| Titre : | The effect of health education on the rate of ophthalmic examinations among African Americans with diabetes mellitus. (1999) |
| Auteurs : | C.E. BASCH ; C.J. HOWARD ; H. SHAMOON ; E.A. WALKER ; P. ZYBERT ; Department of Health and Behavior Studies. Teachers College. Columbia University. New York. NY. USA ; Diabetes Research and Training Center. Albert Einstein College of Medicine. Bronx. NY. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 89, n° 12, 1999) |
| Pagination : | 1878-1882 |
| Langues: | Anglais |
| Mots-clés : | Diabète ; Homme ; Ethnie ; Dépistage ; Complication ; Consultation ; Ophtalmologie ; Evaluation ; Education santé ; Essai thérapeutique ; Etats Unis ; Amérique ; Epidémiologie ; Glande endocrine [pathologie] ; Oeil [pathologie] ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST R0xfPK4M. Diffusion soumise à autorisation]. Objectives. This study evaluated a multicomponent educational intervention to increase ophthalmic examination rates among African Americans with diabetes. Methods. A randomized trial was conducted with 280 African Americans with diabetes, enrolled from outpatient departments of 5 medical centers in the New York City metropolitan area, who had not had a dilated retinal examination within 14 months of randomization (65.7% female, mean age=54.7 years [SD=12.8 years]). Results. After site differences were controlled, the odds ratio for receiving a retinal examination associated with the intervention was 4.3 (95% confidence interval=2.4,7.8). The examination rate pooled across sites was 54.7% in the intervention group and 27.3% in the control group. Conclusions. The intervention was associated with a rate of ophthalmic examjnationdouble the rate achieved with routine medical care. |
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