Predictors of uptake of eye examination in people living with diabetes mellitus in three counties of Kenya

Tropical Medicine and Health
Nyawira MwangiAllen Foster

Abstract

Diabetic retinopathy (DR) is a significant public health concern that is potentially blinding. Clinical practice guidelines recommend annual eye examination of patients with diabetes for early detection of DR. Our aim was to identify the demand-side factors that influence uptake of eye examination among patients already utilizing diabetes services in three counties of Kenya. We designed a clinic based cross-sectional study and used three-stage sampling to select three counties, nine diabetes clinics in these counties and 270 patients with diabetes attending these clinics. We interviewed the participants using a structured questionnaire. The two outcomes of interest were 'eye examination in the last 12 months' and 'eye examination ever'. The exposure variables were the characteristics of participants living with diabetes. The participants had a mean age of 53.3 years (SD 14.1) and an average interval of 4 months between visits to the diabetes clinic. Only 25.6% of participants had ever had an eye examination in their lifetime, while 13.3% had it in the preceding year. The independent predictors of uptake were referral by diabetes services, patient knowledge of diabetes eye complications, comorbid hypertension and urban or semi-u...Continue Reading

References

Sep 20, 2005·The British Journal of Ophthalmology·S LewallenP Courtright
Jul 6, 2006·BMC Health Services Research·Jeroen N StruijsGeertrudis A M van den Bos
Aug 22, 2007·The British Journal of Ophthalmology·Joackim P Kessy, Susan Lewallen
Nov 13, 2007·Ophthalmic Epidemiology·Musonda MumbaSusan Lewallen
Feb 7, 2008·The Cochrane Database of Systematic Reviews·D GroverC C W Chong
May 18, 2010·Ophthalmology·Dandan WangNathan Congdon
May 25, 2010·European Journal of Internal Medicine·Oluwatoyin Helen OnakpoyaBabatope Ayodeji Kolawole
Jun 12, 2010·Diabetic Medicine : a Journal of the British Diabetic Association·S Jones, R T Edwards
Jun 29, 2010·Lancet·Ning CheungTien Yin Wong
Jul 13, 2011·Archives of Ophthalmology·Gitalisa AdrionoNathan Congdon
Feb 4, 2012·Diabetes Care·Joanne W Y YauUNKNOWN Meta-Analysis for Eye Disease (META-EYE) Study Group
Jul 24, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·P I BurgessP Garner
Sep 5, 2012·Indian Journal of Ophthalmology·Yingfeng ZhengNathan Congdon
Oct 16, 2012·Health Policy·Heather DickeyAlexandros Zangelidis
Jan 24, 2013·Disability and Rehabilitation·Alishbah SyedHannah Kuper
Mar 19, 2013·International Journal for Equity in Health·Jean-Frederic LevesqueGrant Russell
May 15, 2013·Ophthalmic Epidemiology·Arraya Paksin-HallElizabeth Ablah
Dec 7, 2013·JAMA Ophthalmology·Paul A MaclennanCynthia Owsley
Oct 25, 2014·The Cochrane Database of Systematic Reviews·Gianni VirgiliJennifer R Evans
Nov 25, 2014·The Cochrane Database of Systematic Reviews·Jennifer R EvansGianni Virgili
Aug 25, 2015·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·S E BaumeisterC Jürgens
Dec 9, 2015·Tropical Medicine & International Health : TM & IH·Charles R ClelandHeiko Philippin
Mar 10, 2016·Middle East African Journal of Ophthalmology·Shaheer Aboobaker, Paul Courtright
May 18, 2016·Indian Journal of Endocrinology and Metabolism·Roopa ShivashankarNikhil Tandon

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Citations

Apr 24, 2019·PloS One·Mapa Mudiyanselage Prabhath Nishantha PiyasenaSureshkumar Kamalakannan
Jun 16, 2018·Implementation Science : IS·Nyawira MwangiAllen Foster
Jun 4, 2021·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Toyba Mohammed AhmedMohammed Seid Hussen

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