Yang DM, Wang YJ, Liang G, et al. Retinopathy knowledge, attitude and behavior of inpatients with diabetes mellitus and their correlation factors[J]. Chin J Mod Nurs, 2020, 26(8): 1069-1074. DOI: 10.3760/cma.j.cn115682-20190928-03522.
8. 万雪梅, 方宁, 李云瑞, 等. 糖尿病视网膜病变患者疾病相关知识-态度-行为的调查及相关因素分析[J]. 中华现代护理杂志, 2020, 26(2): 198-203. DOI: 10.3760/cma.j.issn.1674-2907.2020.02.012.Wan XM, Fang N, Li YD, et al. Investigation of disease-related knowledge-attitude-practice in patients with diabetic retinopathy and its influencing factors[J]. Chin J Mod Nurs, 2020, 26(2): 198-203. DOI: 10.3760/cma.j.issn.1674-2907.2020.02.012.
9. 中华医学会眼科学会眼底病学组. 我国糖尿病视网膜病变临床诊疗指南(2014年)[J]. 中华眼科杂志, 2014, 50(11): 851-865. DOI: 10.3760/cma.j.issn.0412-4081.2014.11.014.Ocular Fundus Group of Chinese Medical Association Ophthalmology Society. Guidelines for the clinical diagnosis and treatment of diabetic retinopathy in my country (2014)[J]. Chin J Ophthalmol, 2014, 50(11): 851-865. DOI: 10.3760/cma.j.issn.0412-4081.2014.11.014.
10. Pan CW, Wang S, Qian DJ, et al. Prevalence, awareness, and risk factors of diabetic retinopathy among adults with known type 2 diabetes mellitus in an urban community in China[J]. Ophthalmic Epidemiol, 2017, 24(3): 188-194. DOI: 10.1080/09286586.2016.1264612.
11. Xu J, Wei WB, Yuan MX, et al. Prevalence and risk factors for diabetic retinopathy: the Beijing Communities Diabetes Study 6[J]. Retina, 2012, 32(2): 322-329. DOI: 10.1097/IAE.0b013e31821c4252.
12. 胡娣, 徐宏辉. 上海某镇糖尿病患者的糖尿病视网膜病变防治知识知晓情况调查[J]. 上海医药, 2019, 40(6): 44-45, 62. DOI: 10.3969/j.issn.1006-1533.2019.06.015.Hu D, Xu HH. Investigation of the knowledge of prevention and treatment of diabetic retinopathy in diabetic patients in a community of Shanghai[J]. Shanghai Medical & Pharmaceutical Journal, 2019, 40(6): 44-45, 62. DOI: 10.3969/j.issn.1006-1533.2019.06.015.
13. 苏加丽, 张怡, 许英. 上海市花木社区居民糖尿病视网膜病变防治知识及行为现况调查研究[J]. 中国全科医学, 2018, 21(20): 2493-2498. DOI: 10.3969/j.issn.1007-9572.2018.00.136.Su JL, Zhang Y, Xu Y. Survey on the awareness and prevention of diabetic retinopathy among patients with diabetes mellitus and impaired glucose tolerance in the Huamu Community of Shanghai City[J]. Chinese General Practice, 2018, 21(20): 2493-2498. DOI: 10.3969/j.issn.1007-9572.2018.00.136.
14. 邵洁, 徐飞燕, 胡燕华. 社区糖尿病患者视网膜病变认知度调查及影响因素分析[J]. 中国社区医师, 2019, 35(32): 49, 51. DOI: 10.3969/j.issn.1007-614x.2019.32.032.Shao J, Xu FY, Hu YH. A survey of cognition of retinopathy in community diabetic patients and analysis of influencing factors[J]. Chinese Community Doctors, 2019, 35(32): 49, 51. DOI: 10.3969/j.issn.1007-614x.2019.32.032.
