From: Adherence to diabetic retinopathy screening among children and young adults in Bangladesh
Characteristics of young person | Attended last DRS appointment (n = 343) | Did not attend last DRS appointment (n = 47) | p-value |
---|---|---|---|
Socio-demographic Parameters | |||
Age, n(%) - Under 15 - 16–19 - 20–22 - 23–26 Age, n(%) - Mean (SD) | 110(32.1%) 123(35.9%) 64(18.7%) 46(13.4%) 17.7 (3.8) | 10(21.3%) 14(29.8%) 14(29.8%) 9(19.1%) 19.0 (3.9) | 0.137 0.030* |
Gender, n (%) Female Male | 177(51.6%) 166(48.4%) | 14 (29.8%) 33 (70.2%) | 0.008* |
Religion, n (%) - Muslim - Christian - Hindu | 323(94.2%) 1(0.3%) 19(5.5%) | 46(97.9%) 0(0.0%) 1(2.1%) | 0.567 |
Mode of transport to hospital, n (%) (multiple response) - Rickshaw, - three-wheeler/Auto - Van - Private Car/Rented Car - Boat - Ship - Bus - Train - Other (walking) | 128(37.3%) 111(32.4%) 7(2.0%) 14(4.1%) 4(1.2%) 15(4.4%) 245(71.4%) 31(9.0%) 121(35.3%) | 15(31.9%) 13(27.7%) 0(0%) 2(4.3%) 0(0.0%) 0(0.0%) 33(70.2%) 4(8.5%) 15(31.9%) | 0.894 |
Distance to hospital (time in minutes) (Median ± IQR) | 130 ± 185 | 120 ± 310 | 0.852 |
Distance to hospital (km) (Median ± IQR) | 35 ± 112 | 40 ± 120 | 0.813 |
Total family household members (Median ± IQR) | 5 ± 1 | 5 ± 2 | 0.181 |
Education Level Status, n (%) - Illiterate/no school attendance - Primary Education Certificate - Junior School Certificate - Secondary School Certificate - Higher Secondary School Certificate and above | 8(2.3%) 67(19.5%) 103(30.0%) 80(23.3%) 85(24.8%) | 4(8.5%) 10(21.2%) 12(25.5%) 9(19.1%) 12(25.5%) | 0.215 |
Occupation of young person, n (%) - Day Labour/Farmer - Service (Government and Private) - Student - Small business/business - Housemaker - Unemployment - Others | 10(2.9%) 11 (3.2%) 275(80.2) 5(1.5%) 22 (6.4%) 16(4.7%) 4(1.2%) | 5(10.7%) 2(4.3%) 32(68.1%) 1(2.1%) 1(2.1%) 2(8.5%) 2(4.3%) | 0.071 |
Household Heads Occupation, n (%) - Day Labour/Farmer - Service (Government and Private) - Driver/Rickshaw puller - Small business/business - Housemaker - Unemployment - Others | 82(23.9%) 121(36.3%) 10(2.9%) 94(27.4%) 19(5.5%) 10(2.9%) 7 (2.0%) | 11(23.4%) 17(36.1%) 4(8.6%) 13(27.6%) 0(0.0) 1(2.1%) 1(2.1%) | 0.389 |
Currently married, n (%) | 34(9.9%) | 4(8.5%) | 0.761 |
Family monthly income (US Dollar) (Median ± IQR) | 180 ± 180 | 135 ± 180 | 0.265 |
Family receives financial Government support, n (%) | 22(6.4%) | 1(2.1%) | 0.242 |
Clinical Parameters and DM Management | |||
Age of DM diagnosis (years), n (%) - 5 or Under - 6–10 - 11–16 - 17 or Over (Median ± IQR) | 28(8.2%) 103(30.0%) 193(56.3%) 19(5.5%) 12 ± 4 | 4(8.5%) 16(34.0%) 22(46.8%) 5(10.6%) 12 ± 5 | 0.450 0.777 |
DM Type, n (%) - Type 1 - Type 2 - Unknown - Nonresponse | 155(45.2%) 53(15.5%) 134(39.1%) 1(0.3%) | 23(48.9%) 4(8.5%) 20(42.6%) 0(0.0%) | 0.625 |
DM controlled by; n (%) (multiple response) - Insulin - Other hypoglycaemic medication - Insulin and hypoglycaemic medication - Diet/Exercise - Other | 298 (86.9%) 63(18.4%) 0(0.0%) 291(84.8%) 261(76.7%) 0(0.0%) 0(0.0%) | 45(95.7%) 9(19.1%) 0(0.0%) 41(87.2%) 39(82.9%) 2(4.3%) 0(0.0%) | 0.009* |
DM duration (years), (Median ± IQR) | 5 ± 5 | 7 ± 5 | 0.212 |
HbA1c at last test (Median ± IQR) | 8.0 ± 2.5 | 9.1 ± 2.5 | 0.010* |
How often are blood sugars tested at home, n (%) - Daily - 1-3x a week - 4-6x a week - Others - Nonresponse | 41(12.0%) 221(64.5%) 31(9.0%) 26(7.6%) 24(7.0%) | 11(23.4%) 21(44%) 4(8.5%) 4(8.5%) 7(14.9%) | 0.041* |
First degree relatives with DM (mother, father, brother, sister), Y, n (%) | 187(54.5%) | 17(36.2%) | 0.018* |
Any DM complications, Y, n (%) (multiple response) - Foot trouble, - Neuropathy - Eye problems - Heart problems - Stroke - Teeth problem - Very high blood sugars (hyperglycaemia) - Very low blood sugars (hypoglycaemia) - Skin problems - Not sure - Others | 61(17.8%%) 7(2.0%) 136(39.7%) 7(2.0%) 1(0.3%) 55(16.0%) 25(7.3%) 172(50.1%) 23(6.7%) 22(6.4%) 68(19.8%) | 8(17.0%) 2(4.3%) 14(29.8%) 4(8.5%) 0(0.0%) 3(6.4%) 3(6.4%) 26(55.3%) 1(2.1%) 4(8.5%) 18(38.3%) | 0.898 0.343 0.192 0.012* 0.711 0.081 0.822 0.506 0.221 0.589 0.004* |
Last attendance at hospital for DM treatment, n (%) - 1 week ago - 2 weeks ago - 3 weeks ago - 1 month ago - 3 months ago - 6 months ago - Other | 4(1.2%) 4(1.2%) 0(0.0%) 44(12.8%) 240(73.3%) 31(9.0%) 20(5.8%) | 2(4.3%) 0(0.0) 0(0.0%) 8(17.0%) 17(36.2%) 4(8.5%) 16(34.0%) | < 0.001* |
Attended any hospital follow-up visits in the last 6 months, Y, n (%) | 207(60.3%) | 23(48.9%) | 0.136 |