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Prevalence of presbyopia and spectacle correction coverage in a rural population of North West Nigeria

机译:尼日利亚西北部农村地区老花眼的患病率和眼镜矫正率

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Purpose: To determine the prevalence of presbyopia, and near vision spectacle coverage in a rural population of Northwestern Nigeria. Study design: Cross sectional prevalence study. Subjects and methods: Six hundred and fifty people of at least 40 years of age, in 13 clusters (50 per cluster) were examined using a multi-stage random sampling with probability proportional to size. The survey was conducted from April 7 to 28, 2012 at Bungudu Local Government Area of Zamfara State, Nigeria. Presbyopia was defined as the inability to read N8 at 40 cm. Presbyopic Spectacle Correction Coverage (PSCC) was calculated, and information on barriers to using near vision spectacles identified. Results: The crude prevalence of presbyopia was 30.4%, 95% CI: (26.8%–34.1%). The prevalence was significantly higher in females (P=0.0005) and individuals with at least secondary education (P=0.022). The age specific prevalence of presbyopia was three times (63.5%) more among those aged 70 years and above, as compared to those within 40–49 years age group (19.3%). The met need was 0.2%, the unmet need 30.2%, and a PSCC of 0.7%. The major barriers reported as reasons for not obtaining near vision spectacles were unawareness and lack of felt need. Conclusion: The prevalence of presbyopia in Bungudu is relatively low compared to other reports with major risk factors being increasing age, female sex and attainment of higher education. The presbyopic spectacles correction coverage is very low with high unmet need thus there is a need to create awareness, and provide affordable and accessible optical services in the affected population.
机译:目的:确定尼日利亚西北部农村人口中的老花眼和近视眼镜的患病率。研究设计:横断面患病率研究。受试者和方法:采用多阶段随机抽样,以概率与规模成正比的方式,对13个聚类中的650名至少40岁的人(每个聚类50个)进行了检查。该调查于2012年4月7日至28日在尼日利亚赞法拉州邦古杜地方政府地区进行。老花眼被定义为无法在40厘米处读取N8。计算了老花眼镜的矫正范围(PSCC),并确定了使用近视眼镜的障碍信息。结果:老花眼的粗发病率分别为30.4%,95%CI:(26.8%–34.1%)。女性(P = 0.0005)和至少受过中等教育的个体(P = 0.022)的患病率明显更高。与40-49岁年龄组(19.3%)相比,在70岁及以上年龄组中,老花眼的年龄特定患病率高出三倍(63.5%)。满足的需求为0.2%,未满足的需求为30.2%,PSCC为0.7%。据报道,未能获得近视眼镜的主要障碍是不了解和缺乏感觉到的需要。结论:与其他报告相比,本古杜的老花眼患病率相对较低,主要危险因素是年龄增长,女性性别和接受高等教育。老花眼镜的矫正覆盖率很低,未满足的需求很高,因此有必要提高认识,并在受影响的人群中提供负担得起的,可及的光学服务。

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