Factors associated with spectacle-wear compliance among school children of 7-15 years in South India

Pavithra, M B; Hamsa, L; Madhukumar, Suwarna

doi:10.4103/2230-8598.133110

Cited by 34 publications

(55 citation statements)

References 11 publications

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“…This suggests that supplying a spare pair of spectacles via teachers can help to address nonwear, but the engagement of teachers is also important. In our study, girls were more likely to express parental disapproval as a reason for nonwear than boys, which has been reported in other studies, 19,23,29,34,36,38,39 as well as 2 studies 18,40 in India. In the studies from India, parents were concerned that wearing spectacles would adversely affect the marriage prospects of their daughters 18 and that girls would be "singled out" for wearing spectacles.…”

Section: Discussionsupporting

confidence: 83%

“…The same guideline of improvement in VA with correction was used in the present study. As in other studies, 26,29,34,35 the main reason students herein gave for not wearing their spectacles was teasing or bullying by peers. It would have been useful to explore this in more depth through interviews with the students given spectacles, as well as among a group of students not requiring spectacles.…”

Section: Discussionsupporting

confidence: 67%

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Predictors of Spectacle Wear and Reasons for Nonwear in Students Randomized to Ready-made or Custom-made Spectacles

2019

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IMPORTANCEVisual impairment from uncorrected refractive errors affects 12.8 million children globally. Spectacle correction is simple and cost-effective; however, low adherence to spectacle wear, which can occur in all income settings, limits visual potential.OBJECTIVE To investigate predictors of spectacle wear and reasons for nonwear in students randomized to ready-made or custom-made spectacles. DESIGN, SETTING, AND PARTICIPANTSIn planned secondary objectives of a noninferiority randomized clinical trial, students aged 11 to 15 years who fulfilled eligibility criteria, which included improvement in vision with correction by at least 2 lines in the better eye, were recruited from government schools in Bangalore, India. Recruitment took place between January 12 and July 15, 2015, and analysis for the primary outcome occurred in August 2016. Data analysis for the secondary outcome was conducted in August 2018. Spectacle wear was assessed by masked observers at unannounced visits to schools 3 to 4 months after spectacles were distributed. Students not wearing their spectacles were asked an open-ended question to elicit reasons for nonwear.MAIN OUTCOMES AND MEASURES Predictors of spectacle wear and reasons for nonwear. RESULTSOf 460 students recruited and randomized (52.2% male; 46 students aged 11 to 12 years and 13 to 15 years in each trial arm), 78.7% (362 of 460) were traced at follow-up, and 25.4% (92 of 362) were not wearing their spectacles (no difference between trial arms). Poorer presenting visual acuity (VA) and improvement in VA with correction predicted spectacle wear. Students initially seen with an uncorrected VA less than 6/18 in the better eye were almost 3 times more likely to be wearing their spectacles than those with less than 6/9 to 6/12 (adjusted odds ratio, 2.84; 95% CI, 1.52-5.27). Improvement of VA with correction of 3 to 6 lines or more than 6 lines had adjusted odds ratios of 2.31 (95% CI, 1.19-4.50) and 2.57 (95% CI, 1.32-5.01), respectively, compared with an improvement of less than 3 lines. The main reason students gave for nonwear was teasing or bullying by peers (48.9% [45 of 92]). Girls reported parental disapproval as a reason more frequently than boys (difference, 7.2%).CONCLUSIONS AND RELEVANCE Three-quarters of students receiving spectacles were wearing them at follow-up, which supports the use of the prescribing guidelines applied in this trial. Predictors of spectacle wear, poorer presenting VA, and greater improvement in VA with correction are similar to other studies. Interventions to reduce teasing and bullying are required, and health education of parents is particularly needed for girls in this setting.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 67%

Predictors of Spectacle Wear and Reasons for Nonwear in Students Randomized to Ready-made or Custom-made Spectacles

2019

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“…7,12,14 In the available literature, compliance was much higher in other studies, such as 57.8% in South India 15 and 71.6% in a study conducted in Oman. 15,16 Maximum non-compliance was found in 13-15 years of age group (72.9%) followed by 10-12 years (57.3%) and 6-9 years (53.8%). Children in higher age group were more non-compliant probably because they were more concerned regarding their physical appearance.…”

Section: 13mentioning

confidence: 96%

Spectacle compliance amongst school children of Rohtak, Haryana, India

Bhatt

Rathi

Dhull

et al. 2017

Int J Community Med Public Health

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Background: Refractive errors are the commonest cause of visual impairment in school children worldwide. They can be easily corrected by a pair of spectacles, only when they are used regularly. The purpose of present study is to document the actual rate of spectacle wear at the time of examination, assess principle determinants of spectacle wear and reasons for non-compliance among different demographic groups.Methods: 200 school children in the age group of 6-15 years with refractive errors were selected. The schools were visited without prior intimation to the students 3 months after the initial examination. Reasons for spectacle wear non-compliance were enquired.Results: 78 (39.0%) children out of 200 were compliant to spectacle wear, while 122 (61.0%) were non-compliant to spectacle wear. Main reason for not wearing spectacles was ‘teased about the appearance with spectacles’.Conclusions: School teachers should explain the risk of non-wearing of spectacles and benefits of spectacle wearing to both children and their parents. Most of the children were not compliant because they were teased about, did not like, or were not comfortable in their spectacles- all societal issues that could and should be addressed.

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“…14,15 Followup for compliance to spectacle use was assessed after 6 months by unannounced visit to these schools; 38% students who were prescribed spectacles were actually wearing the spectacles; 57.8% in the study conducted in Bangalore. 17 29.5% among the rural secondary school children in Pune. 18 and 19.5% compliance from rural Central India.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of Refractive Error and Other Ocular Morbidities and Follow - Up Study on Compliance to Spectacles Use Among School Going Children Aged 9 - 16 Years in Selected Village of Hassan

Sumana¹,

Sreelatha²,

Sagar³

et al. 2015

jemds

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Factors associated with spectacle-wear compliance among school children of 7-15 years in South India

Cited by 34 publications

References 11 publications

Predictors of Spectacle Wear and Reasons for Nonwear in Students Randomized to Ready-made or Custom-made Spectacles

Predictors of Spectacle Wear and Reasons for Nonwear in Students Randomized to Ready-made or Custom-made Spectacles

Spectacle compliance amongst school children of Rohtak, Haryana, India

Prevalence of Refractive Error and Other Ocular Morbidities and Follow - Up Study on Compliance to Spectacles Use Among School Going Children Aged 9 - 16 Years in Selected Village of Hassan

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