Determinants of Eye Care Service Utilization among Peruvian Adults: Evidence from a Nationwide Household Survey

Barrenechea-Pulache, Antonio; Portocarrero-Bonifaz, Andrés; Hernández-Vasquéz, Akram; Portocarrero-Ramos, Carlos; Moscoso-Carrasco, Jenny

doi:10.1080/09286586.2021.1948577

Cited by 3 publications

(5 citation statements)

References 36 publications

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“…This finding is likely because people who visited the ophthalmologist within the previous 12 months may have had a previous diagnosis of cataracts or problems related to visual acuity and therefore had control or appointment for evaluation by the ophthalmologist with possible confirmation of a diagnosis of a cataract. 26 In our study, about seven out of ten adults aged 50 years and older had never had an ophthalmologic evaluation, which implies and highlights a lack of coverage in the detection of ophthalmologic problems (including cataracts) within the Peruvian health system. Therefore, it is necessary to provide a free and timely ophthalmologic evaluation from the first level of care in order to intervene early in a greater number of patients.…”

Section: Discussionmentioning

confidence: 67%

“…2 In addition, previous studies in China, India, Taiwan, and Singapore reported cataract prevalence ranging from 14% to 59%. 15,[23][24][25] On the other hand, a previous nationwide study, in Peru, found a prevalence of cataracts of 16.7% 26 and in another study, this disease was identified as the leading cause of blindness (47 to 87%) 27 and severe visual impairment (59.3%) in Latin America. 18 The presence of cataracts can be related to multiple long-term negative outcomes, including blindness and visual impairment, especially in the older adult population, [28][29][30] and therefore, we suggest promoting national strategies to ensure the screening and diagnosis of this health problem, as well as access to an ophthalmologic evaluation in primary care facilities.…”

Section: Discussionmentioning

confidence: 94%

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Factors associated with the presence of cataracts in the Peruvian population older than 50 years: a cross-sectional study

et al. 2022

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Background: Cataracts are a public health problem, especially in low- and middle-income countries, where the greatest limitations of health care systems are observed, making access to treatment difficult. This study aimed to determine the factors associated with the presence of cataracts in adults over 50 years of age in Peru. Methods: A cross-sectional analytical observational study was performed of data from the 2019 Demographic and Family Health Survey (ENDES – acronym in Spanish). The dependent variable was the self-reported diagnosis of cataracts (yes or no). Crude and adjusted prevalence ratios (aPR) were calculated using a generalized linear model of the Poisson family with a log link function to estimate factors associated with self-reported cataract diagnosis. Results: We analyzed the data of 8775 Peruvian adults older than 50 years; 1322 (16.68%) self-reported a diagnosis of cataract. A higher prevalence of having cataracts was associated with being aged 60-69 years (aPR: 1.40; 95% confidence interval (CI): 1.21-1.61) and 70 years and older (aPR: 2.78; 95% CI: 2.44-3.18), identifying as being of native ethnicity (aPR: 1.30; 95% CI: 1.16-1.47), having undergone ophthalmologic evaluation in the last 12 months (aPR: 2.29; 95% CI: 2.07-2.53) and having diabetes mellitus (aPR: 1.30; 95% CI: 1.13-1.51). The prevalence of cataracts was lower in subjects belonging to the poorest wealth quintile (aPR: 0.55; 95% CI: 0.43-0.70) and those with a higher level of education (aPR: 0.74; 95% CI: 0.62-0.88). Conclusions: In Peru, one out of six adults older than 50 years self-reported a diagnosis of cataracts. People older than 60 years, being of native ethnicity, having had a visual acuity evaluation in the last 12 months and having diabetes were associated with a higher prevalence of cataracts. These factors should be considered when implementing strategies for health education, promotion and prevention to ensure access to early ophthalmologic care.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 94%

Factors associated with the presence of cataracts in the Peruvian population older than 50 years: a cross-sectional study

et al. 2022

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“…In this study, the proportion of the society using eye care services among the visually impaired older population was 21.1% (95% CI: 18.2–23.9). This finding was lower than the findings from studies conducted in Hawassa city, Ethiopia, [ 6 ] Edo state, Nigeria, [ 14 ] South Africa, [ 3 ] rural South India, [ 29 ] Pakistan, [ 11 ] Myanmar (Asia), [ 30 ] Iran, [ 31 ] Peru, [ 28 ] Oregon (USA), [ 32 ] rural Alabama (USA), [ 12 ] and California (USA). [ 13 ] The discrepancy might be due to the variations of the sociodemographic characteristics of the study participants.…”

