Trichiasis and disability in a trachoma-endemic area of Tanzania
Trichiasis and disability in a trachoma-endemic area of Tanzania
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DOI：
10.1001/archopht.119.12.1839
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发表时间：
2001-12-01
影响因子：
--
通讯作者：
West, SK
中科院分区：
文献类型：
--
作者：
Frick, KD;Melia, BM;West, SK
目的：测量限制在日常活动的村庄生活与倒睫个人和没有visual acuity loss.Methods：男性和女性40岁及以上，在6个随机选择的农村村庄在坦桑尼亚的Kongwa区的视力测量和眼科医生进行了检查。受试者指出了农村生活的日常活动的困难程度，以及这种困难是否与视力有关。使用“任何困难”的指标和从“没有困难”到“不能做”的4分量表对限制进行评分。结果：在男性中，倒睫仅与视力丧失相关（与既无倒睫也无视力损害的男性相比，任务比例[AD]的调整差异为0.35; 95%置信区间[CI]为0.23-0.47）。对于女性来说，倒睫本身是有限的（AD，0.15; 95% CI，0.08-0.22）与单独视力丧失相似（AD，0.09; 95% CI 0.06-0.13），联合用药导致更大的局限性（AD，0.32; 95%CI，0.26-0.39）。结论：倒睫的负担可能比以前估计的要大，特别是在那些倒睫本身就致残的妇女中。
Objective: To measure limitations in the daily activities of village life associated with having trichiasis for individuals with and without visual acuity loss.Methods: Men and women 40 years and older in 6 randomly chosen rural villages in the Kongwa district of Tanzania had visual acuity measured and were examined by an ophthalmologist. Subjects indicated the degree of difficulty with daily activities of village life and whether the difficulty was related, in any way, to vision. Limitations were scored using an indicator of "any difficulty" and using a 4-point scale ranging from "no difficulty" to "unable to do." Scores of individuals with and without trichiasis were compared separately for men and women.Results: Among men, trichiasis was associated with excess functional limitation only for those with visual acuity loss (adjusted difference in proportion of tasks [AD] compared with men with neither trichiasis nor visual impairment, 0.35; 95% confidence interval [CI], 0.23-0.47). For women, trichiasis alone was limiting (AD, 0.15; 95% Cl, 0.08-0.22) similarly to visual acuity loss alone (AD, 0.09; 95% CI 0.06-0.13), and the combination led to greater limitations (AD, 0.32; 95% CI, 0.26-0.39).Conclusion: The burden of trichiasis is likely greater than previously estimated, especially in women for whom trichiasis alone was disabling.