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Article

Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years

1
Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Grosvenor Road, BT12 6BA Belfast, Ireland
2
Department of Ophthalmology, Belfast Health and Social Care Trust, Grosvenor Road, BT12 6BA Belfast, Ireland
3
Department of Endocrinology, Belfast Health and Social Care Trust, Grosvenor Road, BT12 6BA Belfast, Ireland
*
Author to whom correspondence should be addressed.
Academic Editor: Winfried M. Amoaku
Int. J. Transl. Med. 2021, 1(3), 154-162; https://0-doi-org.brum.beds.ac.uk/10.3390/ijtm1030011
Received: 24 August 2021 / Revised: 11 September 2021 / Accepted: 14 September 2021 / Published: 22 September 2021
(This article belongs to the Special Issue Diabetic Retinopathy)
The study aim is to investigate characteristics, barriers and enablers for attendance at the Diabetic Eye Screening Programme Northern Ireland (DESPNI) among people with diabetes aged 12–26 years. A mixed-methods approach with retrospective analysis and prospective, questionnaire-based data collection was completed. Data were analysed using ordinal logistic regression. A questionnaire collected information on barriers and enablers to attending DESPNI. Age, diabetes duration, attendance at diabetes clinic and lower HbA1c values were significantly associated with better attendance. Those aged 12–15 were more likely to attend screening than 16–26 years, odds ratio (OR) 4.01. Subjects diagnosed less than 5 years were more likely to attend than those with longer diabetes duration (OR = 2.52, p =< 0.001). Subjects who attended diabetes clinics were more likely to attend screening (OR = 1.89, p =< 0.001) and have a lower HbA1c (OR = 1.46, p =< 0.001). Questionnaires revealed major barriers to attendance which included inconvenient appointment times, lack of access and poor communication. While many subjects were aware of the impact of diabetes on the eye, many had little understanding of screening. This study provides pivotal information on potential barriers and enablers for young people attending eye screening. We suggest modest changes such as convenient appointment times, clearer communication and one-stop clinics could improve attendance. View Full-Text
Keywords: diabetic retinopathy; diabetic eye screening; diabetes; young people diabetic retinopathy; diabetic eye screening; diabetes; young people
MDPI and ACS Style

Cushley, L.N.; Curran, K.; Quinn, N.B.; Bell, A.; Muldrew, A.; Graham, U.M.; McCance, D.R.; Wen, Q.; Peto, T. Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years. Int. J. Transl. Med. 2021, 1, 154-162. https://0-doi-org.brum.beds.ac.uk/10.3390/ijtm1030011

AMA Style

Cushley LN, Curran K, Quinn NB, Bell A, Muldrew A, Graham UM, McCance DR, Wen Q, Peto T. Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years. International Journal of Translational Medicine. 2021; 1(3):154-162. https://0-doi-org.brum.beds.ac.uk/10.3390/ijtm1030011

Chicago/Turabian Style

Cushley, Laura N., Katie Curran, Nicola B. Quinn, Aaron Bell, Alyson Muldrew, Una M. Graham, David R. McCance, Qing Wen, and Tunde Peto. 2021. "Diabetic Retinopathy Screening Programme: Attendance, Barriers and Enablers amongst Young People with Diabetes Mellitus Aged 12–26 Years" International Journal of Translational Medicine 1, no. 3: 154-162. https://0-doi-org.brum.beds.ac.uk/10.3390/ijtm1030011

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