Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model

doi:10.3389/fmed.2021.753257

科研成果详情

题名	Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model
作者	Lin, Haishuang 1,2,3; Sun, Jing 4; Congdon, Nathan 5,6; Xu, Meiping 1; Liu, Shanshan 4; Liang, Yuanbo1,2,3; Wang, Hailin 4; Zhang, Shaodan1,2,3,4
发表日期	2021-10-28
发表期刊	FRONTIERS IN MEDICINE 影响因子和分区
语种	英语
原始文献类型	Article
关键词	uncorrected refractive error spectacle coverage opportunistic screening health examination center refractive service
其他关键词	URBAN MIGRANT CHILDREN ; VISUAL IMPAIRMENT ; CHINESE ADULTS ; SPECTACLE OWNERSHIP ; VISION IMPAIRMENT ; ERROR ; PREVALENCE ; POPULATION ; AUTOREFRACTION ; BLINDNESS
摘要	Purpose: To assess the potential of a health examination center-based screening model in improving service for uncorrected refractive error. Methods: Individuals aged >= 18 years undergoing the routine physical examinations at a tertiary hospital in the northeast China were invited. Presenting visual acuity, noncycloplegic autorefraction, noncontact tonometry, fundus photography, and slit-lamp examination were performed. Refractive error was defined as having spherical equivalent <= -0.75 D or >= +1 D and uncorrected refractive error was considered as refractive error combined with presenting visual acuity < 6/12 in the better eye. Costs for the screening were assessed. Results: A total of 5,284 participants (61 +/- 14 years) were included. The overall prevalence of myopia and hyperopia was 38.7% (95% CI, 37.4-40.0%) and 23.5% (95% CI, 22.3-24.6%), respectively. The prevalence of uncorrected refractive error was 7.85% (95% CI, 7.13-8.58%). Women (p < 0.001 and p = 0.003), those with age >= 70 years (p < 0.001 and p = 0.003), and myopia (p < 0.001 and p < 0.001) were at higher risk of uncorrected refractive error and uncorrected refractive error-related visual impairment. Spectacle coverage rate was 70.6% (95% CI, 68.2-73.0%). The cost to identify a single case of refractive error and uncorrected refractive error was US$3.2 and US$25.2, respectively. Conclusion: The prevalence of uncorrected refractive error is high in the urban Chinese adults. Health examination center-based refractive error screening is able to provide an efficient and low-cost model to improve the refractive services in China.
资助项目	National Key Research and Development Program of China
出版者	FRONTIERS MEDIA SA
出版地	LAUSANNE
ISSN	2296-858X
EISSN	2296-858X
卷号	8 页码:753257
DOI	10.3389/fmed.2021.753257
页数	9
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
WOS记录号	WOS:000717698600001
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	34778316
PMC记录号	PMC8581195
SCOPUSEID	2-s2.0-85118992610
通讯作者地址	[Zhang, Shaodan]Department of Glaucoma,Eye Hospital and School of Ophthalmology and Optometry,Wenzhou Medical University,Zhejiang,China
Scopus学科分类	Medicine (all)
引用统计	被引频次[WOS]：0 [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/9707
专题	眼视光学院（生物医学工程学院）、附属眼视光医院_青光眼专科青光眼早期诊断与随访检测中心
通讯作者	Zhang, Shaodan
作者单位	1.Department of Glaucoma,Eye Hospital and School of Ophthalmology and Optometry,Wenzhou Medical University,Zhejiang,China; 2.National Clinical Research Center for Ocular Diseases,Zhejiang,China; 3.Glaucoma Research Institute of Wenzhou Medical University,Zhejiang,China; 4.Shenyang Key Lab of Ophthalmology,Department of Ophthalmology,The Fourth Peoples' Hospital of Shenyang,Liaoning,China; 5.Centre for Public Health,Queen's University Belfast,Belfast,United Kingdom; 6.Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou,China
第一作者单位	温州医科大学
推荐引用方式 GB/T 7714	Lin, Haishuang,Sun, Jing,Congdon, Nathan,et al. Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model[J]. FRONTIERS IN MEDICINE,2021,8:753257.
APA	Lin, Haishuang., Sun, Jing., Congdon, Nathan., Xu, Meiping., Liu, Shanshan., ... & Zhang, Shaodan. (2021). Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model. FRONTIERS IN MEDICINE, 8, 753257.
MLA	Lin, Haishuang,et al."Improving Access to Refractive Services in Adults: A Health Examination Center-Based Model".FRONTIERS IN MEDICINE 8(2021):753257.