15. 何子健, 罗林峰, 许信红, 等. 2015年广州市居民健康素养水平及影响因素研究[J]. 华南预防医学, 2018, 44(3): 231-237. DOI: 10.13217/j.scjpm.2018.0231.He ZJ, Luo LF, Xu XH, et al. Level of health literacy and influencing factors among residents in Guangzhou, 2015[J]. South China Journal of Preventive Medicine, 2018, 44(3): 231-237. DOI: 10.13217/j.scjpm.2018.0231.
16. 罗银波. 健康中国背景下的城市居民健康素养纵向监测研究[D]. 武汉: 华中科技大学, 2019. DOI: 10.27157/d.cnki.ghzku.2019.004209.Luo YB. Research on longitudinal monitoring of health literacy of urban residents under the background of healthy China[D]. Wuhan: Huazhong University of Science and Technology, 2019. DOI: 10.27157/d.cnki.ghzku.2019.004209.
17. 王占国, 牛静雅, 武鸣, 等. 社区糖尿病患者糖尿病足病知识状况及其影响因素研究[J]. 中国慢性病预防与控制, 2017, 25(9): 662-665. DOI: 10.16386/j.cjpccd.issn.1004-6194.2017.09.006.Wang ZG, Niu JY, Wu M, et al. Investigating the knowledge related to diabetic foot and influencing factors among diabetic patients in communities[J]. Chinese Journal of Prevention and Control of Chronic Diseases, 2017, 25(9): 662-665. DOI: 10.16386/j.cjpccd.issn.1004-6194.2017.09.006.
18. 田蕊蕊, 韩海仙, 周瑞芳, 等. 山西晋中农村地区糖尿病视网膜病变认知度调查及影响因素分析[J]. 中国药物与临床, 2017, 17(9): 1314-1316. DOI: 10.11655/zgywylc2017.09.022.Tian RR, Han HX, Zhou RF, et al. A survey of awareness of diabetic retinopathy in rural areas of Jinzhong, Shanxi and analysis of influencing factors[J]. Chinese Remedies & Clinics, 2017, 17(9): 1314-1316. DOI: 10.11655/zgywylc2017.09.022.
19. 张振华, 王树真, 孙清秀, 等. 糖尿病患者糖尿病视网膜病变相关知识认知度调查与影响因素研究[J]. 中国实用眼科杂志, 2017, 35(4): 424-427. DOI: 10.3760/cma.j.issn.1006-4443.2017.04.019.Zhang ZH, Wang SZ, Sun QX, et al. Investigation on awareness of diabetic patients in diabetic retinopathy (DR) and influencing factors[J]. Chinese Journal of Practical Ophthalmology, 2017, 35(4): 424-427. DOI: 10.3760/cma.j.issn.1006-4443.2017.04.019.
20. Liu Y, Duan C, Fang D, et al. Protective factors for diabetic retinopathy in type 2 diabetes mellitus patients: long duration of no less than 10 years[J/OL]. J Diabetes Complications, 2019, 33(10): 107383[2019-05-29]. https://pubmed.ncbi.nlm.nih.gov/31371129/. DOI: 10.1016/j.jdiacomp.2019.05.014.
21. 许晶晶, 何霞, 姚平立, 等. 对某三甲医院2型糖尿病患者教育接受程度及糖尿病基础知识掌握程度的调查分析[J]. 中国药房, 2018, 29(23): 3280-3285. DOI: 10.6039/j.issn.1001-0408.2018.23.24.Xu JJ, He X, Yao PL, et al. Investigation and analysis of the degree of education acceptance and basic knowledge of diabetes in patients with type 2 diabetes in a third grade class a hospital[J]. China Pharmacy, 2018, 29(23): 3280-3285. DOI: 10.6039/j.issn.1001-0408.2018.23.24.
22. Vujosevic S, Aldington SJ, Silva P, et al. Screening for diabetic retinopathy: new perspectives and challenges[J]. Lancet Diabetes Endocrinol, 2020, 8(4): 337-347. DOI: 10.1016/S2213-8587(19)30411-5.

Chinese Journal of Ocular Fundus Diseases

A survey of awareness of retinopathy among diabetic patients in communities of Shenzhen

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