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CN 34-1304/RISSN 1674-3679

Volume 25 Issue 6
Jul.  2021
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LIU Jin-ji, WANG Huan, LONG Zhi-gang, YANG Qiao-sheng, MO Xiong-jun, HUANG Li, WEI Suo-su, CHEN Qiu-ju. Prevalence and related factors of diabetic retinopathy in Liuzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(6): 673-678. doi: 10.16462/j.cnki.zhjbkz.2021.06.010
Citation: LIU Jin-ji, WANG Huan, LONG Zhi-gang, YANG Qiao-sheng, MO Xiong-jun, HUANG Li, WEI Suo-su, CHEN Qiu-ju. Prevalence and related factors of diabetic retinopathy in Liuzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(6): 673-678. doi: 10.16462/j.cnki.zhjbkz.2021.06.010

Prevalence and related factors of diabetic retinopathy in Liuzhou

doi: 10.16462/j.cnki.zhjbkz.2021.06.010
Funds:

2019 Guangxi Medical and Health Self-financing Plan Project Z20190697

2020 Guangxi Medical and Health Self-financing Plan Project Z20201302

More Information
  • Corresponding author: WEI Suo-su, E-mail: 40222503@qq.com; CHEN Qiu-ju, E-mail: 375383754@qq.com
  • Received Date: 2021-02-23
  • Rev Recd Date: 2021-04-27
  • Publish Date: 2021-06-10
  •   Objective  To estimate the prevalence and related factors of diabetic retinopathy(DR) in patients with diabetes mellitus (DM) in Liuzhou, Guangxi Zhuang Autonomous Region.  Methods  A stratified cluster random sampling method was used to select patients who diagnosed with DM from 12 community health service centers and township health centers in Liuzhou as the research objects. Questionnaire survey, physical examination, laboratory tests and fundus examination were performed to them. Unconditional two classification Logistic stepwise regression analysis model was used to analyze the relationship between DR and various factors.  Results  A total of 3 017 DM were included, and 898 of them presented with DR at a morbidity rate of 29.8%. Among DR patients, the number of mild, moderate, severe non-proliferative DR patients and proliferative DR patients were 736(82.0%), 103(11.5%), 23(2.5%) and 36(4.0%), respectively. The unconditional two classification Logistic stepwise regression analysis demonstrated, the younger people (OR=0.628, 95% CI: 0.531-0.744), history of systemic disease (OR=0.812, 95% CI: 0.684-0.963) were protective factors for DR. The history of eye surgery (OR=2.096, 95% CI: 1.632-2.693), higher fasting glucose (OR=1.103, 95% CI: 1.071-1.135), higher urinary albumin (OR=1.001, 95% CI: 1.000-1.001), higher systolic pressure (OR=1.011, 95% CI: 1.006-1.016), faster heart rate (OR=1.009, 95% CI: 1.001-1.017), farmer and freelance occupation (OR=1.207, 95% CI: 1.002-1.453) were the independent risk factors for DR occurrence.  Conclusions  The prevalence of DR is medium in the DM patients in Liuzhou, Guangxi Zhuang Autonomous Region, mainly with mild non-proliferative DR patients. Ages, history of systemic disease, eye surgery, urinary albumin, fasting glucose, blood pressure, heart rate and occupation are the independent risk factors for DR occurrence.The publicity and education of DR and disease screening for DM patients should be strengthened.
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