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埃塞俄比亚南部阿尔巴明奇祖里亚县成年人白内障知识、态度及其相关因素评估

Assessment of Knowledge and Attitude of Cataract and Their Associated Factors Among Adults in Arba Minch Zuria Woreda, Southern Ethiopia.

作者信息

Samuel Mesay, Abdulkadir Hanan, Girma Meseret, Glagn Mustefa

机构信息

Wolayta Zone Health Department, Wolayta Sodo, Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

出版信息

Clin Ophthalmol. 2021 Jul 6;15:2913-2920. doi: 10.2147/OPTH.S320873. eCollection 2021.

Abstract

BACKGROUND

Cataract is the major cause of reversible blindness and visual impairment in developing countries. It has been assumed that there is poor access to information related to the cause, prevention, and treatment of cataract in developing countries. There is also a paucity of data on knowledge and attitude towards cataract in Ethiopia.

PURPOSE

This study aimed to assess the knowledge and attitude of cataract and their associated factors among adults in Arba Minch Zuria Woreda, Southern Ethiopia.

PATIENTS AND METHODS

A community-based cross-sectional study was conducted among 623 adults from February 6 to April 16, 2020. The study participants were selected by the multi-stage sampling technique. Data were collected with a pre-tested structured questionnaire by using face-to-face interviews. The data were entered into Epi info version 7.2 and exported to SPSS version 23 for analysis. The level of statistical significance was set at a p-value less than 0.05 in multivariable logistic regression.

RESULTS

Among 623 total participants, 54.9% of them had good knowledge about cataract, while 37.9% of them had favorable attitude about cataract. Inability to read and write (AOR=0.104, 95% CI: 0.042-0.258), primary school educational level (AOR=0.208, 95% CI: 0.091-0.478), secondary school educational level (AOR=0.199, 95% CI: 0.088-0.451), earning average monthly income 350-820 Ethiopian birr (AOR=2.364, 95% CI: 1.277-4.373), not having previous eye examination (AOR=0.605, 95% CI: 0.425-0.861) and unavailability of eye clinic (AOR=0.65, 95% CI: 0.446-0.945) were significantly associated with knowledge of cataract. No history of cataract (AOR=0.257, 95% CI: 0.157-0.418) was significantly associated with attitude towards cataract.

CONCLUSION

Significant portion of participants had poor knowledge and an unfavorable attitude towards a cataract. So, it is recommended that stakeholders in different hierarchies need to exert efforts on creating awareness about cataract by considering the education level of the community. Moreover, attention should be given to the availability and accessibility of the primary eye care unit.

摘要

背景

白内障是发展中国家可逆性失明和视力损害的主要原因。据推测,发展中国家获取有关白内障病因、预防和治疗信息的渠道有限。埃塞俄比亚关于白内障的知识和态度的数据也很匮乏。

目的

本研究旨在评估埃塞俄比亚南部阿尔巴明奇祖里亚县成年人对白内障的知识、态度及其相关因素。

患者与方法

2020年2月6日至4月16日,对623名成年人进行了一项基于社区的横断面研究。研究参与者采用多阶段抽样技术选取。通过面对面访谈,使用预先测试的结构化问卷收集数据。数据录入Epi info 7.2版本,并导出到SPSS 23版本进行分析。多变量逻辑回归中,统计学显著性水平设定为p值小于0.05。

结果

在623名总参与者中,54.9%的人对白内障有良好的了解,而37.9%的人对白内障持积极态度。读写能力不足(比值比[AOR]=0.104,95%置信区间[CI]:0.042 - 0.258)、小学教育水平(AOR=0.208,95% CI:0.091 - 0.478)、中学教育水平(AOR=0.199,95% CI:0.088 - 0.451)、月平均收入350 - 820埃塞俄比亚比尔(AOR=2.364,95% CI:1.277 - 4.373)、既往未进行过眼部检查(AOR=0.605,95% CI:0.425 - 0.861)以及没有眼科诊所(AOR=0.65,95% CI:0.446 - 0.945)与白内障知识显著相关。无白内障病史(AOR=0.257,95% CI:0.157 - 0.418)与白内障态度显著相关。

结论

相当一部分参与者对白内障知识了解不足且态度消极。因此,建议不同层级的利益相关者根据社区教育水平,努力提高对白内障的认识。此外,应关注初级眼科保健机构的可及性和可用性。

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