Department of Ophthalmology, Rush University Medical College, Chicago, Illinois.
Wills Eye Hospital, Philadelphia, Pennsylvania.
J AAPOS. 2024 Apr;28(2):103858. doi: 10.1016/j.jaapos.2024.103858. Epub 2024 Mar 2.
The American Academy of Pediatrics recommends annual testing in children beginning at 3 years of age to detect vision problems and prevent amblyopia. However, rates of vision testing in children from non-English primary language (NEPL) households are not well delineated. This study analyzed the 2018-2020 National Survey of Children's Health to examine patterns and predictors of vision testing among children from NEPL households. In this nationally representative cohort of 89,697 children 3-17 years of age, 70.9% of children received vision testing during the previous 12 months. Children from non-English-speaking households were less likely to undergo vision testing (64.3% vs 72.0%; aOR [95% CI] = 0.83 [0.72-0.95], P = 0.008). Decreased vision testing among children from NEPL households was driven by lower rates of testing at school (16.1% vs 21.0%; 0.72 [0.57-0.89], P = 0.009) or from an ophthalmologist or optometrist (49.0% vs 54.0%; 0.72 [0.61-0.85], P = 0.0004), whereas children from NEPL households were more likely to receive vision testing at health clinics (14.4% vs 3.1%; 3.25 [2.40-4.39], P < 0.0001). No differences were observed in rates of testing by a pediatrician (41.1% vs 44.0%; 1.05 [0.89-1.23], P = 0.69). Interventions to improve language services and health literacy are warranted to increase rates of vision testing among children from NEPL households.
美国儿科学会建议，从 3 岁开始，每年对儿童进行一次视力检查，以发现视力问题并预防弱视。然而，非英语母语（NEPL）家庭儿童的视力检查率尚未得到很好的描述。本研究分析了 2018-2020 年全国儿童健康调查，以检查 NEPL 家庭儿童视力检查的模式和预测因素。在这个代表全国的 89697 名 3-17 岁儿童队列中，70.9%的儿童在过去 12 个月内接受了视力检查。非英语家庭的儿童接受视力检查的可能性较低（64.3% vs 72.0%；aOR[95%CI]=0.83[0.72-0.95]，P=0.008）。NEPL 家庭儿童视力检查率下降的原因是学校视力检查率较低（16.1% vs 21.0%；0.72[0.57-0.89]，P=0.009）或由眼科医生或验光师进行的视力检查率较低（49.0% vs 54.0%；0.72[0.61-0.85]，P=0.0004），而 NEPL 家庭的儿童更有可能在诊所接受视力检查（14.4% vs 3.1%；3.25[2.40-4.39]，P<0.0001）。儿科医生检查率无差异（41.1% vs 44.0%；1.05[0.89-1.23]，P=0.69）。需要采取干预措施来改善语言服务和健康素养，以提高 NEPL 家庭儿童的视力检查率。
