Suppr超能文献

2014-2019 年台湾全国基于人群的数据分析:患有和不患有各种类型残疾的儿童中常见眼部疾病的流行趋势以及与这些疾病相关的眼科门诊利用情况的比较。

Trends in the prevalence of common ocular conditions and comparison of ophthalmic outpatient utilisation related to these conditions in children with and without various types of disabilities: analysis of nationwide population-based data from Taiwan, 2014-2019.

机构信息

Department of Ophthalmology, National Taiwan University, Taipei, Taiwan.

Institute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan

出版信息

BMJ Open. 2023 Oct 13;13(10):e073411. doi: 10.1136/bmjopen-2023-073411.

Abstract

OBJECTIVE

The study objectives were to investigate trends in the prevalence of common ocular conditions among children with and without disabilities; to compare the prevalence of these conditions in children with various disabilities; and to compare ophthalmic outpatient utilisation related to these ocular conditions in children with and without disabilities.

DESIGN

Repeated cross-sectional nationwide population-based study.

SETTING

Nationwide analysis in Taiwan based on National Health Insurance (NHI) claims data and the National Disability Registry, from 2014 to 2019.

PARTICIPANTS

All children (aged under 18 years) with a disability in any given year between 2014 and 2019 were included in our analysis. All children with a disability (experimental group) were matched 1:1 with a child of the same age without a disability (control group). Data regarding the children's disability type and status and ocular conditions were obtained from the National Disability Registry and NHI database of Taiwan.

OUTCOME MEASURES

(1) The prevalence of myopia, strabismus, astigmatism, amblyopia and hyperopia over time; (2) the prevalence of myopia, strabismus, astigmatism, amblyopia and hyperopia in children with various disabilities; and (3) the association between disability and the use of outpatient vision care. All outcome measures were assessed using data from 2014 to 2019.

RESULTS

Among children with disability, the prevalence of myopia increased from 15.97% in 2014 to 18.07% in 2019. The prevalence of strabismus (2.06-3.90%), astigmatism (8.25-9.24%), amblyopia (4.13-4.95%) and hyperopia (3.36-4.58%) also increased over the study period in children with disabilities. The prevalence of strabismus, astigmatism, amblyopia and hyperopia was significantly higher in children with disabilities than in those without disabilities in all years. For example, in 2019, the prevalence values for strabismus, astigmatism, amblyopia and hyperopia were 3.90%, 9.24%, 4.95% and 4.58%, respectively, among children with disabilities, and 0.67%, 5.84%, 1.33% and 1.70%, respectively, for those without disabilities. The prevalence of these conditions varied considerably across disability types. For example, in 2019, the prevalence of strabismus was highest in children with visual disabilities (10.66%; p<0.001); these children also exhibited a high prevalence of amblyopia (24.34%; p<0.001). The prevalence of myopia was high in children with autism (24.77%), but the prevalence of other ocular conditions was not elevated in this group. Regression results indicated that for myopia, children with disability had 0.48 fewer outpatient clinic visits than those without disability (p<0.001).

CONCLUSIONS

The prevalence of common ocular conditions and the corresponding vision care required vary across types of disabilities among children. Healthcare policies must account for children at high risk of various ocular conditions, including those with less common disabilities.

摘要

目的

本研究旨在探讨儿童中伴有和不伴有残疾的常见眼部疾病的患病率趋势;比较各种残疾儿童中这些疾病的患病率;以及比较伴有和不伴有残疾的儿童中与这些眼部疾病相关的眼科门诊就诊情况。

设计

全国性基于全国健康保险(NHI)理赔数据和全国残疾登记的回顾性队列研究。

地点

2014 年至 2019 年,在中国台湾进行的全国性分析。

参与者

2014 年至 2019 年期间任何一年患有残疾的所有儿童(年龄在 18 岁以下)均纳入本分析。所有患有残疾的儿童(实验组)均与同年龄无残疾的儿童(对照组)按 1:1 匹配。有关儿童残疾类型和状况以及眼部疾病的数据均从全国残疾登记和中国台湾 NHI 数据库中获得。

结局指标

(1)近视、斜视、散光、弱视和远视的患病率随时间的变化情况;(2)各种残疾儿童中近视、斜视、散光、弱视和远视的患病率;(3)残疾与门诊视力保健使用之间的关系。所有结局指标均采用 2014 年至 2019 年的数据进行评估。

