Abstract
Background: The diabetes screening program in Moosonee and Moose Factory, Ontario was evaluated to explore which factors may be associated with individuals who had/had not attended screening examinations for diabetic retinopathy.
Methods: Exposure data were collected from patient charts for basic demographic and medical history data. The main outcome of interest was the absence of a retinal examination in the two years preceding data collection.
Results: There were 248 subjects identified with diabetes who had complete data for the variables of interest. On univariate analysis, younger age and shorter duration of diabetes were significantly associated with not having an eye examination. On multivariate analysis, younger age, residence in Moosonee, and shorter duration of diabetes remained in the final model.
Interpretation: Screening programs for diabetic retinopathy in the James Bay Cree should consider targeting younger individuals with diabetes of less than 5 years duration since this sub-group is not as likely to attend eye examinations.
Résumé
Contexte: Le programme de dépistage de la rétinopathie diabétique qui a été instauré dans les communautés de Moosonee et de Moose Factory, en Ontario avait comme objectif d’identifier les facteurs qui expliquaient pourquoi les personnes avaient ou n’avaient pas assisté aux séances de dépistage de la rétinopathie diabétique.
Méthodes: Les données relatives à l’exposition ont été cueillies à partir des dossiers de patient contenant les données démographiques et des paramètres médicaux. Le constat le plus important qui en ressort est l’absence de tout examen de la retine depuis au moins deux ans.
Résultats: On a identifié 248 personnes atteintes de diabète dans ces deux communautés, dont 42 qui n’avaient jamais subi un examen rétinien. Les analyses à une variable révèlent que l’âge plus jeune ainsi que la durée plus courte du diabète sont les facteurs qui sont associés avec les possibilités accrues de ne jamais avoir subi un examen des yeux. Les analyses à variables multiples révèlent que l’âge plus jeune, la durée plus courte du diabète, et le lieu de résidence à Moosonee restaient dans le modèle final.
Interprétation: Les efforts de dépistage devraient viser les jeunes atteints d’un diabète de plus courte durée, étant donné que ce sous-groupe de personnes est susceptible de ne s’être jamais présenté aux cliniques de dépistage.
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