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PMID- 28490306
DA  - 20170511
DCOM- 20170517
LR  - 20170517
IS  - 1326-5377 (Electronic)
IS  - 0025-729X (Linking)
VI  - 206
IP  - 9
DP  - 2017 May 15
TI  - Adherence to diabetic eye examination guidelines in Australia: the National Eye
      Health Survey.
PG  - 402-406
AB  - OBJECTIVE: To determine adherence to NHMRC eye examination guidelines for
      Indigenous and non-Indigenous Australian people with diabetes. DESIGN:
      Cross-sectional survey using multistage, random cluster sampling. SETTING: Thirty
      randomly selected geographic sites in the five mainland Australian states and the
      Northern Territory, stratified by remoteness. PARTICIPANTS: 1738 Indigenous
      Australians aged 40-92 years and 3098 non-Indigenous Australians aged 50-98 years
      were recruited and examined between March 2015 and April 2016 according to a
      standardised protocol that included a questionnaire (administered by an
      interviewer) and a series of standard eye tests. MAIN OUTCOME MEASURES: Adherence
      rates to NHMRC eye examination guidelines; factors influencing adherence.
      RESULTS: Adherence to screening recommendations was significantly greater among
      non-Indigenous Australians (biennial screening; 77.5%) than Indigenous
      Australians (annual screening; 52.7%; P < 0.001). Greater adherence by
      non-Indigenous Australians was associated with longer duration of diabetes
      (adjusted odds ratio [aOR], 1.19 per 5 years; P = 0.018), while increasing age
      was associated with poorer adherence in non-Indigenous Australians (aOR, 0.70 per
      decade; P = 0.011). For Indigenous Australians, residing in inner regional areas 
      (aOR, 1.66; P = 0.007) and being male (aOR, 1.46; P = 0.018) were significant
      factors positively associated with adherence. CONCLUSIONS: More than
      three-quarters of non-Indigenous Australians with diabetes and more than half of 
      Indigenous Australians with diabetes adhere to the NHMRC eye examination
      guidelines. The discrepancy between the adherence rates may point to gaps in the 
      provision or uptake of screening services in Indigenous communities, or a lack of
      awareness of the guidelines. A carefully integrated diabetic retinopathy
      screening service is needed, particularly in remote areas, to improve adherence
FAU - Foreman, Joshua
AU  - Foreman J
AD  - Centre for Eye Research Australia, Melbourne, VIC [email protected]
FAU - Keel, Stuart
AU  - Keel S
AD  - Centre for Eye Research Australia, Melbourne, VIC.
FAU - Xie, Jing
AU  - Xie J
AD  - Centre for Eye Research Australia, Melbourne, VIC.
FAU - Van Wijngaarden, Peter
AU  - Van Wijngaarden P
AD  - Centre for Eye Research Australia, Melbourne, VIC.
FAU - Taylor, Hugh R
AU  - Taylor HR
AD  - Melbourne School of Population and Global Health, The University of Melbourne,
      Melbourne, VIC.
FAU - Dirani, Mohamed
AU  - Dirani M
AD  - Centre for Eye Research Australia, Melbourne, VIC.
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Med J Aust
JT  - The Medical journal of Australia
JID - 0400714
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Australia
MH  - Cross-Sectional Studies
MH  - Diabetic Retinopathy/*diagnosis
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Mass Screening/*standards
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - National Health Programs
MH  - Patient Compliance/*statistics & numerical data
MH  - Population Groups/*statistics & numerical data
MH  - Practice Guidelines as Topic
MH  - Risk Factors
MH  - Sex Factors
EDAT- 2017/05/12 06:00
MHDA- 2017/05/18 06:00
CRDT- 2017/05/12 06:00
PHST- 2016/08/18 [received]
PHST- 2016/12/07 [accepted]
AID - 10.5694/mja16.00989 [pii]
PST - ppublish
SO  - Med J Aust. 2017 May 15;206(9):402-406.

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