Knowledge, attitude and practices on diabetes and diabetic retinopathy of rural population from an Indian state

  • Satyanarayana Sristi
  • Sethu SheeladeviEmail author
  • Padmaja Kumari Rani
Original Article


To ascertain the knowledge, attitudes and practices (KAP) of the general population and of persons with diabetes about diabetes and diabetic retinopathy in rural southern India. 380 people with diabetes (Group 1) and 380 people from the general population (Group II) aged ≥ 40 years were randomly enrolled from rural villages in Andhra Pradesh, southern India. A KAP questionnaire was used to document the Knowledge, Attitude and Practices. Scores were given to each question on a continuous scale — minimum 60 % in each section was taken as the correct knowledge, a positive attitude and good practices. Univariable and multivariable linear regression analysis was used to determine the factors positively influencing the knowledge, attitude and practices among the subjects. The mean score of knowledge (P < 0.001), attitude (P < 0.001) and practices (P < 0.001) was significantly higher among persons with diabetes. Among the persons in Group I, 28.2 %, 36.1 % and 40.3 % had the correct knowledge, a positive attitude and good practices, respectively, whereas the scores of the Group II were comparatively low. In Group I, 58.2 % (221) never had a dilated examination and there was no statistically significant difference between males and females (P 0.24) in terms of a dilated eye examination. Among those who had dilated eye examination 92.5 % (147) had dilated examination only once although 46.3 % had diagnosed diabetes for more than 5 years. In the multiple linear regression analysis education of the subjects is the main influencing factor for correct knowledge (P < 0.001) and a positive attitude (P < 0.001) in both the groups. Targeted health education programs needs to be organised and targeted for both communities and practitioners to increase the awareness resulting in positive practices.


Diabetes Eye Village Andhra Pradesh 


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Copyright information

© Research Society for Study of Diabetes in India 2014

Authors and Affiliations

  • Satyanarayana Sristi
    • 1
    • 2
  • Sethu Sheeladevi
    • 1
    • 2
    Email author
  • Padmaja Kumari Rani
    • 2
    • 3
  1. 1.School of Optometry & Vision ScienceUniversity of New South WalesSydneyAustralia
  2. 2.International Center for Advancement of Rural Eye CareL V Prasad Eye InstituteHyderabadIndia
  3. 3.Smt. Kanuri Santhamma Retina Vitreous CentreL V Prasad Eye InstituteHyderabadIndia

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