Prevalence of cataract and its associated factors among adult diabetic patients attending at diabetic care clinics in Northwest Ethiopia, 2023.

IF 3.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Abebech Fikade Shumye, Melkamu Temeselew Tegegn, Matiyas Mamo Bekele
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引用次数: 0

Abstract

Baground: Cataract is a major public health concern and the leading cause of blindness and low vision in Ethiopia. However, no studies have been conducted to assess the prevalence of cataract and associated factors among adult diabetic patients in the study area. Therefore, this study aimed to assess the prevalence of cataract and associated factors among adult diabetic patients in Northwest Ethiopia.

Methods: A multicenter cross-sectional study was conducted in Northwest Ethiopia from May 8 to June 8, 2023. A systematic random sampling technique was used to select study subjects. Data were collected through an in-person interview and physical examination. The data were imported to Kobo Toolbox version 2022 4.4 and exported to Stata version 14. A binary logistic regression was carried out to identify factors associated with cataract, and the strength of association was determined by adjusted odds ratio. A variable with a P-value of < 0.05 at a 95% confidence interval was considered a significant factor for cataract.

Results: The study included 1100 study subjects with a median age of 52 years. The prevalence of cataract was 42.2% (95%CI: 39.1-45.1%). Older age (AOR = 9.73, 95% CI: 5.53-17.13), ≥ 10 years duration of diabetic mellitus (AOR = 2.77, 95% CI: 1.96-3.90), poor glycemic control (AOR = 1.96, 95% CI: 1.40-2.74), and proliferative diabetic retinopathy (AOR = 4.14, 95% CI: 2.04-8.40), were factors significantly associated with cataract.

Conclusions: This study revealed a high prevalence of cataract among adult diabetic patients. Older age, longer duration of diabetes mellitus, poor glycemic control, diabetic retinopathy, and proliferative diabetic retinopathy had statistically significant associations with cataract. Therefore better controlling blood sugar levels will reduce the development of cataract. Regular screening of their eye will be also recommended to reduce visual impairment and blindness due cataract.

2023年埃塞俄比亚西北部糖尿病护理诊所成年糖尿病患者白内障患病率及其相关因素
背景:白内障是一个主要的公共卫生问题,也是埃塞俄比亚失明和视力低下的主要原因。然而,尚未有研究对研究地区成人糖尿病患者白内障患病率及相关因素进行评估。因此,本研究旨在评估埃塞俄比亚西北部成人糖尿病患者白内障患病率及其相关因素。方法:于2023年5月8日至6月8日在埃塞俄比亚西北部进行多中心横断面研究。采用系统随机抽样技术选择研究对象。数据通过面对面访谈和身体检查收集。数据导入Kobo工具箱版本2022 4.4,并导出到Stata版本14。采用二元logistic回归来确定与白内障相关的因素,并通过校正比值比确定相关性的强弱。p值为结果的变量:该研究包括1100名研究对象,中位年龄为52岁。白内障患病率为42.2% (95%CI: 39.1-45.1%)。年龄较大(AOR = 9.73, 95% CI: 5.53-17.13)、糖尿病病程≥10年(AOR = 2.77, 95% CI: 1.96-3.90)、血糖控制不良(AOR = 1.96, 95% CI: 1.40-2.74)、增殖性糖尿病视网膜病变(AOR = 4.14, 95% CI: 2.04-8.40)是与白内障显著相关的因素。结论:本研究揭示了成人糖尿病患者白内障的高患病率。年龄较大、糖尿病病程较长、血糖控制较差、糖尿病视网膜病变和增殖性糖尿病视网膜病变与白内障有统计学意义的相关性。因此,控制好血糖水平可以减少白内障的发生。还建议定期进行眼部检查,以减少因白内障造成的视力损害和失明。
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来源期刊
BMC Public Health
BMC Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
4.40%
发文量
2108
审稿时长
1 months
期刊介绍: BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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