Visual impairment and its predictors among people living with type 2 diabetes mellitus at Dessie town hospitals, Northeast Ethiopia: institution-based cross-sectional study

Author:

Seid Mohammed Abdu,Ambelu Adugnaw,Diress Mengistie,Yeshaw Yigizie,Akalu Yonas,Dagnew Baye

Abstract

Abstract Background Visual impairment is a functional limitation of the eye(s) that results in reduced visual acuity, visual field loss, visual distortion, perceptual difficulties, or any combination of the above. Type 2 diabetes mellitus is one of the common causes of visual impairment. Since there is no study conducted in Ethiopia so far in this regard, the current study aimed to determine the prevalence and predictors of visual impairment among people living with diabetes at Dessie town Hospitals, Northeast Ethiopia. Methods Institution based cross-sectional study was carried out from 15 February to 15 March 2020 using simple random sampling to recruit study participants among type 2 diabetes. Visual impairment was measured using visual acuity test. We used Epi Data 3.1 and SPSS version 22 for data entry and statistical analysis, respectively. Bi-variable binary logistic regression was performed to check independent association of each factor with visual impairment. After selecting candidate variables at p < 0.25, we computed multivariable binary logistic regression to identify statistically associated factors of visual impairment. The degree of association was determined using adjusted odds ratio with 95%CI. In the final model, statistical significance was declared at p < 0.05. Results Three hundred and twenty-two people living with T2DM participated in this study with 97% response rate. The prevalence of visual impairment was 37.58% (95% CI: 32.3, 42.9). Age (AOR: 1.06, 95% CI: 1.02, 1.09, p < or = 0.001), poor regular exercise (AOR = 2.91, 95%CI: 1.47–5.76, p < or = 0.001), duration of DM above 5 years (AOR = 2.42, 95% CI: 1.25–4.73, p < or = 0.01), insulin treatment (AOR = 14.05, 95% CI: 2.72, 72.35, p < or = 0.01), and poor glycemic control (AOR = 2.17, 95% CI: 1.13–4.14, p < 0.05) were statistically associated with visual impairment. Conclusion The prevalence of visual impairment in Dessie town hospitals accounted for more than a third of patients living with T2DM. Visual impairment is associated with increased age, poor regular exercise, longer duration of DM, and insulin treatment. Thus, early detection of VI through screening and regular follow-up is recommended to reduce the risk of VI and vision loss.

Publisher

Springer Science and Business Media LLC

Subject

Ophthalmology,General Medicine

Reference46 articles.

1. World Health Organisation. Global report on diabetes mellitus; 2018. p. 11–4. Available from: http://www.who.int

2. Sayin N, Kara N, Pekel G. Ocular complications of diabetes mellitus. World J Disbetes. 2015;6(1):92–108 Available from: http://www.wjgnet.com/esps/helpdesk.aspx.

3. Brownlee M. Biology of diabetic complications. Insight Rev Artic. 2001;414(13):813–20.

4. Fauci AS, Kasper DLL, et al. Harrison’s: principles of internal medicine. In: The British Journal of psychiatry, vol. 112. 20th ed. New York: McGraw-Hill; 2018. p. 2851–80. Available from: www.accessmedicine.com/harrisons.

5. Fraser Freeman K, Roy Gordon Cole P, Eleanor Faye OE, Freeman PB, Gregory Goodrich OL, Stelmack JA, et al. Optometric clinical practice guideline care of the patient with visual impairment. Am Optom Assoc. 2007;10:6–8.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3