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Assessment of The Knowledge and Attitude Regarding Diabetic Retinopathy Amongst Diabetic Patients in Suleja Local Government Area of Niger State

Dr. Ebeogu Ogochukwu Nkechi Wisdom Assoc. Prof. Kingsley C. Okafor

Subject area: Biological & Medical Sciences  ·  Area of research: Optical Public Health

DOI: https://doi.org/10.64388/IREV9I4-1711453-5927

Abstract

This study assessed the knowledge, attitudes, and adherence to diabetic retinopathy screening guidelines among diabetic patients in Suleja Local Government Area of Niger State, Nigeria. Using a cross-sectional survey, data were collected from diabetic patients through structured questionnaires, focusing on their awareness of diabetic retinopathy, attitudes towards regular eye screenings, and compliance with recommended screening practices. The results revealed that 55.2% of respondents had heard of diabetic retinopathy, but only 34.3% correctly identified it as an eye condition, with 57.0% aware of the risk of blindness if left untreated. While 69.8% recognized that diabetes could affect their eyes, knowledge about screening frequency was mixed, with 31.4% believing screenings should occur only when experiencing vision problems. In terms of attitudes, 51.1% agreed that regular eye screenings are essential, but a significant proportion remained undecided or disagreed. Furthermore, only 49.4% had undergone an eye screening in the past 12 months, and 52.9% did not regularly attend scheduled screenings. Barriers such as perceived time commitment and affordability were identified, with 40% finding screenings too time-consuming and 41.2% viewing them as unaffordable. Despite these challenges, 68.0% of respondents believed that attending regular eye screenings would improve diabetes management, and 71.5% had received information from healthcare providers about diabetic retinopathy. The study concluded that while awareness and understanding of diabetic retinopathy are moderate, adherence to screening guidelines remains suboptimal. Efforts to improve patient education, address barriers to access, and enhance healthcare provider engagement are crucial for increasing screening compliance and preventing vision complications among diabetic patients in the region.

Keywords

Diabetic Retinopathy, Eye Screening, Diabetes Management, Knowledge, Adherence, Suleja, Nigeria.

References

[1] Azeez, T. A., Adediran, O., Eguzozie, E. C., & Ekhaiyeme, E. (2021). Prevalence and risk factors for diabetic retinopathy in Nigeria: A systematic review and meta-analysis. Pan African Journal of Ophthalmology, 3, 17. https://doi.org/10.4103/pajo.pajo_82_21

[2] City Population. (2023b). Suleja (Local Government Area, Nigeria) - Population Statistics, Charts,  Map and Location. Retrieved from https://citypopulation.de/en/nigeria/admin/niger/NGA027023__suleja/

[3] Forbes JM, Cooper ME. Mechanisms of diabetic complications. Physiol Rev. 2013;93(1):137–88. https://doi.org/10.1152/physrev.00045.2011.

[4] International Diabetes Federation. (2015). Global diabetes statistics: An overview of diabetes prevalence worldwide. IDF Publications.

[5] Kuo, J., Liu, J. C., Gibson, E., Rao, P., Margolis, T., Wilson, B. S., & Rajagopal, R. (2020). Factors associated with adherence to screening guidelines for diabetic retinopathy among low-income metropolitan patients. Missouri Medicine, 117(3), 258-264. https:// consensus.app/papers/factors-associated-adherence-screening-guidelines-kuo/5324d 5392 3805667b 4e4a791aa557bc4/

[6] Mohammed, I., & Waziri, A. (2009). Awareness of diabetic retinopathy amongst diabetic patients at the Murtala Mohammed hospital, Kano, Nigeria. Nigerian Medical Journal, 50(2), 38-41. https://doi.org/10.4314/NMJ.V50I2.53541

[7] NCD Risk Factor Collaboration (NCD-RisC). (2024). Global, regional, and national burden of diabetes from 1990 to 2021 with projections to 2050: a systematic analysis. The Lancet, 403(10399), 2030-2050.

[8] Onakpoya, O., Adeoye, A., & Kolawole, B. (2010). Determinants of previous dilated eye examination among type II diabetics in Southwestern Nigeria. European Journal of Internal Medicine, 21(3), 176-179. https://doi.org/10.1016/j.ejim.2010.01.009

[9] Sabanayagam C, Yip W, Ting DS, Tan G, & Wong TY. (2016). Ten emerging trends in the epidemiology of diabetic retinopathy. Ophthalmic Epidemiol.;23(4):209–22. https:// doi.org/ 10.1080/ 09286586.2016.1193618.

