||Background: Diabetic retinopathy is one of major causes of visual disturbance and blindness in the patients with diabetes. Early treatment for retinopathy could be achieved by early detection through eye examinations and reduce the patient’s visual loss. However, the rate of eye examinations was low in the patients with diabetes in Taiwan. It’s needed to further study about the reasons for poor compliance of eye examinations in the patients with diabetes. |
Objectives: To estimate compliance of eye examinations in the patients with diabetes, to examine factors that affect compliance, and to determine reasons for compliance and non-compliance.
Data source and Sample size: Data were obtained from the 2009 Nation Health Interview Survey (NHIS) in Taiwan. A total of 1040 patients with diabetes 12 years of age or older were enrolled in this study.
Methods: A cross-sectional population study. The Andersen model was used as the analytic framework, and all variables were categorized into three factors: predisposing, need, and enabling factors. The chi-square test, independent-sample t test, and logistic regression were used to analyze the association between these variables and the use of eye examinations.
Results: Of all patients with diabetes, only 45.2% had an eye examination in the past years. By logistic regression, the probability of an eye examination among the patients with diabetes increased with checking sugar level themselves, taking care of their feet, having attended diabetes support group, not living in a rural area, having eye symptoms, having longer duration of diabetes, and taking insulin for sugar control. Hakka people and patients with frequent hospitalizations were less likely to use eye examinations.
Conclusion: The study results showed that the utilization rate of eye examinations was low. It’s important to improve the utilization of eye examinations through education about diabetic retinopathy and eye examination. We must aggressively transfer the patients with no any symptoms of eye, early stage of diabetes, mild degree of diabetes and frequent hospitalization to ophthalmology clinic for eye examinations. At last, it’s also needed to resolve the problems of insufficient resources of ophthalmology in a rural area.