Knowledge, attitudes and eye health-seeking behaviours in a population-based sample of people with diabetes in rural China

Chen, Tingting; Liu, Jin; Zhu, Wei; Wang, Congyao; Zhang, Guoshan; Wang, Xiuqin; Wang, Jun; Ke, Yang; Cochrane, Gillian M; Lamoureux, Ecosse L.; Friedman, David S.; Gilbert, Suzanne; Lansingh, Van Charles; Resnikoff, Serge; Zhao, Jialiang; Xiao, Baixiang; He, Mingguang; Congdon, Nathan

doi:10.1136/bjophthalmol-2020-316105

Cited by 12 publications

(13 citation statements)

References 29 publications

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“…Participants' knowledge of cataracts was assessed using eight questions in our study. Following the literature ( 15 , 20 ), these questions were developed by a group of health experts from Shaanxi Normal University and Zhongshan Ophthalmic Center (an authoritative ophthalmology institution in China). Each item was equally weighted.…”

Section: Methodsmentioning

confidence: 99%

“…The main barrier to the cataract surgery rate may come from the demand side, especially patients' knowledge of cataracts ( 15 , 16 ). In China, villagers can reduce at least 50% cost of cataract surgery through the New Rural Cooperative Medical System ( 17 ).…”

Section: Introductionmentioning

confidence: 99%

“…In China, villagers can reduce at least 50% cost of cataract surgery through the New Rural Cooperative Medical System ( 17 ). On the other hand, many studies find that awareness and knowledge of cataracts is the main barrier to the low cataract surgery rate ( 15 , 18 , 19 ). A study in southern China found that only 10% of people know adequately about cataracts ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

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Knowledge of cataracts and eye care utilization among adults aged 50 and above in rural Western China

Guan

Zhang

et al. 2022

Front. Public Health

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BackgroundCataracts are highly prevalent in rural China, but patient utilization of eye care services is low. Cataract knowledge is regarded as an important factor in eye care utilization. Few studies, however, have been conducted to measure the level of cataract knowledge and its relationship with eye care utilization among older adults in rural China. Hence, we described cataract knowledge and investigated the relationships between cataract knowledge and eye care utilization among adults (≥50 years) in rural Western China.MethodsA large community-based cross-sectional study was conducted from October to December 2020 among adults aged 50 years and older in 73 rural villages in Qingcheng County, Western China. The participants underwent an eye examination at their village clinic to determine whether they had cataracts. Participants also answered a questionnaire about cataracts, eye care utilization status, and sociodemographic characteristics. The collected data underwent descriptive and multiple logistic regression analyses.ResultsThe eye examinations revealed that 45.15% (675/1,495) of participants had cataracts in at least one eye, yet 90.67% (612/675) were left untreated. The average score achieved by participants about cataract knowledge was 4.91 points (total score was eight points). Correct knowledge about cataracts was positively associated with cataract screening and cataract surgery. Elders with better cataract knowledge were 2.21 times more likely to undergo cataract screening (OR, 2.21; 95% CI, 1.54–3.16) and 5.61 times more likely to undergo cataract surgery (OR, 5.61; 95% CI, 2.87–10.98). More than half had three fundamental misconceptions about how cataracts should be treated, how much they should cost, and when they should be treated. Participants who did not have these misconceptions were more likely to receive cataract screening by 1.21–2.02 times and cataract surgery by 1.76–3.48 times.ConclusionThere are misunderstandings about cataract treatment methods, treatment costs and timing in the sample areas. A better understanding of cataracts was significantly positively associated with cataract screening and cataract surgery. Health education on cataracts and regular eye examinations are needed to improve eye care utilization in rural China.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Knowledge of cataracts and eye care utilization among adults aged 50 and above in rural Western China

Guan

Zhang

et al. 2022

Front. Public Health

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“…For example, our results suggest that all VDs knew that the New Cooperative Medical System covers cataract surgery, but only 54% of residents knew this. Studies showed that enriching eye-related knowledge could improve eye screening [ 34 , 35 ]. In rural areas, VDs are trusted by villagers and are always the first choice for seeking health services [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Village Doctors in Residents’ Uptake of Eye Screening: Evidence from Ageing Residents in Rural China

Huang

Du²,

Guan³

et al. 2022

Healthcare

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The lack of formal eye screening is the main reason for insufficient eye care utilization in rural China. Cataract, in particular, is increasingly prevalent with the aging population, but the treatment rate is relatively low. Village doctors are the most accessible health care resource for rural residents, receiving few empirical investigations into their role in eye care. This study aims to assess the role of village doctors in residents’ uptake of eye screening (vision and cataract screening), the first step of cataract treatment. Data come from a community-based, cross-sectional survey conducted in 35 villages of a county of the Gansu Province, Northwestern China, in 2020. Among 1010 residents aged ≥ 50 and 35 village doctors, the multivariate logistic regression shows that village doctors’ age, time spent on public health service, and service population were positively associated with residents’ uptake of vision and cataract screening. Village doctors were capable of playing an active role in primary eye health services due to their richer knowledge about cataracts than residents (accuracy rate 86.75% vs. 63.50%, p < 0.001), but less than half of them were willing to undertake eye screening. This study highlights the positive role of village doctors in aging residents’ eye screening and the potential role in improving the uptake of eye screening by offering health education.

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“…Nevertheless, there might still be enormous unmet needs for eye care in the oldest-old Chinese adults, mainly due to a lack of awareness regarding preventable vision impairment and barriers to eye care services such as mobility problems and travel inconvenience [29,30]. Given that the number of older people with glaucoma and cataracts might continue to increase, eye care education for both oldest-old individuals and their families, as well as targeted interventions including early detection and timely treatment, are crucial for slowing eye diseases process to vision impairment [2,[31][32][33][34].…”

Section: Discussionmentioning

confidence: 99%

Trends in the prevalence of vision impairment among the oldest-old Chinese population from 1998 to 2018

et al. 2022

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Knowledge, attitudes and eye health-seeking behaviours in a population-based sample of people with diabetes in rural China

Cited by 12 publications

References 29 publications

Knowledge of cataracts and eye care utilization among adults aged 50 and above in rural Western China

Knowledge of cataracts and eye care utilization among adults aged 50 and above in rural Western China

The Role of Village Doctors in Residents’ Uptake of Eye Screening: Evidence from Ageing Residents in Rural China

Trends in the prevalence of vision impairment among the oldest-old Chinese population from 1998 to 2018

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