Ophthalmic Knowledge and Beliefs Among Women With Diabetes

Author:

Pasagian-Macaulay Araxi1,Basch Charles E.2,Zybert Patricia2,Wylie-Rosett Judith3

Affiliation:

1. Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh, School of Medicine, Pennsylvania

2. Department of Health Education and Nutrition Sciences, Columbia University, Teachers College, New York, New York

3. Department of Epidemiology and Social Medicine, Albert Einstein School of Medicine, Bronx, New York

Abstract

Many patients with diabetes do not obtain the recommended annual dilated eye exam that is necessary for early detection of diabetic retinopathy. In this study, 150 suburban, low-income women with diabetes were interviewed using a structured telephone questionnaire that included subscales of ophthalmic knowledge and beliefs regarding barriers, benefits, concerns, and self-efficacy related to receiving recommended ophthalmic screening. The data revealed significant gaps in knowledge about diabetes-related eye complications. More than half of the subjects did not know that eye complications may be asymptomatic and that there are ways to lower the risk of eye problems. Over three quarters did not mention having drops put in their eyes as part of an eye exam, one fifth did not know what type of health provider should perform an eye exam, and 17% did not know that annual eye exams were recommended. Subjects were concerned about eye complications associated with diabetes, were aware of the benefits of eye exams, and reported high levels of self- efficacy for receiving an annual eye exam.

Publisher

SAGE Publications

Subject

Health Professions (miscellaneous),Endocrinology, Diabetes and Metabolism

Reference15 articles.

1. US Department of Health and Human Services, Public Health Service. Prevention report: reducing diabetes morbidity and mortality. Washington. DC: US Department of Health and Human Services. 1991: DHHS publication no. 20402-9325, 1-3.

2. Klein R. Klein Bek. Vision disorders in diabetes. Diabetes in America. 2nd ed. Bethesda, Md: National Institutes of Health, 1995: NIH publication no. 95-1468:293-331.

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