Alamri Abdulrahman M A, Alamri Manar M H, Alolayani Rayan A, Assiri Shaima Y A, Alshehri Rayan F Z, Alshabab Saud Q A, Alshahrani Shatha S M, Aloufi Razan S, Al Thamr Amjad M
Department of Ophthalmology, King Khalid University, Abha, Saudi Arabia.
College of Medicine, King Khalid University, Abha, Saudi Arabia.
J Family Community Med. 2024 Oct-Dec;31(4):305-312. doi: 10.4103/jfcm.jfcm_104_24. Epub 2024 Oct 10.
One common and blinding consequence of diabetes is diabetic retinopathy. However, adherence to regular screening remains a challenge for Saudi adults. The goal of this study is to investigate and identify the barriers that hinder Saudi diabetic adults from adhering to screening for diabetic retinopathy.
This cross-sectional study was conducted in a sample of adult diabetic patients throughout Saudi Arabia. Data was collected using a self-administered validated questionnaire comprising following five primary sections: sociodemographic information, profile of diabetes, knowledge of diabetic retinopathy, behaviors, and hurdles to diabetic retinopathy screening. Sample selected using snowball sampling technique. Questionnaire was converted into Google Forms and was shared with study participants via E-mail and several social media sites, including Facebook and WhatsApp during November and December 2023. Data analyzed using SPSS; mean and standard deviation were calculated for continuous variables, whereas categorical data was presented as frequency and percentage. Logistic regression analysis determined barriers for adherence to screening for diabetic retinopathy.
The mean age of the study group was 61.6 ± 15 years, and 58.3% were female. Out of 393 respondents, 71% had undergone retinopathy screening in the past few months; 29.0% had a history of diabetic retinopathy. Participants who knew about retinopathy were eight times more likely to have eye screening compared to those who did not know about retinopathy (odds ratio = 8.05, P < 0.001). Less screening chance was observed among those who had acquired their knowledge from the Internet (odds ratio = 0.23, P = 0.002) or relatives (odds ratio = 0.21, P = 0.002) compared to those who had been advised by their physicians.
These findings underscored the multifaceted nature of barriers to regular screenings within the Saudi Arabian healthcare system. By understanding and addressing these barriers, healthcare systems can enhance the effectiveness of screening programs and improve health outcomes.
糖尿病常见且致盲的后果之一是糖尿病视网膜病变。然而，沙特成年人坚持定期筛查仍是一项挑战。本研究的目的是调查并确定阻碍沙特成年糖尿病患者进行糖尿病视网膜病变筛查的障碍。
本横断面研究以沙特阿拉伯成年糖尿病患者为样本。使用一份经过验证的自填问卷收集数据，问卷包括以下五个主要部分：社会人口统计学信息、糖尿病概况、糖尿病视网膜病变知识、行为以及糖尿病视网膜病变筛查的障碍。采用滚雪球抽样技术选取样本。问卷转换为谷歌表单，并于2023年11月和12月通过电子邮件以及包括脸书和WhatsApp在内的多个社交媒体平台与研究参与者分享。使用SPSS进行数据分析；连续变量计算均值和标准差，分类数据以频率和百分比呈现。逻辑回归分析确定了糖尿病视网膜病变筛查依从性的障碍。
研究组的平均年龄为61.6±15岁，58.3%为女性。在393名受访者中，71%在过去几个月接受了视网膜病变筛查；29.0%有糖尿病视网膜病变病史。了解视网膜病变的参与者进行眼部筛查的可能性是不了解视网膜病变者的八倍（优势比=8.05，P<0.001）。与经医生建议的参与者相比，从互联网（优势比=0.23，P=0.002）或亲属处（优势比=0.21，P=0.002）获取知识的参与者筛查机会较少。
这些发现强调了沙特阿拉伯医疗系统中定期筛查障碍的多面性。通过理解并解决这些障碍，医疗系统可以提高筛查项目的有效性并改善健康结果。