结果

在残疾儿童中,近视的患病率从 2014 年的 15.97%上升至 2019 年的 18.07%。2014 年至 2019 年期间,斜视(2.06%-3.90%)、散光(8.25%-9.24%)、弱视(4.13%-4.95%)和远视(3.36%-4.58%)的患病率也有所增加。所有年份,残疾儿童的斜视、散光、弱视和远视患病率均显著高于无残疾儿童。例如,2019 年,斜视、散光、弱视和远视的患病率分别为残疾儿童 3.90%、9.24%、4.95%和 4.58%,无残疾儿童分别为 0.67%、5.84%、1.33%和 1.70%。各种残疾类型的患病率差异很大。例如,2019 年,视力残疾儿童斜视的患病率最高(10.66%;p<0.001);这些儿童的弱视患病率也很高(24.34%;p<0.001)。自闭症儿童的近视患病率较高(24.77%),但该组其他眼部疾病的患病率并未升高。回归结果表明,与无残疾儿童相比,残疾儿童的门诊就诊次数平均减少 0.48 次(p<0.001)。

结论

儿童中常见眼部疾病的患病率和相应的视力保健需求因残疾类型而异。医疗保健政策必须考虑到各种眼部疾病风险较高的儿童,包括患有较不常见残疾的儿童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8943/10582884/22ed12aadec4/bmjopen-2023-073411f01.jpg

相似文献

2
Change in vision disorders among Hong Kong preschoolers in 10 years.
Clin Exp Ophthalmol. 2011 Jul;39(5):398-403. doi: 10.1111/j.1442-9071.2010.02470.x. Epub 2011 Feb 1.
3
The visual status of children ages 3 to 6 years in the vision screening program in Taiwan.
J AAPOS. 2009 Feb;13(1):58-62. doi: 10.1016/j.jaapos.2008.07.006. Epub 2008 Oct 4.
5
Associations between Attention-Deficit/Hyperactivity Disorder and Ocular Abnormalities in Children: A Population-based Study.
Ophthalmic Epidemiol. 2020 Jun;27(3):194-199. doi: 10.1080/09286586.2019.1704795. Epub 2019 Dec 26.
6
Amblyopia risk factor prevalence.
J Pediatr Ophthalmol Strabismus. 2013 Jul-Aug;50(4):213-7. doi: 10.3928/01913913-20130326-01. Epub 2013 Apr 2.
7
Vision screening in children entering school: Eskisehir, Turkey.
Ophthalmic Epidemiol. 2013 Aug;20(4):232-8. doi: 10.3109/09286586.2013.808672.
8
The Underestimated Role of Refractive Error (Hyperopia, Myopia, and Astigmatism) and Strabismus in Children With ADHD.
J Atten Disord. 2021 Jan;25(2):235-244. doi: 10.1177/1087054718808599. Epub 2018 Oct 29.
9
Risk factors for amblyopia in the vision in preschoolers study.
Ophthalmology. 2014 Mar;121(3):622-9.e1. doi: 10.1016/j.ophtha.2013.08.040. Epub 2013 Oct 18.
10
Refractive errors and amblyopia in children entering school: Shahrood, Iran.
Optom Vis Sci. 2009 Apr;86(4):364-9. doi: 10.1097/OPX.0b013e3181993f42.

引用本文的文献

1
Using Smartphones to Enhance Vision Screening in Rural Areas: Pilot Study.
JMIR Form Res. 2024 Apr 4;8:e55270. doi: 10.2196/55270.

本文引用的文献

2
Evolution of the Prevalence of Myopia among Taiwanese Schoolchildren: A Review of Survey Data from 1983 through 2017.
Ophthalmology. 2021 Feb;128(2):290-301. doi: 10.1016/j.ophtha.2020.07.017. Epub 2020 Jul 15.
3
The inter-relationships between cerebral visual impairment, autism and intellectual disability.
Neurosci Biobehav Rev. 2020 Jul;114:201-210. doi: 10.1016/j.neubiorev.2020.04.008. Epub 2020 Apr 13.
6
Prevalence of Disability and Disability Type Among Adults--United States, 2013.
MMWR Morb Mortal Wkly Rep. 2015 Jul 31;64(29):777-83. doi: 10.15585/mmwr.mm6429a2.
7
Common visual problems in children with disability.
Arch Dis Child. 2014 Dec;99(12):1163-8. doi: 10.1136/archdischild-2013-305267. Epub 2014 Aug 27.
8
Visual performance and ocular abnormalities in deaf children and young adults: a literature review.
Acta Ophthalmol. 2014 Jun;92(4):305-10. doi: 10.1111/aos.12302. Epub 2013 Dec 13.
9
Childhood vision impairment, hearing loss and co-occurring autism spectrum disorder.
Disabil Health J. 2013 Oct;6(4):333-42. doi: 10.1016/j.dhjo.2013.05.003. Epub 2013 Jul 25.
10
A national profile of caregiver challenges among more medically complex children with special health care needs.
Arch Pediatr Adolesc Med. 2011 Nov;165(11):1020-6. doi: 10.1001/archpediatrics.2011.172.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验