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印度东北部一所教学机构门诊患者中的白内障及相关因素:一项基线观察

Cataract and Associated Factors Among OPD Attendees in a Teaching Institute of North East India: A Baseline Observation.

作者信息

Das Rathindra, Sengupta Bitan, Debnath Arpita, Bhattacharjya Himadri

机构信息

Department of Ophthalmology, Agartala Government Medical College, Agartala, Tripura, India.

Department of Community Medicine, Agartala Government Medical College, Agartala, Tripura, India.

出版信息

J Family Med Prim Care. 2021 Sep;10(9):3223-3227. doi: 10.4103/jfmpc.jfmpc_2493_20. Epub 2021 Sep 30.

Abstract

BACKGROUND

In India 66% of blindness among individuals aged 50 yrs and above is attributable to cataract. Cataract has multiple etiologies and many of them are modifiable. But data regarding burden and correlates of cataract among OPD attendees in Northeast India are insufficient.

OBJECTIVES

To estimate the proportion of cataract among the attendees of ophthalmology OPD of a teaching hospital of Northeast India and to study the factors associated with it.

METHODS

This hospital based cross-sectional study was conducted during 7 February to 6 March 2020, using a pre-tested structured interview schedule, among 330 adults attending ophthalmology OPD of Agartala Government Medical College, chosen by consecutive sampling.

RESULT

Proportion of cataract among the attendees was 36.7% and it was 51.5% among the subjects aged ≥50 years. Age, family type, literacy, diabetes mellitus and hypertension had significant associations with cataract ( < 0.05). Logistic regression model has identified age ≥ 50 yrs (OR: 5.57, 95% CI: 2.98-10.43) and illiteracy (OR: 2.67, 95% CI: 1.55-4.59) as the significant predictors for developing cataract ( < 0.05) in the study population.

CONCLUSION

Proportion of cataract among OPD attendees is 36.7%, which is higher than the community prevalence of cataract in Tripura. Promoting literacy, reducing family size, blood sugar and blood pressure may bring down the proportion of cataract in this population.

摘要

背景

在印度,50岁及以上人群中66%的失明归因于白内障。白内障有多种病因,其中许多是可以改变的。但印度东北部门诊患者中白内障负担及其相关因素的数据不足。

目的

估计印度东北部一家教学医院眼科门诊患者中白内障的比例,并研究与之相关的因素。

方法

本基于医院的横断面研究于2020年2月7日至3月6日进行,采用预先测试的结构化访谈问卷,对330名连续抽样选取的阿加尔塔拉政府医学院眼科门诊成年患者进行调查。

结果

门诊患者中白内障的比例为36.7%,50岁及以上患者中这一比例为51.5%。年龄、家庭类型、识字率、糖尿病和高血压与白内障有显著关联(<0.05)。逻辑回归模型确定年龄≥50岁(OR:5.57,95%CI:2.98 - 10.43)和文盲(OR:2.67,95%CI:1.55 - 4.59)是研究人群中患白内障的显著预测因素(<0.05)。

结论

门诊患者中白内障的比例为36.7%,高于特里普拉邦社区白内障患病率。提高识字率、减少家庭规模、控制血糖和血压可能会降低该人群中白内障的比例。

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本文引用的文献

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Cataracts.白内障。
Lancet. 2017 Aug 5;390(10094):600-612. doi: 10.1016/S0140-6736(17)30544-5. Epub 2017 Feb 25.
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Hypertension and risk of cataract: a meta-analysis.高血压与白内障风险:一项荟萃分析。
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