当前位置： SCI文献检索 > BMC Ophthalmology期刊下所有文献 > Use of spectacles for distance vision: coverage, unmet needs and barriers in a rural area of North India.

Use of spectacles for distance vision: coverage, unmet needs and barriers in a rural area of North India.

Abstract：

BACKGROUND:Uncorrected refractive errors contribute enormously to the burden of avoidable visual impairment worldwide. There is a huge disparity in different parts of the globe in context to spectacle coverage for distance vision. This study was undertaken with objectives of determining prevalence of spectacle coverage, unmet needs and associated factors among adults in a rural community of north India. METHODS:A community-based cross-sectional study was carried out within selected clusters of Jhajjar district of Haryana. All participants aged > 15 years underwent visual acuity assessment by LogMAR "E" screening chart. Participants with presenting visual acuity < 6/12 in any eye and all current spectacle users underwent detailed ophthalmic examination and refraction. Additional details about spectacles, barriers for their use and willingness to pay for them were collected. Participants with met and unmet need for spectacle use at visual acuity > 6/12 was computed. These are reported as proportions with 95% confidence intervals. Associated factors with unmet need were determined using bivariable and multivariable logistic regression analysis. RESULTS:A total of 6910 participants were examined. The current spectacle use was 7.5% (95% Confidence Interval CI: 6.5, 8.7). The spectacle coverage was found in 33.3% (95% CI: 30.0, 36.7) participants among those in need. The unmet need was found in 10.8% of participants (95% CI: 10.1, 11.6). On multivariable analysis, odds of unmet need was associated with age, gender, level of education and marriage status. The most common barrier for refractive correction was lack of perceived need for refraction and its correction. CONCLUSION:There is substantial unmet need for distance vision spectacles in this population. It is imperative that multi-component intervention be implemented to improve spectacle coverage in this rural north Indian setting.

journal_name

BMC Ophthalmol

journal_title

BMC ophthalmology

authors

Malhotra S,Kalaivani M,Rath R,Prasad M,Vashist P,Gupta N,Senjam SS,Gupta SK

doi

10.1186/s12886-019-1262-3

subject

Has Abstract

pub_date

2019-12-12 00:00:00

pages

252

issue

issn

1471-2415

pii

10.1186/s12886-019-1262-3

journal_volume

pub_type

杂志文章

在线工具

Use of spectacles for distance vision: coverage, unmet needs and barriers in a rural area of North India.