Knowledge attitude practice study of diabetic retinopathy
DOI:
https://doi.org/10.18203/2349-2902.isj20205422Keywords:
Diabetes, Diabetic retinopathy, KAP study, AwarenessAbstract
Background: Diabetic retinopathy (DR) is an important cause of visual impairment. It is preventable with proper screening and treatment of diabetes. Therefore, it is necessary to assess awareness of the disease in the population and educate them. Our study aimed to assess the knowledge, attitude and practices regarding diabetes and DR in India.
Methods: We conducted a knowledge, attitude, and practice study of 1152 participants belonging to various economic backgrounds across India, using a validated questionnaire from Shri C. H. Nagri Eye Institute, Ahmedabad. We divided the study population into diabetics and non-diabetics. Statistical analysis was done using SPSS version 20.
Results: Out of 1152, 121 (10.5%) were diabetics and 1031 (89.5%) were nondiabetics. Mean age of diabetics (55.71) was higher than non-diabetics (37.55) (p<0.001). Only 34% of non-diabetics and 55% of diabetics knew about DR. There was a positive co-relation between knowledge of diabetes (r=0.262, p<0.001) and DR (r=0.096, p=0.031) with the level of education. Only 20% admitted that diabetics were at a higher risk for eye problems. A significant portion of participants (40%) said they were never counselled for DR and 54% never had a fundus examination.
Conclusions: The There is a clear lack of knowledge regarding diabetes and diabetic retinopathy. An alarming percentage of patients were never told about the complications and need for regular fundus examinations. There is an urgent need to increase its awareness. A collaborative approach of general-practitioners, ophthalmologists, diabetologist as well as health-policy makers is required to provide needs-based, context-specific comprehensive diabetic care in India.
References
Siddiqui S. Depression in type 2 diabetes mellitus--a brief review. Diabetes Metab Syndr. 2014;8(1):62-5.
Misra N, Khanna RC. Commentary: Rapid assessment of avoidable blindness and diabetic retinopathy in India. Indian J Ophthalmol. 2020;68(2):381-2.
Ashraff S, Siddiqui MA, Carline TE. The psychosocial impact of diabetes in adolescents: a review. Oman Med J. 2013;28(3):159-62.
ICO Guidelines for Diabetic Eye Care. Available at: http://www.icoph.org/downloads/ICOGuidelinesforDiabeticEyeCare.pdf. Accessed on 20 July 2020.
Klein R, Klein BE, Moss SE. Epidemiology of proliferative diabetic retinopathy. Diabetes Care. 1992;15(12):1875-91.
Looker HC, Nyangoma SO, Cromie D, Olson JA, Leese GP, Black M, et al. Diabetic retinopathy at diagnosis of type 2 diabetes in Scotland. Diabetologia. 2012;55(9):2335-42.
Lee KM, Sum WM. Prevalence of diabetic retinopathy in patients with recently diagnosed diabetes mellitus. Clin Exp Optom. 2011;94(4):371-5.
Wang LZ, Cheung CY, Tapp RJ, Hamzah H, Tan G, Ting D, et al. Availability and variability in guidelines on diabetic retinopathy screening in Asian countries. Br J Ophthalmol. 2017;101(10):1352-60.
Joseph N, Unnikrishnan B, Raghavendra Babu YP, Kotian MS, Nelliyanil M. Proportion of depression and its determinants among type 2 diabetes mellitus patients in various tertiary care hospitals in Mangalore city of South India. Ind J Endocrinol Metab. 2013;17(4):681-8.
Joshi A, Joshi A, Maseeh A, Jha PK, Bhatt M, Vyasa B. A study of prevalence of depression in diabetes mellitus: analysis from urban India. Indian J Med Sci. 2011;65(11):497-501.
Arvind Eye Care. Available at: http://v2020eresource.org/content/files/KAPStudyMethodology.pdf. Accessed on 25 July 2020.
Ramachandran A, Snehalatha C. Current scenario of diabetes in India. J Diabetes. 2009;1(1):18-28.
Venugopal D, Lal B, Fernandes S, Gavde D. Awareness and knowledge of diabetic retinopathy and associated factors in Goa: A hospital-based cross-sectional study. Indian J Ophthalmol. 2020;68(2):383-90.
Lingam S, Rani PK, Sheeladevi S, Kotapati V, Das T. Knowledge, attitude and practices on diabetes, hypertension and diabetic retinopathy and the factors that motivate screening for diabetes and diabetic retinopathy in a pyramidal model of eye health care. Rur Rem Heal. 2018;18(1):4304.
Raj P, Singh S, Lewis MG, Shukla R, Murthy GVS, Gilbert C. Diabetic retinopathy screening uptake after health education with or without retinal imaging within the facility in two AYUSH hospitals in Hyderabad, India: A nonrandomized pilot study. Ind J Ophthalmol. 2020;68(1):S56-8.
Srinivasan NK, John D, Rebekah G, Kujur ES, Paul P, John SS. Diabetes and Diabetic Retinopathy: Knowledge, Attitude, Practice (KAP) among Diabetic Patients in A Tertiary Eye Care Centre. J Clin Diagn Res. 2017;11(7):NC01-7.
Memon MS, Shaikh SA, Shaikh AR, Fahim MF, S NM, Ahmed N. An assessment of knowledge, attitude and practices (KAP) towards diabetes and diabetic retinopathy in a suburban town of Karachi. Pak J Med Sci. 2015;31(1):183-8.
Thapa R, Poudyal G, Maharjan N, Bernstein PS. Demographics and awareness of diabetic retinopathy among diabetic patients attending the vitreo-retinal service at a tertiary eye care center in Nepal. Nepal J Ophthalmol. 2012;4(1):10-6.
Namperumalsamy P, Kim R, Kaliaperumal K, Sekar A, Karthika A, Nirmalan PK. A pilot study on awareness of diabetic retinopathy among non-medical persons in South India. The challenge for eye care programmes in the region. Ind J Ophthalmol. 2004;52(3):247-51.
Murthy GVS, Gilbert C, Shukla R, Bala V, Anirudh GG, Mukpalkar S, et al. Overview and project highlights of an initiative to integrate diabetic retinopathy screening and management in the public health system in India. Indian J Ophthalmol. 2020;68(1):S12-5.
Aiello LP, Cahill MT, Wong JS. Systemic considerations in the management of diabetic retinopathy. Am J Ophthalmol. 2001;132(5):760-76.
Jani CT DT, Parikh S, Shah AS. Correlation of types of diabetic retinopathy and its psychosocial impact. Int J Res Med Sci. 2018;(6):3220-5.
