Predictors of attendance at diabetic retinopathy screening among people with type 2 diabetes: Secondary analysis of data from primary care

O’Keeffe, David; Riordan, Fiona; Harkins, Velma; Kearney, Patricia M.; Hugh, Sheena Mc

doi:10.1016/j.pcd.2021.08.004

Cited by 5 publications

(5 citation statements)

References 28 publications

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“…This is consistent with previous research showing that regular contact with a primary care provider was positively correlated with receiving an annual screening exam for diabetic retinopathy. 30 This finding emphasizes the importance of the social determinants of health domain “health care access and quality” in ensuring that diabetic adults receive annual vision screenings.…”

Section: Discussionmentioning

confidence: 95%

Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey

Jotte¹,

Kooi²,

French³

2023

OPTH

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Purpose To determine the association(s) between receiving an annual eye exam and various economic, social, and geographic factors assessed in the 2019 National Health Interview Survey (NHIS) among adults with diabetes. Patients and Methods Data from adults 18 years of age and older relevant to self-reported non-gestational diabetes diagnosis and eye exam within the last 12 months were extracted from the 2019 NHIS dataset. A multivariate logistic regression model was used to determine associations between receiving an eye exam in the preceding 12 months and various economic, insurance-related, geographic, and social factors. Outcomes were reported as odds ratios (OR) with 95% confidence intervals (CI). Results Among diabetic adults in the US, receiving an eye exam within the last 12 months was significantly associated with female sex (OR 1.29; 95% CI 1.05–1.58), residence in the Midwestern United States (OR 1.39; 95% CI 1.01–1.92), use of Veteran’s Health Administration healthcare (OR 2.15; 95% CI 1.34–3.44), having a usual place to go for healthcare (OR 3.89; 95% CI 2.16–7.01), and the use of Private, Medicare Advantage, or other insurance (OR 3.66; 95% CI 2.42–5.53), use of Medicare only excluding Medicare Advantage (OR 3.18; 95% CI 1.95–5.30), dual eligibility for Medicare and Medicaid (OR 3.88; 95% CI 2.21–6.79), and use of Medicaid and other public health insurance (OR 3.04; 95% CI 1.89–4.88) compared to those without insurance. An educational attainment of less than high school (OR 0.66; 95% CI 0.48–0.92), and an educational attainment of high school or GED without any college (OR 0.62; 95% CI 0.47–0.81) reduced the odds of having an annual eye exam. Conclusion Economic, social, and geographic factors are associated with diabetic adults receiving an annual eye exam.

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Section: Discussionmentioning

confidence: 95%

Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey

Jotte¹,

Kooi²,

French³

2023

OPTH

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“…Studies investigating diabetic retinopathy screening attendance have reported uptake ranging from 50% to 81% [24,26,106,[148][149][150][151][152]. However, drawing comparisons between these studies and our findings presents a challenge due to the significant differences in study locations and populations.…”

Section: Non-attendance In the Screening Programme For Diabetic Retin...mentioning

confidence: 70%

“…However, even when systematic screening programmes have been implemented, the success of diabetic retinopathy screening in reducing the risk of vision loss is further dependent on ensuring that most people with diabetes undergo screening and receive adequate treatment. Unfortunately, non-attendance and delayed attendance seem to remain a challenge across countries, income settings, and screening programmes, as several studies have indicated variable and sup-optimal uptake [15,18,106,107]. According to the Danish Registry of Diabetic Retinopathy (DiaBase), in 2022 only 51.4% of 92,185 screenings were attended within the recommended timeframe.…”

Section: Diabetic Retinopathy Screening Attendancewhy This Project?mentioning

confidence: 99%

“…In Denmark nonattendance is not registered, and to the best of our knowledge, this is the case across countries with implemented screening programmes. As such, studies on the topic have used different definitions of non-attendance [106,[148][149][150]. These are often related to number of missed appointments over a period of time.…”

Section: Non-attendance In the Screening Programme For Diabetic Retin...mentioning

confidence: 99%

“…The approach to and organisation of screening for diabetic retinopathy differs across settings and countries, which can be attributed to several factors, including infrastructure, organization of healthcare systems, and varying availability of resources [13]. Countries such as Denmark, England, Finland, Iceland, Scotland, Wales, and Ireland have established systematic screening programmes designed to reach all people with diabetes in the population, while other European countries have implemented city-wide or regional screening programmes [17,79,106,153]. Even though our findings indicate that non-attendance still poses a challenge in a country with a national screening programme, systematic screening is recognized as an essential competent of reducing the risk of vision loss due to diabetic retinopathy [13,79].…”

Section: Non-attendance In the Screening Programme For Diabetic Retin...mentioning

confidence: 99%

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UNDERSTANDING DIABETIC RETINOPATHY SCREENING ATTENDANCE AMONG PEOPLE WITH TYPE 2 DIABETES: The what, why, and how

Petersen

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Christina, thank you for the countless talks, for always offering your help, and for being ready to celebrate each step of this journey with me and life in general.Cille, thank you for always being by my side. Thank you for listening to my concerns, for your endless support, and for always providing a space for laughter.Lastly, I would like to extent my deep gratitude and thanks to my family. Despite not always understanding or knowing exactly what I have been doing the last years, your support has been unvarying. Thank you for keeping me sane through the tough times, and a special thanks to my sister for always cheering me on. To my Mads, thank you for encouraging and supporting me in embarking on this journey. Thank you for being happy, frustrated, and excited with me, and most of all thank you for always reminding me that no matter what, you are proud of me. To my E & C, I love you endlessly, and hope to make you proud.

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Inequalities in healthcare utilisation among adults with type 2 diabetes

Hessain,

Andersen,

Fredslund

2023

Diabetes Research and Clinical Practice

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Predictors of attendance at diabetic retinopathy screening among people with type 2 diabetes: Secondary analysis of data from primary care

Cited by 5 publications

References 28 publications

Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey

Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey

UNDERSTANDING DIABETIC RETINOPATHY SCREENING ATTENDANCE AMONG PEOPLE WITH TYPE 2 DIABETES: The what, why, and how

Inequalities in healthcare utilisation among adults with type 2 diabetes

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