A population-based cross-sectional study of barriers to uptake of eye care services in South India: the Rapid Assessment of Visual Impairment (RAVI) project.
A population-based cross-sectional study of barriers to uptake of eye care services in South India: the Rapid Assessment of Visual Impairment (RAVI) project.
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DOI：
10.1136/bmjopen-2014-005125
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发表时间：
2014-06-12
期刊：
影响因子：
2.9
通讯作者：
Rao GN
中科院分区：
文献类型：
--
作者：
Marmamula S;Khanna RC;Shekhar K;Rao GN
评估印度南部安得拉邦≥40岁人群中可避免损害患者接受眼科护理服务的障碍。 横断面研究。社区设置。从一个城市和两个农村地区使用两阶段的整群随机抽样方法招募的7800名参与者，7378（95%）进行了检查。使用快速评估方案进行眼部检查。视力受损（VI）定义为较好眼的视力<6/18。出于本研究的目的，由于白内障或未矫正的屈光不正引起的VI被认为是可避免的VI。一个有效的调查问卷被用来收集信息的障碍，为那些谁可以避免VI的服务。可避免的VI患者接受服务的障碍。可避免VI的患病率为11.8%（95% CI 11.0%至12.5%; n=868）。其中，71.1%（n=617）的人报告了“与人有关”的障碍，而28.9%（n=251）的人报告了“与服务有关”的障碍。在“个人相关”障碍中，主要障碍是“缺乏感知需要”（61.1%; n=377），原因包括年龄大，另一只眼睛视力好。其次是“无人陪伴”（20.3%; n=125）。在251名有“服务相关”障碍的人中，缺乏负担能力是主要障碍（76.1%; n=191），其次是缺乏可及性（12.7%; n=32）。超过11%（n=28）的人被建议等待白内障手术。在安得拉邦，与人有关的障碍比与服务有关的障碍更为常见。由于障碍更多地倾向于“与人有关”的现象，如人的态度和改善视力的“感觉需要”，因此需要开展更新和更深入的提高认识运动，以改变个人的态度/行为，改善对服务的接受。
To assess the barriers to uptake of eye care services among those with avoidable impairment in the population aged ≥40 years in the South Indian state of Andhra Pradesh. Cross-sectional study. Community setting. Of 7800 participants recruited from one urban and two rural locations using a two-stage cluster random sampling methodology, 7378 (95%) were examined. Eye examinations were conducted using a rapid assessment protocol. Visual impairment (VI) was defined as presenting visual acuity <6/18 in the better eye. For the purpose of this study, VI caused due to cataract or uncorrected refractive error was considered avoidable VI. A validated questionnaire was used to collect information on barriers for uptake of services among those who had avoidable VI. Barriers to uptake of services among those with avoidable VI. The prevalence of avoidable VI was 11.8% (95% CI 11.0% to 12.5%; n=868). Among these, 71.1% (n=617) individuals reported ‘person-related’ barriers whereas 28.9% (n=251) individuals reported ‘service-related’ barriers to uptake of services. Among the ‘person-related’ barriers, the leading barrier was ‘lack of perceived need’ (61.1%; n=377) for reasons such as old age, good vision in the other eye. This was followed by ‘no one to accompany’ (20.3%; n=125). Of the 251 individuals who had ‘service-related’ barriers, lack of affordability was the major barrier (76.1%; n=191) followed by lack of accessibility (12.7%; n=32). Over 11% (n=28) of the individuals were advised to wait for cataract surgery. Person-related barriers are more common than service-related barriers in Andhra Pradesh. As the barriers trend more towards ‘person-related’ phenomenon such as person's attitude and ‘felt need’ to improve vision, newer and much intensive awareness campaigns are needed to bring about an attitudinal/behavioural change among individuals to improve the uptake of services.
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影响因子：
3.7
作者：
Marmamula S;Narsaiah S;Shekhar K;Khanna RC;Rao GN
通讯作者：
Rao GN
影响因子：
3.7
作者：
Khanna RC;Pallerla SR;Eeda SS;Gudapati BK;Cassard SD;Rani PK;Shantha GP;Chakrabarti S;Schein OD
通讯作者：
Schein OD
影响因子：
--
作者：
Fletcher, AE;Donoghue, M;Murugan, PB
通讯作者：
Murugan, PB
影响因子：
1.9
作者：
Khanna, Rohit;Raman, Usha;Rao, Gullapalli N.
通讯作者：
Rao, Gullapalli N.
影响因子：
4.1
作者：
Pascolini, Donatella;Mariotti, Silvio Paolo
通讯作者：
Mariotti, Silvio Paolo