Knowledge, attitudes and eye health-seeking behaviours in a population-based sample of people with diabetes in rural China Chen, T, Jin, L, Zhu, W, Wang, C, Zhang, G, Wang, X, Wang, J, Yang, K, Cochrane, Gillian, Lamoureux, EL, Friedman, DS, Gilbert, S, Lansingh, VC, Resnikoff, S, Zhao, J, Xiao, B, He, M, Congdon, N and Congdon, N 2020, Knowledge, attitudes and eye health-seeking behaviours in a population-based sample of people with diabetes in rural China, British Journal of Ophthalmology, pp. 1-6, doi: 10.1136/bjophthalmol-2020-316105. Attached Files Name Description MIMEType Size Downloads Title Knowledge, attitudes and eye health-seeking behaviours in a population-based sample of people with diabetes in rural China Author(s) Chen, T Jin, L Zhu, W Wang, C Zhang, G Wang, X Wang, J Yang, K Cochrane, Gillian Lamoureux, EL Friedman, DS Gilbert, S Lansingh, VC Resnikoff, S Zhao, J Xiao, B He, M Congdon, N Congdon, N Journal name British Journal of Ophthalmology Start page 1 End page 6 Total pages 6 Publisher BMJ Place of publication London, Eng. Publication date 2020-07-31 ISSN 0007-1161 1468-2079 Keyword(s) Child health (paediatrics) Clinical Trial Contact lens Epidemiology Eye (Globe) Glaucoma Infection Intraocular pressure Lens and zonules Low vision aid Medical Education Optic Nerve Public health Rehabilitation Retina Vision Visual perception Summary Aims To assess knowledge of diabetes and acceptance of eye care among people with diabetes in rural China, to improve service uptake.MethodsPopulation-based study of people in Guangdong, China, with glycosylated haemoglobin A1c≥6.5% and/or known history of diabetes. Between August and November 2014, participants answered a questionnaire (based on Delphi process/previous focus groups) on medical history, demographic characteristics, self-rated health and vision, knowledge about diabetes and diabetic retinopathy, quality of local healthcare, barriers to treatment, likely acceptance of eye exams and treatment, and interventions rated most likely to improve service uptake. Presenting visual acuity was assessed, fundus photography performed and images graded by trained graders. Potential predictors of accepting care were evaluated and confounders adjusted for using logistic regression.ResultsA total of 562 people (9.6% (256/5825), mean age 66.2±9.84 years, 207 (36.8%) men) had diabetes, 118 (22.3%) previously diagnosed. ‘Very likely’ or ‘likely’ acceptance of laser treatment (140/530=26.4%) was lower than for eye exams (317/530=59.8%, p<0.001). Predictors of accepting both exams and laser included younger age (p<.001) and prior awareness of diabetes diagnosis (p=0.004 and p=0.035, respectively). The leading barrier to receiving diabetes treatment was unawareness of diagnosis (409/454, 97.2%), while interventions rated most likely to improve acceptance of eye exams included reimbursement of travel costs (387/562, 73.0%), video or other health education (359/562, 67.7%) and phone call reminders (346/562, 65.3%).ConclusionsImproving diagnosis of diabetes, along with incentives, education and communication strategies, is most likely to enhance poor acceptance of diabetic eye care in this setting. Notes In Press Language eng DOI 10.1136/bjophthalmol-2020-316105 Indigenous content off Field of Research 1103 Clinical Sciences 1113 Opthalmology and Optometry 1117 Public Health and Health Services HERDC Research category C1 Refereed article in a scholarly journal Persistent URL http://hdl.handle.net/10536/DRO/DU:30141726 Document type: Journal Article Collections: Faculty of Health School of Medicine Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Fri, 11 Sep 2020, 14:55:24 EST Sat, 12 Sep 2020, 05:01:56 EST Wed, 13 Jan 2021, 13:22:32 EST Fri, 05 Feb 2021, 13:36:42 EST Fri, 05 Feb 2021, 13:39:16 EST Fri, 05 Feb 2021, 13:42:15 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 21 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Fri, 11 Sep 2020, 14:55:24 EST

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