Knowledge, attitudes and practices related to seeking medical eyecare services by adults with moderate-to-severe visual impairment in rural Yueqing, Wenzhou, China: a cross-sectional survey

作     者：Lin-Shan Li Zheng-Yan Ge Lynne Lohfeld Kun Zhou Wei-He Zhou Le-Le Cui Jia Qu Yuan-Bo Liang 

作者机构：The Eye HospitalSchool of Ophthalmology and OptometryWenzhou Medical UniversityWenzhou325027Zhejiang ProvinceChina Department of OphthalmologyChengdu Fifth People’s HospitalChengdu 611130Sichuan ProvinceChina Centre for Public HealthQueen’s University of BelfastBelfastBT71NNUK 

出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)

年 卷 期：2020年第13卷第7期

页      面：1115-1123页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

基　　金：Supported by the Science and Technology Benefiting Program of Zhejiang Province(No.2014H01007) the Zhejiang Medical Science and Technology Program(No.2018KY543) 

主　　题：visual impairment knowledge attitude practices eye care service 

摘      要：AIM:To evaluate the knowledge,attitudes,and practices regarding eye-care seeking practices of visually impaired adults in a rural area Yueqing,and explore factors influencing their ***:A stratified sampling method was used to select 48 villages in Yueqing,from which 2400 people were selected to receive vision screenings conducted by oculists during a household *** presenting visual acuity≥0.5 log MAR in either eye completed a self-designed questionnaire investigating their knowledge about medical eye-care seeking,attitudes about eye health and eye-careseeking ***:Totally 165 people with moderate-to-severe visual impairment were identified(6.9%,165/2400),and 146 eligible participants were recruited(response rate:88.4%,mean age:68.6±15.0 y),among which 88(60.3%)were *** had 82(56.2%)and 64(43.8%)monocular and binocular visual impairments respectively.A total of 67(45.9%)subjects demonstrated a high knowledge level about medical eye-care seeking and 88(60.3%)had self-rated poor vision,with 23(15%)receiving regular vision *** 105(71.9%)subjects had never been to hospital for an eye examination.No needandschedule conflictswere the main reasons for not seeking eye *** extensive knowledge of medical eye-care seeking was positively associated with high education levels(OR=3.73,P=0.045)and negatively correlated with older age(OR=0.97,P=0.043).Both the self-perceived vision condition(OR=2.59,P=0.03)and regular vision check behavior(OR=6.50,P0.01)were related with seeking eye care ***:In rural Yueqing,intervention is required to increase public knowledge about seeking medical eye care among people with moderate-to-severe visual impairment,especially for the elderly and poorly *** vision checks may be useful to promote their medical eye-care utilization.