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J Med Screen. 2008;15(3):118-21. doi: 10.1258/jms.2008.008013.

Diabetic retinopathy and socioeconomic deprivation in Gloucestershire.

Author information

1
Gloucestershire Eye Unit, Cheltenham General Hospital, Sandford Rd, Cheltenham GL53 7AN, UK. peter.scanlon@glos.nhs.uk

Abstract

OBJECTIVES:

To investigate socioeconomic variations in diabetes prevalence, uptake of screening for diabetic retinopathy, and prevalence of diabetic retinopathy.

METHODS:

The County of Gloucestershire formed the setting of the study. A cross-sectional study of people with diabetes was done on a countywide retinopathy-screening database. Diabetes prevalence with odds ratios, uptake of screening, prevalence of any retinopathy and prevalence of sight-threatening retinopathy at screening were compared for different area deprivation quintiles. Logistic regression was used to adjust for confounding.

RESULTS:

With each increasing quintile of deprivation, diabetes prevalence increased (odds ratio 0.84), the probability of having been screened for diabetic retinopathy decreased (odds ratio 1.11), and the prevalence of sight-threatening diabetic retinopathy among screened patients increased (odds ratio of 0.98), while the prevalence of non-sight-threatening diabetic retinopathy remained unchanged with each increasing quintile of deprivation.

CONCLUSION:

Sight-threatening diabetic retinopathy was associated with socioeconomic deprivation, but non-sight-threatening diabetic retinopathy was not. Uptake of screening was inversely related to socioeconomic deprivation.

PMID:
18927093
DOI:
10.1258/jms.2008.008013
[Indexed for MEDLINE]

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