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Young adults with type 2 diabetes (T2D, 18–39 years) face increased risk of vision loss from diabetic retinopathy (DR). Retinal screening is essential to detect DR, yet screening rates for this group are low and little is known about the underlying factors influencing this important behavior. Using the theoretical domains framework (TDF) to guide data collection and analysis, we explored screening barriers and facilitator, contrasting them with a comparator group of older adults with T2D (40 + years).

Thirty semi-structured telephone interviews (10 younger, 20 older adults) were conducted. Data were coded into TDF domains with salience identified by “frequency” of reference. Screening facilitators and barriers were systematically compared between groups.

Although many screening facilitators and barriers were shared by younger and older adults, additional factors highly relevant to the former …