Gregorio Alexis, Vice Shannon, Witt Alexandra, Castro Grettel, Rodriguez Pura, Barengo Noël C, Acuna Juan
American University of Antigua College of Medicine, Antigua, Antigua and Barbuda.
American University of Antigua College of Medicine, Antigua, Antigua and Barbuda.
Prim Care Diabetes. 2021 Feb;15(1):121-125. doi: 10.1016/j.pcd.2020.06.007. Epub 2020 Jun 30.
Diabetes currently affects 30.3 million people in the United States. The objective of this study was to investigate the association between taking a course in self-managing diabetes and diabetic ocular complications including diabetic retinopathy diagnosis (OC-RD).
The sample was from the 2017 CDC's BRFSS participants. We included adults who self-reported they had diabetes. The exposure included those who took a course in how to self-manage diabetes. The outcome was those told they had OC-RD by a doctor. Unadjusted and adjusted logistic regression analysis were used to calculate the odds ratios (OR) and 95% confidence intervals (CI).
The odds of OC-RD decreased by 30% for those who did not attend a course compared to those who did (OR 0.70; 95% CI 0.60-0.80). Patients who saw a doctor showed a 50% increase in the odds of OC-RD than those who did not (OR 1.50; 95% CI 1.20-1.90). Those earning above $15,000 had a 10% decreased likelihood of OC-RD every time income level increased.
Taking a class on self-managing diabetes was associated with an increased risk of OC-RD in the diabetic population. Future studies may analyze how education will affect diabetic complications.
目前，美国有3030万人受糖尿病影响。本研究的目的是调查参加糖尿病自我管理课程与糖尿病眼部并发症（包括糖尿病视网膜病变诊断，即OC-RD）之间的关联。
样本来自2017年美国疾病控制与预防中心的行为危险因素监测系统（BRFSS）参与者。我们纳入了自我报告患有糖尿病的成年人。暴露因素包括参加过糖尿病自我管理课程的人。结果是那些被医生告知患有OC-RD的人。采用未调整和调整后的逻辑回归分析来计算比值比（OR）和95%置信区间（CI）。
与参加课程的人相比，未参加课程的人患OC-RD的几率降低了30%（OR 0.70；95% CI 0.60 - 0.80）。看过医生的患者患OC-RD的几率比未看过医生的患者高50%（OR 1.50；95% CI 1.20 - 1.90）。每次收入水平提高时，收入超过15000美元的人患OC-RD的可能性降低10%。
参加糖尿病自我管理课程与糖尿病患者患OC-RD的风险增加有关。未来的研究可能会分析教育将如何影响糖尿病并发症。
