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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

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International Journal of Ophthalmology(English edition) 2020年第7期13卷 1115-1123页

作者： Lin-Shan Li Zheng-Yan Ge Lynne Lohfeld Kun Zhou Wei-He Zhou Le-Le Cui Jia Qu Yuan-Bo Liang The eye Hospital School of Ophthalmology and OptometryWenzhou Medical UniversityWenzhou325027Zhejiang ProvinceChina Department of Ophthalmology Chengdu Fifth People’s HospitalChengdu 611130Sichuan ProvinceChina Centre for Public Health Queen’s University of BelfastBelfastBT71NNUK

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 need"and"schedule conflicts"were 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,Peye 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.

关键词： visual impairment knowledge attitude practices eye care service

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