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：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

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.	吳真祎, 彭濤, 謝美娜, 等. 某三級甲等醫院住院糖尿病患者視網膜病變知曉率調查[J]. 中國醫院統計, 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.	楊冬梅, 王玉潔, 梁歌, 等. 住院糖尿病患者視網膜病變知識、態度、行為現狀及相關因素分析[J]. 中華現代護理雜志, 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.	萬雪梅, 方寧, 李云瑞, 等. 糖尿病視網膜病變患者疾病相關知識-態度-行為的調查及相關因素分析[J]. 中華現代護理雜志, 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.	中華醫學會眼科學會眼底病學組. 我國糖尿病視網膜病變臨床診療指南(2014年)[J]. 中華眼科雜志, 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, 徐宏輝. 上海某鎮糖尿病患者的糖尿病視網膜病變防治知識知曉情況調查[J]. 上海醫藥, 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.	蘇加麗, 張怡, 許英. 上海市花木社區居民糖尿病視網膜病變防治知識及行為現況調查研究[J]. 中國全科醫學, 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.	邵潔, 徐飛燕, 胡燕華. 社區糖尿病患者視網膜病變認知度調查及影響因素分析[J]. 中國社區醫師, 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, 羅林峰, 許信紅, 等. 2015年廣州市居民健康素養水平及影響因素研究[J]. 華南預防醫學, 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.	羅銀波. 健康中國背景下的城市居民健康素養縱向監測研究[D]. 武漢: 華中科技大學, 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.	王占國, 牛靜雅, 武鳴, 等. 社區糖尿病患者糖尿病足病知識狀況及其影響因素研究[J]. 中國慢性病預防與控制, 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, 韓海仙, 周瑞芳, 等. 山西晉中農村地區糖尿病視網膜病變認知度調查及影響因素分析[J]. 中國藥物與臨床, 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.	張振華, 王樹真, 孫清秀, 等. 糖尿病患者糖尿病視網膜病變相關知識認知度調查與影響因素研究[J]. 中國實用眼科雜志, 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.	許晶晶, 何霞, 姚平立, 等. 對某三甲醫院2型糖尿病患者教育接受程度及糖尿病基礎知識掌握程度的調查分析[J]. 中國藥房, 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. 吳真祎, 彭濤, 謝美娜, 等. 某三級甲等醫院住院糖尿病患者視網膜病變知曉率調查[J]. 中國醫院統計, 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. 楊冬梅, 王玉潔, 梁歌, 等. 住院糖尿病患者視網膜病變知識、態度、行為現狀及相關因素分析[J]. 中華現代護理雜志, 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. 萬雪梅, 方寧, 李云瑞, 等. 糖尿病視網膜病變患者疾病相關知識-態度-行為的調查及相關因素分析[J]. 中華現代護理雜志, 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. 中華醫學會眼科學會眼底病學組. 我國糖尿病視網膜病變臨床診療指南(2014年)[J]. 中華眼科雜志, 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, 徐宏輝. 上海某鎮糖尿病患者的糖尿病視網膜病變防治知識知曉情況調查[J]. 上海醫藥, 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. 蘇加麗, 張怡, 許英. 上海市花木社區居民糖尿病視網膜病變防治知識及行為現況調查研究[J]. 中國全科醫學, 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. 邵潔, 徐飛燕, 胡燕華. 社區糖尿病患者視網膜病變認知度調查及影響因素分析[J]. 中國社區醫師, 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, 羅林峰, 許信紅, 等. 2015年廣州市居民健康素養水平及影響因素研究[J]. 華南預防醫學, 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. 羅銀波. 健康中國背景下的城市居民健康素養縱向監測研究[D]. 武漢: 華中科技大學, 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. 王占國, 牛靜雅, 武鳴, 等. 社區糖尿病患者糖尿病足病知識狀況及其影響因素研究[J]. 中國慢性病預防與控制, 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, 韓海仙, 周瑞芳, 等. 山西晉中農村地區糖尿病視網膜病變認知度調查及影響因素分析[J]. 中國藥物與臨床, 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. 張振華, 王樹真, 孫清秀, 等. 糖尿病患者糖尿病視網膜病變相關知識認知度調查與影響因素研究[J]. 中國實用眼科雜志, 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. 許晶晶, 何霞, 姚平立, 等. 對某三甲醫院2型糖尿病患者教育接受程度及糖尿病基礎知識掌握程度的調查分析[J]. 中國藥房, 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

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content