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Factors Associated with Diabetic Retinopathy and Nephropathy Screening in Korea: The Third and Fourth Korea National Health and Nutrition Examination Survey (KNHANES III and IV)

Authors
 Tyler Hyung Taek Rim  ;  Il Hwan Byun  ;  Han Sang Kim  ;  Sang Yeul Lee  ;  Jin Sook Yoon 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.28(6) : 814-820, 2013 
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN
 1011-8934 
Issue Date
2013
MeSH
Adult ; Aged ; Cross-Sectional Studies ; Diabetes Complications/pathology ; Diabetes Mellitus/diagnosis ; Diabetic Nephropathies/diagnosis ; Diabetic Nephropathies/etiology* ; Diabetic Retinopathy/diagnosis ; Diabetic Retinopathy/etiology* ; Female ; Health Behavior ; Health Status ; Humans ; Male ; Mass Screening ; Middle Aged ; Nutrition Surveys ; Odds Ratio ; Republic of Korea ; Risk Factors ; Severity of Illness Index
Keywords
Diabetes Care ; Diabetes Complications ; Diabetic Nephropathy ; Diabetic Retinopathy ; Economic Crisis ; KNHANES
Abstract
This cross-sectional study was done to identify and determine the socio-demographic and health-related factors associated with diabetic retinopathy and nephropathy screening in Korea. Participants included 2,660 adults, aged 40 or older, with diabetes. Of the 2,660 adults, 998 (37%) and 1,226 (46.1%) had received a diabetic retinopathy and a nephropathy screening within one year, respectively. Regarding retinopathy, subjects older than 65, living in urban areas, with high educational levels, and with self-reported "unhealthy" status were likely to receive annual screening. Subjects living in urban areas, with higher educational levels, with self-reported "fair" or "unhealthy" status, and with 1 to 2 co-morbidities were likely to receive annual nephropathy screening. The Korea Composite Stock Price Index (KOSPI) continued to rise until 2007 when it started to decline over the subsequent years, following the same curve as the diabetic retinopathy and nephropathy screening rates during that time. Together with the financial matter, lack of patient education proved to be a hindrance to diabetes-related screening. The relatively low screening rates in Korea compared to the Western countries are likely to be due to the difference in the health system, economic situations and national demographics.
Files in This Item:
T201302628.pdf Download
DOI
10.3346/jkms.2013.28.6.814
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pharmacology (약리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Han Sang(김한상) ORCID logo https://orcid.org/0000-0002-6504-9927
Yoon, Jin Sook(윤진숙) ORCID logo https://orcid.org/0000-0002-8751-9467
Lee, Sang Yeul(이상열)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87482
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