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Accommodative insufficiency in a student population in Iran

机译:伊朗学生人口的住宿不足

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Purpose To determine the prevalence of accommodative insufficiency (AI) and its relation with age, gender, and refractive errors in a college-age student population in Iran. Methods The present study was conducted cross-sectionally in 2017. All students had optometric tests including measurement of visual acuity, objective and subjective refraction, as well as binocular vision and accommodative examinations. Amplitude of accommodation was measured with the Donders’ push-up method using the Royal Air Force (RAF) rule. Monocular accommodative facility was measured with ±2.00?diopter flipper lenses. The accommodative response was tested using dynamic retinoscopy with the monocular estimation method (MEM). Results The prevalence of AI in the studied population was 4.07% (95% CI: 2.61–5.52). The rate was 6.04% (95% CI: 3.58–8.50) in females and 2.01% (95% CI: 0.53–3.48) in males, and logistic regression showed a significantly higher odds of AI in females (OR?=?3.14, 95% CI: 1.33–7.45, p -value?=?0.009). The prevalence of AI was 2.59% (95% CI: 0.55–7.56) in the 18–19-year-old age group and 4.08% (95% CI: 0.09–8.07) in the 24–25-year-old group ( p -value?=?0.848). The prevalence of AI among emmetropic, myopic, and hyperopic individuals was 3.74% (95% CI: 1.88–5.61), 4.44% (95% CI: 2.07–6.81), and 5.26% (95% CI: 4.79–16.32), respectively ( p -value?=?0.869). In the multiple regression model, only gender showed significant relationship with AI (Odds ratio?=?3.14, 95% CI: 1.33–7.45; p -values?=?0.009). Conclusion The prevalence of AI in the present study is lower than the most prevalence rates reported in previous studies. In the present study, gender and AI showed a strong association, such that AI prevalence was significantly higher in females than males.
机译:目的确定在伊朗的一个大学生年龄段,适应性供血不足(AI)的患病率及其与年龄,性别和屈光不正的关系。方法本研究于2017年进行横断面研究。所有学生均进行了验光测试,包括视力,客观和主观屈光度的测量,以及双目视觉和适应性检查。使用伦敦空军(RAF)规则,使用Donders的俯卧撑方法测量住宿幅度。用±2.00屈光度数的脚蹼测量单眼调节设备。使用动态检影法和单眼估计法(MEM)测试调节反应。结果研究人群中AI的患病率为4.07%(95%CI:2.61-5.52)。女性发病率为6.04%(95%CI:3.58–8.50),男性为2​​.01%(95%CI:0.53–3.48),逻辑回归显示女性AI发生几率明显更高(OR?=?3.14, 95%CI:1.33–7.45,p值?=?0.009)。 18-19岁年龄组的AI患病率为2.59%(95%CI:0.55-7.56),而24-25岁年龄组的AI患病率为4.08%(95%CI:0.09-8.07)( p-值?=?0.848)。在正视,近视和远视个体中,AI的患病率分别为3.74%(95%CI:1.88–5.61),4.44%(95%CI:2.07–6.81)和5.26%(95%CI:4.79–16.32),分别为(p-值≥0.869)。在多元回归模型中,只有性别与AI呈显着相关(几率=?3.14,95%CI:1.33-7.45; p值?= 0.009)。结论本研究中的AI患病率低于先前研究中报告的最流行率。在本研究中,性别与AI显示出很强的关联性,因此女性AI患病率明显高于男性。

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