[10] Shaw, J. E., Sicree, R. A., & Zimmet, P. Z. (2010). Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Research and Clinical Practice, 87(1), 4-14.

[11] World Health Organization. (2020). Global report on diabetes: Data and guidelines. WHO Press.

[12] Zhou, Q. (1980). A study on the genetic factors influencing type 2 diabetes. Journal of Metabolic Diseases, 12(3), 112-120.

How to cite this paper

Dr. Ebeogu Ogochukwu Nkechi Wisdom, Assoc. Prof. Kingsley C. Okafor "Assessment of The Knowledge and Attitude Regarding Diabetic Retinopathy Amongst Diabetic Patients in Suleja Local Government Area of Niger State" Iconic Research And Engineering Journals Volume 9 Issue 4 2025 Page 1218-1227 https://doi.org/10.64388/IREV9I4-1711453-5927
Dr. Ebeogu Ogochukwu Nkechi Wisdom, Assoc. Prof. Kingsley C. Okafor "Assessment of The Knowledge and Attitude Regarding Diabetic Retinopathy Amongst Diabetic Patients in Suleja Local Government Area of Niger State" Iconic Research And Engineering Journals, vol. 9, no. 4, Oct. 2025, doi: https://doi.org/10.64388/IREV9I4-1711453-5927
Dr. Ebeogu Ogochukwu Nkechi Wisdom, Assoc. Prof. Kingsley C. Okafor (2025). Assessment of The Knowledge and Attitude Regarding Diabetic Retinopathy Amongst Diabetic Patients in Suleja Local Government Area of Niger State. Iconic Research And Engineering Journals, 9(4). doi: https://doi.org/10.64388/IREV9I4-1711453-5927
Dr. Ebeogu Ogochukwu Nkechi Wisdom, Assoc. Prof. Kingsley C. Okafor "Assessment of The Knowledge and Attitude Regarding Diabetic Retinopathy Amongst Diabetic Patients in Suleja Local Government Area of Niger State" Iconic Research And Engineering Journals, vol. 9, no. 4, Oct. 2025. Crossref, https://doi.org/10.64388/IREV9I4-1711453-5927
@article{1711453,
      author = {Dr. Ebeogu Ogochukwu Nkechi Wisdom, Assoc. Prof. Kingsley C. Okafor},
      title = {Assessment of The Knowledge and Attitude Regarding Diabetic Retinopathy Amongst Diabetic Patients in Suleja Local Government Area of Niger State},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {9},
      number = {4},
      pages = {1218-1227},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1711453.pdf},
      abstract = {This study assessed the knowledge, attitudes, and adherence to diabetic retinopathy screening guidelines among diabetic patients in Suleja Local Government Area of Niger State, Nigeria. Using a cross-sectional survey, data were collected from diabetic patients through structured questionnaires, focusing on their awareness of diabetic retinopathy, attitudes towards regular eye screenings, and compliance with recommended screening practices. The results revealed that 55.2% of respondents had heard of diabetic retinopathy, but only 34.3% correctly identified it as an eye condition, with 57.0% aware of the risk of blindness if left untreated. While 69.8% recognized that diabetes could affect their eyes, knowledge about screening frequency was mixed, with 31.4% believing screenings should occur only when experiencing vision problems. In terms of attitudes, 51.1% agreed that regular eye screenings are essential, but a significant proportion remained undecided or disagreed. Furthermore, only 49.4% had undergone an eye screening in the past 12 months, and 52.9% did not regularly attend scheduled screenings. Barriers such as perceived time commitment and affordability were identified, with 40% finding screenings too time-consuming and 41.2% viewing them as unaffordable. Despite these challenges, 68.0% of respondents believed that attending regular eye screenings would improve diabetes management, and 71.5% had received information from healthcare providers about diabetic retinopathy. The study concluded that while awareness and understanding of diabetic retinopathy are moderate, adherence to screening guidelines remains suboptimal. Efforts to improve patient education, address barriers to access, and enhance healthcare provider engagement are crucial for increasing screening compliance and preventing vision complications among diabetic patients in the region.},
      keywords = {Diabetic Retinopathy, Eye Screening, Diabetes Management, Knowledge, Adherence, Suleja, Nigeria.},
      month = {October},
      doi = {https://doi.org/10.64388/IREV9I4-1711453-5927}
  }