Factors associated with spectacle-wear compliance in school-aged Mexican children

被引:110
作者
Holguin, AMC
Congdon, N
Patel, N
Ratcliffe, A
Esteso, P
Flores, ST
Gilbert, D
Rito, MAP
Munoz, B
机构
[1] Johns Hopkins Univ, Sch Med, Dana Ctr Prevent Ophthalmol, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Sch Publ Hlth, Dana Ctr Prevent Ophthalmol, Baltimore, MD 21287 USA
[3] Helen Keller Int Mexico, Chihuahua, Mexico
[4] Helen Keller Int, New York, NY USA
[5] Univ Durham, Wolfson Res Inst, Durham, England
[6] Ver Bien Para Aprender Mejor, Oaxaca, Mexico
关键词
D O I
10.1167/iovs.05-0895
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE. To study the prevalence and determinants of compliance with spectacle wear among school-age children in Oax-aca, Mexico, who were provided spectacles free of charge. METHODS. A cohort of 493 children aged 5 to 18 years chosen by random cluster sampling from primary and secondary schools in Oaxaca, Mexico, all of whom had received free spectacles through a local program, underwent unannounced, direct examination to determine compliance with spectacle wear within 18 months after initial provision of spectacles. Potential determinants of spectacle wear including age, gender, urban versus rural residence, presenting visual acuity, refractive error, and time since dispensing of the spectacles were examined in univariate and multivariate regression models. Children not currently wearing their spectacles were asked to select the reason from a list of possibilities, and reasons for noncompliance were analyzed within different demographic groups. RESULTS. Among this sample of children with a mean age of 10.4 +/- 2.6 years, the majority (74.5%) of whom were myopic (spherical equivalent [SE] <= -0.50 D), 13.4% (66/493) were wearing their spectacles at the time of examination. An additional 34% (169/493) had the spectacles with them but were not wearing them. In regression models, the odds of spectacle wear were significantly higher among younger (OR = 1.19 per year of age; 95% CI, 1.05-1.33) rural (OR = 10.6; 95% CI, 5.3-21.0) children and those with myopia <= -1.25 D (OR = 3.97; 95% CI, 1.98-7.94). The oldest children and children in urban-suburban areas were significantly more likely to list concerns about the appearance of the glasses or about being teased than were younger, rurally resident children. CONCLUSIONS. Compliance with spectacle wear may be very low, even when spectacles are provided free of charge, particularly among older, urban children, who have been shown in many populations to have the highest prevalence of myopia. As screening programs for refractive error become increasingly common throughout the world, new strategies are needed to improve compliance if program resources are to be maximized.
引用
收藏
页码:925 / 928
页数:4
相关论文
共 26 条
[1]   Outcomes of cataract surgery in Bangladesh: results from a population based nationwide survey [J].
Bourne, RRA ;
Dineen, BP ;
Ali, SM ;
Huq, DMN ;
Johnson, GJ .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2003, 87 (07) :813-819
[2]   Factors influencing visual outcome in anisometropic amblyopes [J].
Cobb, CJ ;
Russell, K ;
Cox, A ;
MacEwen, CJ .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2002, 86 (11) :1278-1281
[3]  
Dandona R, 2002, INVEST OPHTH VIS SCI, V43, P615
[4]   Evaluating the self-esteem of myopic children over a three-year period: The COMET experience [J].
Dias, L ;
Hyman, L ;
Manny, RE ;
Fern, K .
OPTOMETRY AND VISION SCIENCE, 2005, 82 (04) :338-347
[5]   Refractive error and visual impairment in school-age children in Gombak District, Malaysia [J].
Goh, PP ;
Abqariyah, Y ;
Pokharel, GP ;
Ellwein, LB .
OPHTHALMOLOGY, 2005, 112 (04) :678-685
[6]  
GOPAL PP, 2000, AM J OPHTHALMOL, V129, P436
[7]  
GUPTA SK, 2003, BMC OPHTHALMOL, V3, P1
[8]  
HE M, 2004, INVEST OPHTH VIS SCI, V45, P3764
[9]   Common visual defects and peer victimization in children [J].
Horwood, J ;
Waylen, A ;
Herrick, D ;
Williams, C ;
Wolke, D .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2005, 46 (04) :1177-1181
[10]   Risk factors for treatment failure of anisometropic amblyopia [J].
Hussein, MAW ;
Coats, DK ;
Muthialu, A ;
Cohen, E ;
Paysse, EA .
JOURNAL OF AAPOS, 2004, 8 (05) :429-434