Screening for Diabetic Retinopathy and Nephropathy in Patients with Diabetes: A Nationwide Survey in Korea
Screening for Diabetic Retinopathy and Nephropathy in Patients with Diabetes: A Nationwide Survey in Korea
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DOI：
10.1371/journal.pone.0062991
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发表时间：
2013-05-08
期刊：
影响因子：
3.7
通讯作者：
Park, Boyoung
中科院分区：
文献类型：
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作者：
Byun, Sang-Ho;Ma, Seung Hyun;Park, Boyoung
本研究的目的是确定与糖尿病视网膜病变和肾病筛查相关的因素。对 2007 年至 2009 年韩国国家健康和营养检查调查的数据进行了分析。在 24,871 名参与者中，有 1,288 名年龄 >= 30 岁被诊断患有糖尿病的患者。 36.3%的人在上一年接受过糖尿病视网膜病变筛查，40.5%的人在上一年接受过糖尿病肾病筛查。生活在农村地区的患者、受教育程度较低的患者、未接受过糖尿病护理教育的患者以及未接受糖尿病医疗护理的患者较少接受视网膜病变或肾病筛查。自我报告健康状况较差的患者接受更频繁的筛查。职业、吸烟状况和糖尿病病程与视网膜病变筛查相关。家庭收入较低与肾病筛查减少有关。接受糖尿病护理教育和接受糖尿病医疗护理是糖尿病病程较短的患者的显着因素（未接受教育的显着比值比 [OR] 在 0.27 至 0.51 之间变化，未接受医疗护理的显着比值比 [OR] 在 0.34 至 0.42 之间变化）。社会人口学因素和健康相关因素以及教育和医疗保健影响了糖尿病病程较长的人群中糖尿病并发症的筛查（对于视网膜病变和肾病，生活在农村地区的显着OR在0.56到0.61之间变化；对于视网膜病变，当前吸烟者的显着OR为0.55，主观健康状况的p趋势为
This study was performed to identify factors associated with screening for diabetic retinopathy and nephropathy. Data from the Korean National Health and Nutrition Examination Survey between 2007 and 2009 were analyzed. Of 24,871 participants, 1,288 patients diagnosed with diabetes at >= 30 years of age were included. 36.3% received screening for diabetic retinopathy, and 40.5% received screening for diabetic nephropathy during the previous year. Patients living in rural areas, those with less education, those who had not received education about diabetes care, and those who did not receive medical care for diabetes were screened less often for retinopathy or nephropathy. Patients with poorer self-reported health status were screened more often. Occupation, smoking status, and diabetes duration were associated with retinopathy screening. Lower family income was associated with decreased nephropathy screening. Receiving education about diabetes care and receiving medical care for diabetes were significant factors in patients with a shorter duration of diabetes ( the significant odds ratio [OR] of not receiving education varied between 0.27 and 0.51, and that of not receiving medical care varied between 0.34 and 0.42). Sociodemographic factors and health-related factors as well as education and medical care influenced screening for diabetic complications among those with a longer duration of diabetes ( for retinopathy and nephropathy, the significant OR of living in a rural area varied between 0.56 and 0.61; for retinopathy, the significant OR of current smokers was 0.55, and the p-trend of subjective health status was