Junaid Faisal Wazir, Fahad Ghayyor, Aimal Khan, Zahid Jadoon, Sadiqullah.
Knowledge, Attitude and Practices (KAP) in Management of Diabetic and Diabetic Retinopathy in District Peshawar.
Ophthalmol Update Jan ;16(1):490-3.

Objective: To investigate the knowledge, attitude and practices in management of diabetes diabetic retinopathy in district, Peshawar. Material and Methods: In the periphery of rural areas of district Peshawar, 40 awareness raising seminars were conducted on diabetes and diabetic retinopathy where 25,135 individual. Systematic random sampling technique was used to fill the KAP questionnaire from every 8th individual. Total of 16,205 individual were labeled and responses were noted in the KAP questionnaire. The results were analyzed by different statistical tests (univariate and multiple regression) using SPSS version 20. Results: Among (n= 1605) individuals, 738 (45%) had some knowledge about Diabetes and 562 (35%) had some knowledge about Diabetic Retinopathy. Female had more knowledge about diabetes (OR=1.86, 95% CI: 1.65-2.19) and in those who belonged to the upper socioeconomic class (OR=2.43, 95% CI: 1.14-2.37). The knowledge about Diabetic retinopathy was significantly higher among subjects who spoke the local Pushto language (OR=4.28, 95% CI: 2.23-6.13), and in those who belonged to the upper socioeconomic class (OR=1.75, 95% CI: 1.39-2.18). Compared with those who had no knowledge of Diabetic retinopathy (n = 1043), significant percentages of individuals with knowledge (n = 624) had the right attitude i-e to go to ophthalmologist for regular eye examinations - (60% vs 93%) (p<0.0001) ). Regarding practice patterns, only 34% of individuals with knowledge about DR believed that if they controlled their blood sugar, they could avoid a visit to an ophthalmologist, compared with 66% with no knowledge (p<0.0001). Conclusion: Comprehensive awareness raising seminars should be carried out throughout the community to educate the rural population to adopt health practices to manage diabetes and diabetic retinopathy.

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