Gender and blindness: a meta-analysis of population-based prevalence surveys.
Gender and blindness: a meta-analysis of population-based prevalence surveys.
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DOI：
10.1076/opep.8.1.39.1540
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发表时间：
2001-02-01
影响因子：
1.8
通讯作者：
Courtright, P
中科院分区：
文献类型：
--
作者：
Abou-Gareeb, I;Lewallen, S;Courtright, P
背景：许多单独的失明调查报告女性的失明率略高。为了获得一个大陆的大陆和全球意义上的负担，失明的性别，我们进行了荟萃分析发表，以人口为基础的调查blinds.METHOD：发表的报告收集使用预定的搜索协议，涉及商业电子数据库，手工搜索的参考文献和直接接触的研究人员。纳入了基于人群的研究，包括临床检查，最小样本量为1000。对这些研究进行了严格的评价，以确定方法的严谨性。使用科克伦协作审查管理器对数据进行分析。总体优势比（年龄调整后）盲人女性与男性的比例为1.43（95% CI 1.33-1.53），范围为非洲1.39（95% CI 1.20-1.61）、亚洲1.41（95% CI 1.29-1.54）和工业化国家1.63（95% CI 1.30-2.05）。来自非洲、亚洲和工业化国家的研究结果具有良好的同质性。在全球范围内，与男性相比，女性的失明率更高。在这些调查中，总体而言，妇女占所有盲人的64.5%。过量的妇女失明是显着的老年人，而不仅仅是由于不同的寿命expectation.CONCLUSION：过量的妇女失明的负担可能是由于一些因素，这是不同的工业化国家相比，发展中国家。在制定减少失明的目标和制定干预措施时，需要特别注意失明的性别差异。
BACKGROUND: Many individual surveys of blindness have reported slightly higher rates of blindness for women. In order to gain a continent-by-continent and global sense of the burden of blindness by sex we conducted a meta-analysis of published, population-based surveys of blindness.METHOD: Published reports were collected using a predetermined search protocol involving commercial electronic databases, hand-searching of references and direct contact with researchers. Studies were included that were population-based, included clinical examination and had a minimum sample size of 1000. The studies were critically appraised to determine methodological rigour. Data were analysed using the Cochrane Collaboration Review Manager.RESULTS: The overall odds ratio (age-adjusted) of blind women to men is 1.43 (95% CI 1.33-1.53), ranging from 1.39 (95% CI 1.20-1.61) in Africa, 1.41 (95% CI 1.29-1.54) in Asia, and 1.63 (95% CI 1.30-2.05) in industrialised countries. There was good homogeneity of findings from Africa, Asia, and the industrialised countries. Globally, women bear excess blindness compared to men. In these surveys, overall, women account for 64.5% of all blind people. The excess of blindness in women was marked among the elderly and not due only to differential life expectancy.CONCLUSION: The excess burden of blindness among women is likely due to a number of factors, which are different in industrialised countries compared to developing countries. Particular attention to gender differences in blindness is needed in the creation of targets for blindness reduction and in the development of interventions.