Factors Associated with Adherence to Screening Guidelines for Diabetic Retinopathy Among Low-Income Metropolitan Patients.

• 发表时间: May-Jun 2020
• 来源期刊: Mo Med
• PMID: 32636560
• 文章类型: Journal Article
• 作者列表: Kuo J,Liu JC,Gibson E,Rao PK,Margolis TP,Wilson B,Gordon MO,Fondahn E,Rajagopal R

Mesh: Adult; Aged; Diabetes Mellitus / psychology therapy; Diabetic Retinopathy / psychology therapy; Female; Guidelines as Topic; Humans; Logistic Models; Male; Mass Screening / methods standards statistics & numerical data; Middle Aged; Patient Compliance; Poverty / psychology statistics & numerical data; Retrospective Studies; Treatment Adherence and Compliance / psychology statistics & numerical data; Urban Population / statistics & numerical data

Abstract

In this retrospective analysis of patients with diabetes in an academic primary care clinic in St. Louis, attendance at ophthalmic screening appointments was recorded over a two-year observation window. Factors associated with adherence were analyzed by multivariable regression. Among 974 total patients included, only 330 (33.9%) were adherent within a two-year period. Multivariate analyses identified older age, female gender, primary language other than English, and attendance at ancillary diabetes clinic visits as factors associated with improved diabetic retinopathy screening adherence. Factors not associated with adherence included race and insurance status.