摘要目的:调查深圳市社区糖尿病患者糖尿病视网膜病变（DR）防治知识知晓情况，分析其影响因素。方法:采用整群随机抽样方法抽取深圳市2个行政区6家社区卫生服务中心确诊的糖尿病患者904例纳入研究。对患者进行问卷调查，了解其对DR防治知识的知晓度。采用多因素logistic回归分析法分析DR防治知识知晓度相关影响因素。结果:904例患者中，DR防治知识总知晓144例（15.93%，144/904）。"糖尿病会影响视力，甚至导致失明"知晓率最高（88.60%，801/904）；"DR治疗方法"知晓率最低（6.20%，56/904）；"糖尿病应定期检查眼底"和"糖尿病患者检查眼底间隔时间"知晓率均低于50.00%。多因素logistic回归分析结果显示，性别[比值比（ OR）=1.595 ]、受教育程度（ OR=2.963、3.937 ）、月收入水平（ OR=3.871、4.675 ）、糖尿病病程≥15年（ OR=1.829 ）、治疗措施（ OR=3.318、4.512）及是否患有DR （ OR=1.605）等是影响DR防治知识知晓度达标的重要因素（ P<0.05 ）。 结论:深圳市社区糖尿病患者DR防治知识总体知晓度较低；男性、受教育程度和收入水平较低是其主要影响因素。

abstractsObjective:To investigate the awareness of diabetic retinopathy (DR) prevention and treatment knowledge of diabetic patients in the community of Shenzhen, and analyze its influencing factors.Methods:A cluster random sampling method was used to select 904 patients with diabetes diagnosed in 6 community health service centers in 2 administrative districts of Shenzhen and included in this study. Questionnaire survey of patients were performed to understand their knowledge of DR prevention and treatment. The multi-factor logistic regression analysis method was used to analyze the related influencing factors of DR prevention knowledge awareness.Results:Among 904 patients, 144 patients (15.93%, 144/904) knew about DR prevention and treatment knowledge. The highest awareness rate were about "Diabetes can affect vision and even cause blindness" (88.60%, 801/904). The lowest awareness rate (6.20%, 56/904) were about "DR treatment methods". About "diabetes requires regular fundus examinations" and "diabetics", the awareness rate of fundus examination interval were less than 50.00%. The results of multivariate logistic regression analysis showed that gender [odds ratio ( OR)=1.595], education level ( OR=2.963, 3.937), monthly income level ( OR=3.871, 4.675), diabetes course ≥15 years ( OR=1.829), treatment measures ( OR=3.318, 4.512). Whether people had DR ( OR=1.605) were important factors that affected the awareness of DR prevention and treatment knowledge ( P<0.05). Conclusions:The overall awareness of DR prevention and treatment knowledge among diabetic patients in the community of Shenzhen is relatively low. Males, low education and income levels are the main influencing factors.