A cross-sectional analysis of patient-reported awareness, management, and understandings of diabetes and hypertension among cataract patients in rural southern Honduran communities

Authors

  • Amber Loren Ong King Department of Biology, Department of Romance Languages & Literatures, Washington University, St. Louis, Missouri, USA

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20171548

Keywords:

Cataract, Diabetes, Hypertension, Honduras, Public health

Abstract

Background: In Honduras, the prevalence of cataracts, the leading cause of blindness, is rapidly mounting as associated chronic conditions, diabetes and hypertension, are on the rise. The increased demand for cataract surgeries has had the most severe impact on rural communities, as the majority of ophthalmologists serve cities. Additionally, owing to rural healthcare barriers, many rural dwellers have uncontrolled hypertension and diabetes, and consequently, are denied surgical candidacy due to increased surgical risk. Thus, this investigation aims to curb chronic illness in rural Honduran cataract patients by evaluating patient-reported prevalence, management, and local understandings of diabetes and hypertension in the context of socioeconomic data.

Methods: The responses of cataract patients to a poverty scorecard and survey questionnaire were categorized and evaluated according to guidelines in the surrounding literature. Height, weight, blood pressure and glucose levels were also measured for each participant.

Results: 22.0% and 53.7% of all study participants (n=82) were hyperglycemic and hypertensive respectively. Of the hyperglycemic patients, 38.9% had never been diagnosed with diabetes, while the remaining 61.1% appeared to have mismanaged blood glucose levels. 50% of the hypertensive patients had never been diagnosed with hypertension, and the other 50% appeared to have mismanaged blood pressure. More than half of all participants exhibited only a minimal understanding of diabetes and hypertension.

Conclusions: Rural Honduran communities would benefit from regular health screenings and follow-up visits from local doctors. It is important for community health workshops to focus on informing individual health management practices and chronic illness prevention strategies. 

Author Biography

Amber Loren Ong King, Department of Biology, Department of Romance Languages & Literatures, Washington University, St. Louis, Missouri, USA

Department of Biology, Department of Romance Languages & Literatures

References

Piette J, Milton E, Aiello A, Mendoza-Avelares M, Herman W. Comparison of three methods for diabetes screening in a rural clinic in Honduras. Revista Panamericana de Salud Pública. 2010;28(1);49-57.

Lansingh V, Resnikoff S, Tingley-Kelley K, Nano M, Martens M, Silva J, et al. Cataract Surgery Rates in Latin America: A Four-Year Longitudinal Study of 19 Countries. Ophthalmic Epidemiol. 2010;17(2);75-81.

Yu X, Lyu D, Dong X, He J, Yao K. Hypertension and Risk of Cataract: A Meta-Analysis. PLoS ONE. 2014;9(12):e114012.

Behera B, Satish K, Jena S, Hussain M, Samal S. Prevalence Of Hypertension And Diabetes Mellitus Among People Seeking Cataract Surgery In Rural South India. Int J Epidemiol. 2012;10(2);1-5.

Batlle JF, Lansingh VC, Silva JC, Eckert KA, Resnikoff S. The Cataract Situation in Latin America: Barriers to Cataract Surgery. Am J Ophthalmol. 2014;158(2);242-50.

Resnikoff S, Felch W, Gauthier T-M, Spivey B. The number of ophthalmologists in practice and training worldwide: a growing gap despite more than 200,000 practitioners. Br J Ophthalmol. 2012;96(6):783-7.

Duerksen R, Lansingh VC. Vision 2020 in Latin America. Cataract Refract Surg Today. 2007;64-7.

Pearson CA, Stevens MP, Sanogo K, Bearman G. Access and Barriers to Healthcare Vary among Three Neighboring Communities in Northern Honduras. Int J Family Med. 2012;2012:298472.

Nair J, Howlin S, Porter J, Rimmer T. Using Low Dose Oral Nifedipine to Prevent Cancellation of Cataract Surgery for Patients with Preoperative Hypertension. Eye. 2008;23(4);989-90.

Milton EC, Herman WH, Aiello AE, Danielson KR, Mendoza-Avelarez MO, Piette JD. Validation of a Type 2 Diabetes Screening Tool in Rural Honduras. Diabetes Care. 2010;33(2):275-7.

Schreiner M. A Simple Poverty Scorecard for Honduras. Microfinance, 2010. Available at http://microfinance.com/English/Papers/Scoring_Poverty_Honduras_EN_2007.pdf. Accessed on 21 March 2017.

Sanchez RA, Ayala M, Baglivo H, Velazquez C, Burlando G, Kohlmann O, et al. Latin American guidelines on hypertension. J Hypertension. 2009;27;905–22.

López-Jaramillo P, Sánchez RA, Diaz M, Cobos L, Bryce A, Parra Carrillo JZ, et al. Latin American consensus on hypertension in patients with diabetes type 2 and metabolic syndrome. J Hypertension. 2012;31;223–38.

Mayo Clinic: Diseases and Conditions. Blood Sugar Testing: Why, when, and how, 2014. Available at http://www.mayoclinic.org/diseases-conditions/ diabetes/in-depth/blood-sugar/art-20046628. Accessed on 19 March 2017.

World Health Organization. Diabetes Country profiles, 2016. Available at http://www.who.int diabetes/country-profiles/hnd_en.pdf?ua=1. Accessed on 21 March 2017.

World Health Organization. Noncommunicable Diseases (NCD) Country Profiles, 2014. Available at http://www.who.int/nmh/countries/hnd_en.pdf. Accessed on 21 March 2017.

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Published

2017-04-24

How to Cite

King, A. L. O. (2017). A cross-sectional analysis of patient-reported awareness, management, and understandings of diabetes and hypertension among cataract patients in rural southern Honduran communities. International Journal Of Community Medicine And Public Health, 4(5), 1392–1398. https://doi.org/10.18203/2394-6040.ijcmph20171548

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Section

Original Research Articles