Assessment of Knowledge of Diabetic Retinopathy,Eye Check-Up Practice and AssociatedFactors among Adults with Diabetes Mellitus onFollow up at Public Hospitals in Addis Ababa,2023.
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Date
2023
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Addis Ababa University
Abstract
Background: Diabetic retinopathy (DR) is the most common complication of diabetes and
the leading causes of visual loss among adults. Regular eye examination practice and
knowledge of DR plays important role in the prevention and early detection of diabetic
retinopathy. However, there is limited data regarding knowledge of diabetic retinopathy and
eye cheek-up practice among diabetes mellitus (DM) patients in Ethiopia. Objective: This
study aimed to assess knowledge of diabetic retinopathy, eye check-up practice and
associated factors among adults with diabetes mellitus on follow up at public hospitals in
Addis Ababa, 2023.
Methods: Institution based cross-sectional study was conducted at selected public hospitals
in Addis Ababa. A pretested interviewer administered structured questionnaire was used to
collect data from a sample of 421 diabetic patients. Bivariate and multivariate logistic
regression analysis was used to determine factors associated with eye checkup practice and
simple and multiple linear regression analyses was used to identify factors associated with
knowledge of diabetic retinopathy. Statistical significance was determined using p–value of
< 0.05 and 95% confidence interval.
Result: The mean (SD) knowledge score of diabetic retinopathy was 7.37±3.45, and 55.3%
participants have undergone an eye examination in the last one year at least once. Long
duration of diabetes (β=0.157,p=0.001),older age (β=0.022,P=0.043) and lower educational
status(B=-0.166,P=0.001)showed statistically significant association with knowledge of DR.
Urbanresidence(AOR=5.131,95%CI:1.804-14.594,P=0.02),lowereducational status, (AOR
=0.230,95%CI:0.093 0.572 ,p=0.0020), <10yearsduration of diabetes(AOR=0.546,95%CI:
0.323- 0.923,p=0.024)and knowledge score of DR(AOR= 1.401,95%CI1.271-1.544:p=0.000)
were significantly associated with eye checkup practice.
Conclusion and recommendation: Majority of the participants answered below the mean of
knowledge score of regarding diabetic retinopathy and more than half of the participants
undergo an eye examination once in a year. Therefore, effective health education concerning
diabetic retinopathy and eye checkup practice via media, regular health education sessions,
and posters is important should be given an emphasis
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Keywords
knowledge, eye checkup practice, diabetic retinopathy, diabetes mellitus