Freeman Ellen E, Zunzunegui Maria-Victoria, Kouanda Seni, Aubin Marie-José, Popescu Mihaela L, Miszkurka Malgorzata, Cojocaru Dan, Haddad Slim
Department of Ophthalmology, University of Montreal, Quebec, Canada.
Ophthalmic Epidemiol. 2010 Oct;17(5):301-6. doi: 10.3109/09286586.2010.508354.
To determine the prevalence and risk factors for near and far visual difficulty in Burkina Faso.
Population-based data were used from the World Health Survey done in Burkina Faso in 2002-2003;2003 (n=4,822 adults). Near and far visual difficulty were assessed by questions about difficulty seeing and recognizing an object at arm's length and about difficulty seeing and recognizing a person across the road. Prevalence estimates were adjusted for the multi-stage, stratified, random cluster sampling design. Logistic regression was used to identify independent risk factors.
The overall prevalence of any near and far visual difficulty was 10% (standard error [SE] = 0.7%) and 13% (SE=0.9%) respectively. Prevalence estimates were strongly associated with age with 48% (SE=4.2%) and 66% (SE=3.9%) of those >or= 65 years old having near or far visual difficulty (P < 0.001). Only 5% (SE=0.6%) of people wore glasses. We identified two potentially modifiable variables associated with near visual difficulty: a cooking stove in the same room as sleeping area (Odds Ratio [OR]=1.45, 95% Confidence Interval [CI] 1.01, 2.02) and high fruit consumption (OR=0.65, 95% CI 0.50, 0.86).
The prevalence of visual difficulty was high in Burkina Faso. Efforts to confirm these findings with cooking stove location and fruit consumption should be undertaken in this population.
确定布基纳法索近视力和远视力障碍的患病率及危险因素。
采用2002 - 2003年在布基纳法索进行的世界卫生调查中的基于人群的数据;2003年(n = 4822名成年人)。通过询问关于在一臂距离处看清和识别物体的困难以及关于看清和识别马路对面的人的困难来评估近视力和远视力障碍。患病率估计值针对多阶段、分层、随机整群抽样设计进行了调整。采用逻辑回归来确定独立危险因素。
任何近视力和远视力障碍的总体患病率分别为10%(标准误[SE] = 0.7%)和13%(SE = 0.9%)。患病率估计值与年龄密切相关,65岁及以上人群中分别有48%(SE = 4.2%)和66%(SE = 3.9%)存在近视力或远视力障碍(P < 0.001)。只有5%(SE = 0.6%)的人佩戴眼镜。我们确定了两个与近视力障碍相关的潜在可改变变量:与睡眠区域在同一房间的烹饪炉灶(比值比[OR] = 1.45,95%置信区间[CI] 1.01,2.02)和高水果摄入量(OR = 0.65,95% CI 0.50,0.86)。
布基纳法索视力障碍的患病率很高。应针对该人群就烹饪炉灶位置和水果摄入量进行研究以证实这些发现。