The prevalence of diabetic retinopathy among Pacific populations in the Counties Manukau DHB region, New Zealand

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dc.contributor.advisor McCool, J en
dc.contributor.advisor Kool, B en
dc.contributor.author Kukkady, Shama en
dc.date.accessioned 2016-06-12T22:09:32Z en
dc.date.issued 2016 en
dc.identifier.citation 2016 en
dc.identifier.uri http://hdl.handle.net/2292/29033 en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract Introduction: With life expectancies increasing worldwide and the rates of diabetes reaching epidemic proportions, it has been predicted that diabetic retinopathy (DR) may become the leading cause of visual impairment globally. Currently, little is known about the prevalence of DR among the Pacific Populations living in NZ. Wagner’s chronic care model emphasises the benefits of information systems in helping capture the burden of conditions such as diabetes. Aims: To describe the prevalence of diabetes mellitus (DM) and DR among Pacific populations residing in the Counties Manukau District Health Board (CMDHB) region. The socio-demographic characteristics, health profile and diabetes management of this population will be examined. In addition, the completeness and accuracy of the routinely collected data reviewed will be assessed. Method: Secondary analyses using descriptive methods were undertaken on two routinely collected databases: the Virtual Diabetes Register (VDR) (a national diabetes monitoring tool) and the VIP.net (CMDHB diabetic retinal screening database). These datasets were linked to ascertain a complete profile of patients for the period January 2010 to December 2014. Findings: Pacific Peoples with diabetes (aged ≥ 15 years) in the CMDHB region had a DM prevalence of 16%. Cases identified were more likely to be female; of Samoan, Tongan or Cook Island Māori ethnicity and live in decile 9 or 10 areas. Two-thirds (65%) of Pacific Peoples with diabetes had retinopathy. Retinopathy was common among Pacific men, of Samoan, Tongan, Fijian or Fijian Indian ethnicities. More Pacific Peoples with diabetes were contained in the VDR than the VIP.net (88% of cases c.f. 72%). Conclusion: The burden of DM and DR among Pacific populations in NZ has been largely under-estimated. The current study indicates a need for greater prevention practices targeting this population, in particular an emphasis on retinal screening. The VDR could be strengthened by incorporating more data on diabetes complications such as retinopathy, and the use of more expanded ethnic categories for Pacific Peoples. Ensuring that the burden of diabetes is comprehensively portrayed in national information systems is necessary for effective service planning and monitoring the effectiveness of healthcare service delivery. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA99264849806202091 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ en
dc.title The prevalence of diabetic retinopathy among Pacific populations in the Counties Manukau DHB region, New Zealand en
dc.type Thesis en
thesis.degree.discipline Public Health en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The Author en
pubs.elements-id 530439 en
pubs.record-created-at-source-date 2016-06-13 en


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