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ArticleCardiovascular diabetology. Endocrinology reports2025

Determinants of diabetic retinopathy among adult and elderly individuals with diabetes.

Wondimnew Desalegn Addis, Wubet Taklual Admas, Anegu Achenef Ayalew, Getasew Yirdaw, Wolde Melese Ayele, Ahmed Fentaw Ahmed, Assefa Andargie Kassa, Tilahun Degu Tsega, Tesfaneh Shimels, Rahel Mulatie Anteneh and 16 more

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Article in Cardiovascular diabetology. Endocrinology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

26 authors.

Wondimnew Desalegn AddisDepartment of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia. wondimnewd@gmail.com.
Wubet Taklual AdmasDepartment of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Anegu Achenef AyalewDepartment of Ophthalmology, Debre Tabor Comprehensive Specialized Hospital, Debre Tabor, Ethiopia.
Getasew YirdawDepartment of Environmental Health Science, College of Medicine and Health Sciences, Debre Markos University, P.O Box 269, Debre Markos, Ethiopia.
Wolde Melese AyeleDepartment of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Ahmed Fentaw AhmedDepartment of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Assefa Andargie KassaDepartment of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Tilahun Degu TsegaDepartment of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Tesfaneh ShimelsDepartment of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Rahel Mulatie AntenehDepartment of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Abathun TemesgenDepartment of environmental health, college of medicine and health science, Injibara University, Injibara, Ethiopia.
Gashaw Melkie BayehDepartment of environmental health, college of medicine and health science, Injibara University, Injibara, Ethiopia.
Almaw Genet YeshiwasDepartment of environmental health, college of medicine and health science, Injibara University, Injibara, Ethiopia.
Habitamu MekonenDepartment of Human Nutrition, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
Berhanu Abebaw MekonnenDepartment of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Meron Asmamaw AlemayehuDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Sintayehu Simie TsegaDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Zeamanuel Anteneh YigzawDepartment of Health Promotion and Behavioral Sciences, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Amare Genetu EjiguDepartment of Midwifery, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Chalachew YenewDepartment of Environmental Health Sciences, Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Birhanemaskal MalkamuDepartment of Medical Laboratory Sciences, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Abraham TeymDepartment of Environmental Health, College of Health Sciences, Debe Markos University, Po Box 269, Debre Markos, Ethiopia.
Kalaab Esubalew SharewDepartment of Internal Medicine, school of medicine, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Daniel AdaneDepartment of Midwifery,College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Chalachew Abiyu AyalewDepartment of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia.
Getaneh Atikilt YemataDepartment of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic retinopathy is the most prevalent long-term impact of diabetes and the main cause of visual loss and impairment in persons with both type 1 and type 2 diabetes especially among adult and elderly diabetics. However, there are limited studies on the determinants of diabetic retinopathy in the study area. Hence, this study aimed to assess the determinants of diabetic retinopathy among adult and elderly diabetic patients on follow up at Debre Tabor and Felege Hiwot comprehensive specialized Hospitals, Northwest Ethiopia, 2024.

methodsAn institution-based unmatched case-control study design was conducted at Debre Tabor and Felege Hiwot comprehensive specialized hospitals Northwest, Ethiopia from March 30, 2024 to May 29, 2024 using proportional allocation of stratified sampling technique. Diabetic patients with retinopathy were cases in the study and with no retinopathy were controls. Data were collected using a pretested interviewer administered questionnaire, Topcon retinal examination, and a record review. The collected data were entered into Epi Data version 4.6 Software and analyzed using STATA Version 17. Multivariate logistic regression analysis was used to assess the determinants of diabetic retinopathy at 95% confidence interval with P-Value < 0.05.

resultsA total of 356 patients (178 cases and 178 controls) were included in the study. The mean age for the cases and the controls were 49.7 (SD: ±14.1) and 44.97 (SD: ±14.67) respectively. Patients with glucometer at home (AOR(Adjusted odds ratio); 0.38, 95%CI; 0.2-0.8), exercise adherence (AOR; 0.4, 95%CI; 0.2-0.9), with systemic complication (AOR; 3.6, 95%CI; 1.5-8.7), health information on diabetic complications(AOR; 0.34, 95%CI; 0.17-0.7), appointments every month (AOR; 0.15, 95%CI; 0.04-0.49),diabetes duration (AOR; 1.12, 95%CI; 1.03-1.18), difficulty of eye examination(AOR; 2.6, 95%CI; 1.2-5.8) and poor blood Glucose control(AOR; 2.1, 95%CI; 1.1-3.9) were significant determinants at p value of 0.05. CONCLUSION AND RECOMMENDATION: Factors such as glucometer at home, exercise, health information on complications, appointments frequency, duration, difficulty of eye examination, blood glucose control and systemic complication status were determinants for diabetic retinopathy. Interventional strategies that promote patient's adherence of glycaemic control and eye examination should be designed and implemented.

Indexed as

DiabetesDiabetic complicationsEthiopiaHospitals

Identifiers

PMID41168852
PMCPMC12576998

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