State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Ophthalmology. 2010 Sep;117(9):1755-62. doi: 10.1016/j.ophtha.2010.01.019. Epub 2010 May 14.
To assess the use of eye care and its predictors among diabetic patients in China.
Cross-sectional, clinic-based study.
Diabetic patients 18 years of age or older were recruited consecutively from an urban tertiary and community hospitals and from a rural clinic in Guangdong, China.
Information obtained by questionnaire and chart review included: demographic and socioeconomic status, knowledge about diabetic retinopathy (DR), and ocular and medical history.
Self-reported or chart history of an eye examination ever or within the preceding 12 months.
The participation rate among 889 eligible subjects was 92.7%. Among 824 participants (mean age, 62.6+/-12.9 years; 58.8% female), 550 (66.7%) had not been examined in the last year as recommended by the American Academy of Ophthalmology, and 356 (43.2%) had never been examined. For the rural hospital, these figures were 81.1% and 68.7%, respectively. In regression analyses, factors associated with having an eye examination in the last year were: attendance at urban hospitals (odds ratio [OR], 3.46 [P<0.001] and 1.76 [P = 0.021] for the tertiary and community hospitals, respectively, compared with the rural clinic), higher DR knowledge score (OR, 1.24; P = 0.001), greater concern about vision loss (OR, 1.22; P = 0.007), and recommendation of regular eye examinations by the provider (OR, 2.36; P = 0.011). Predictors of ever having an eye examination were similar. Monthly income and health insurance status were not predictive of being examined.
These results suggest that the low proportion of diabetic receiving recommended annual eye examinations in China may be improved through patient and physician education.
评估中国糖尿病患者的眼部保健使用情况及其预测因素。
横断面、基于诊所的研究。
从中国广东的一家城市三级医院和社区医院以及一家农村诊所连续招募了 18 岁或以上的糖尿病患者。
通过问卷和病历回顾获得的信息包括：人口统计学和社会经济状况、对糖尿病视网膜病变（DR）的认识以及眼部和医疗史。
自我报告或病历记录的眼部检查史，包括曾经检查或在过去 12 个月内检查过。
在 889 名符合条件的受试者中，参与率为 92.7%。在 824 名参与者（平均年龄 62.6±12.9 岁；58.8%为女性）中，550 名（66.7%）未按照美国眼科学会的建议在过去一年中进行检查，356 名（43.2%）从未进行过检查。对于农村医院，这两个数字分别为 81.1%和 68.7%。在回归分析中，与过去一年进行眼部检查相关的因素包括：在城市医院就诊（与农村诊所相比，三级医院和社区医院的优势比分别为 3.46[P<0.001]和 1.76[P=0.021]）、DR 知识评分较高（优势比 1.24；P=0.001）、对视力丧失的关注度较高（优势比 1.22；P=0.007）以及提供者建议定期进行眼部检查（优势比 2.36；P=0.011）。曾经进行过眼部检查的预测因素相似。月收入和健康保险状况与是否接受检查无关。
这些结果表明，中国接受推荐的每年进行眼部检查的糖尿病患者比例较低，可能通过患者和医生教育得到改善。