Section: Discussionmentioning

confidence: 68%

Eye Care Utilization among Older Subjects with Visual Impairment in Northwest Ethiopia

Kegne Assaye,

Temeselew Tegegn,

Tilahun Belete

2023

JOVR

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Purpose: To find out the level of eye care service utilization and its determinants among the elderly visually impaired populations while visiting ophthalmic outreach locations in North[1]Western Ethiopia, 2021. Methods: An ophthalmic outreach-based cross-sectional study was conducted on 852 visually impaired older people. Participants were selected by using a systematic random sampling method from January to July 2021. Data were collected by using an interviewer-administered questionnaire and an ocular examination. The collected data were entered into the Epi Info 7, and analyzed using SPSS 20. A binary logistic regression was fitted. Results: A total of 821 participants, with a response rate of 96.5%, were included in the study. The utilization of eye care services within the past two years prior to the study was 21.1% (95 % CI: 18.2–23.9). Having systemic disease (AOR = 3.2, 95% CI: 1.5–7.0), being a spectacle wearer (AOR = 4.5, 95% CI: 2.0–9.4), having visual impairment at distance (AOR = 2.9; 95% CI: 1.5–5.6), being blind (AOR = 2.9; 95% CI: 1.5–5.6), duration of visual impairment ≤1 year (AOR = 2.5; 95% CI: 1.3–4.9) were all significantly associated. Conclusion: In this study, utilization of eye care services was low. Being visually impaired at distance, being blind, recent onset of visual impairment, being a spectacle wearer, and having systemic disease were all related to the use of eye care services. The commonest barriers to utilization of eye care services were financial scarcity and long distances between eye care facilities.

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“…In Figure 6, the y-axis represents values in percentages, can see how in the most important cities of the country, a high statistical regime of blind people in the country is shown, because according to reports of the Census, it is shown that most of the blind people reside in the city of Lima with a 38, 29%, followed by the departments of Piura with 5.62%, the department of La Libertad with 5.14%, Arequipa with 4.88%, and the city of Lambayeque with 4.16, while the rest of the departments do not exceed 4% of blind citizens. According to the INEI, the gap is wide in inclusive education [6] [7]. However, in the proposed proposal it is possible to reduce the gap, since the use of mobile applications is an alternative to contribute to said education.…”

Section: User: Studentmentioning

confidence: 99%

“…Moreover, the survey conducted by the INEI for the education sector in 2016 shows that the level of education provided by the population of students 15 years of age and older, there is a large gap between people with disabilities and people without disabilities. In the first group, the highest proportion reaches primary education with 41.4 %, on the other hand, 24.8 % some years of secondary education, 22.3 % did not reach any level of education; since they only had initial studies; and 11.5 % managed to study some year of higher education [6]. On the other hand, among people without disabilities, the group that managed to study some year of secondary education predominates (45%), followed by higher education (31.1%), primary education (20.5%) and 3.4% did not reach any level of education or only with pre-school studies [7].…”

Section: Introductionmentioning

confidence: 97%

Prototype of Mobile Application Oriented to the Educational Help for Blind People in Peru

Bartra

Puja²,

Retuerto³

et al. 2022

Int. J. Interact. Mob. Technol.

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The article focuses on the orientation of educational aids for blind people. The prototype was made with the Scrum methodology and the prototype design tool called Balsamiq was used. Its objective is to design Prototypes of mobile application oriented to educational aid for blind people in Peru so that they have a decent and adequate education. The prototype is represented by 4 sprints, the first of user validation, the second of user registration, the third of classes or courses and the last of videoconferencing. In the application, a validation of the existing or new user's data was performed, where the user accesses the courses, he/she takes, so that he/she can choose a class by voice message, choosing to have a videoconference with a teacher. The proposed result for blind people to have a proper education is to optimize the learning process, through a prototype application, for each user or student where they can adapt in their studies, in addition to having blind people to make appropriate decisions in education, in the same way enhance the skills that these people have in education with a prototype of help for blind people designed in a prototype mobile application in Peru.

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Determinants of Eye Care Service Utilization among Peruvian Adults: Evidence from a Nationwide Household Survey

Cited by 3 publications

References 36 publications

Factors associated with the presence of cataracts in the Peruvian population older than 50 years: a cross-sectional study

Factors associated with the presence of cataracts in the Peruvian population older than 50 years: a cross-sectional study

Eye Care Utilization among Older Subjects with Visual Impairment in Northwest Ethiopia

Prototype of Mobile Application Oriented to the Educational Help for Blind People in Peru

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