Cataract surgical coverage remains lower in women

被引:114
作者
Lewallen, S. [1 ]
Mousa, A. [2 ]
Bassett, K. [3 ]
Courtright, P. [1 ]
机构
[1] Tumaini Univ, KCM Coll, Kilimanjaro Ctr Community Ophthalmol, Moshi, Tanzania
[2] Al Noor Magrabi Fdn, Cairo, Egypt
[3] Univ British Columbia, British Columbia Ctr Epidemiol & Int Ophthalmol, Vancouver, BC V5Z 1M9, Canada
关键词
SOUTH-WEST PROVINCE; RAPID ASSESSMENT; VISUAL IMPAIRMENT; AVOIDABLE BLINDNESS; EYE SURVEY; SURGERY; SERVICES; DISTRICT; BARRIERS; PREVALENCE;
D O I
10.1136/bjo.2008.140301
中图分类号
R77 [眼科学];
学科分类号
100212 [眼科学];
摘要
Background: Cataract remains the leading cause of global blindness. Evidence from population-based carried out up to 2000, and the launch of the VISION initiative to address avoidable blindness showed that women in low- and middle-income countries had a cataract surgical coverage (CSC) than men. Methods: A systematic review identified population-based surveys reporting CSC in low- and middle-income countries published since 2000. Researchers extracted data on sex-specific CSC rates and estimated the CSC differences using meta-analyses. Results: Among the 23 surveys selected for this 21 showed higher CSC among men. The Peto odds revealed that men were 1.71 times (95% CI 1.48 to more likely to have cataract surgery than women. The difference in the rates of surgery varied from 0.025 0.276, and the combined average was 0.116 (95% CI 0.082 to 0.149). Discussion: Gender inequity in use of cataract surgical services persists in the low- and middle-income It is estimated in this study that blindness and severe visual impairment from cataract could be reduced by around 11% in the low- and middle-income countries if women were to receive cataract surgery at the same as men. Additional effort globally is needed to ensure women receive the benefits of cataract surgery at the same rate as men.
引用
收藏
页码:295 / 298
页数:4
相关论文
共 44 条
[1]
Abou-Gareeb I, 2001, Ophthalmic Epidemiol, V8, P39, DOI 10.1076/opep.8.1.39.1540
[2]
Cataract blindness in Turkmenistan: results of a national survey [J].
Amansakhatov, S ;
Volokhovskaya, ZP ;
Afanasyeva, AN ;
Limburg, H .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2002, 86 (11) :1207-1210
[3]
Cataract blindness and visual outcome of cataract surgery in a tribal area in Pakistan [J].
Anjum, KM ;
Qureshi, MB ;
Khan, MA ;
Jan, N ;
Ali, A ;
Ahmad, K ;
Khan, MD .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2006, 90 (02) :135-138
[4]
Cataract surgical coverage and outcome in the Tibet Autonomous Region of China [J].
Bassett, KL ;
Noertjojo, K ;
Liu, L ;
Wang, FS ;
Tenzing, C ;
Wilkie, A ;
Santangelo, M ;
Courtright, P .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2005, 89 (01) :5-9
[5]
Cataract blindness in 4 regions of Guatemala - Results of a population-based survey [J].
Beltranena, Fernando ;
Casasola, Karin ;
Silva, Juan Carlos ;
Limburg, Hans .
OPHTHALMOLOGY, 2007, 114 (08) :1558-1563
[6]
Cataract and its surgery in Timor-Leste [J].
Brian, Garry ;
Palagyi, Anna ;
Ramke, Jacgueline ;
du Toit, Rence ;
Naduvilath, Thomas .
CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2006, 34 (09) :870-879
[7]
Coverage, utilization and barriers to cataract surgical services in rural South India: Results from a population-based study [J].
Chandrashekhar, T. S. ;
Bhat, H. V. ;
Pai, R. P. ;
Nair, S. K. .
PUBLIC HEALTH, 2007, 121 (02) :130-136
[8]
Rapid assessment of cataract at pension pay points in South Africa [J].
Cook, Colin ;
Kluever, Herman ;
Mabena, Letty ;
Limburg, Hans .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2007, 91 (07) :867-868
[9]
Cataract surgical coverage and outcome of cataract surgery in a rural district in Malawi [J].
Courtright, P ;
Metcalfe, N ;
Hoechsmann, A ;
Chirambo, M ;
Lewallen, S ;
Barrows, J ;
Witte, C .
CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE, 2004, 39 (01) :25-30
[10]
Cataract in leprosy patients: cataract surgical coverage, barriers to acceptance of surgery, and outcome of surgery in a population based survey in Korea [J].
Courtright, P ;
Lewallen, S ;
Tungpakorn, N ;
Cho, BH ;
Lim, YK ;
Lee, HJ ;
Kim, SH .
BRITISH JOURNAL OF OPHTHALMOLOGY, 2001, 85 (06) :643-647