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Screening for Diabetic Retinopathy and Nephropathy in Patients with Diabetes: A Nationwide Survey in Korea

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  • Sang-Ho Byun
  • Seung Hyun Ma
  • Jae Kwan Jun
  • Kyu-Won Jung
  • Boyoung Park

Abstract

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

Suggested Citation

  • Sang-Ho Byun & Seung Hyun Ma & Jae Kwan Jun & Kyu-Won Jung & Boyoung Park, 2013. "Screening for Diabetic Retinopathy and Nephropathy in Patients with Diabetes: A Nationwide Survey in Korea," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-8, May.
  • Handle: RePEc:plo:pone00:0062991
    DOI: 10.1371/journal.pone.0062991
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    References listed on IDEAS

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    1. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
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    1. Young-Hoon Lee, 2018. "Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    2. Jongnam Hwang, 2016. "Decomposing socioeconomic inequalities in the use of preventive eye screening services among individuals with diabetes in Korea," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(5), pages 613-620, June.
    3. Daniel Kreft & Myra B McGuinness & Gabriele Doblhammer & Robert P Finger, 2018. "Diabetic retinopathy screening in incident diabetes mellitus type 2 in Germany between 2004 and 2013 - A prospective cohort study based on health claims data," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-14, April.

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