Sharbini Sharimawati, Awang Damit Nur Aimi Diyana, Maddess Ted, Abdullah Siti Nurliyana
PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam.
Eccles Institute of Neuroscience, John Curtin School of Medical Research (Bldg. 131), Australian National University, Canberra, ACT, 2601, Australia.
Br Ir Orthopt J. 2024 May 21;20(1):154-164. doi: 10.22599/bioj.349. eCollection 2024.
The preschool orthoptics visual screening program began in Brunei Darussalam in 2004 to detect amblyopia, a common cause of treatable visual disorders in children. Amblyopia can be asymptomatic, easily missed, and cause permanent adverse visual consequences; hence, it is necessary to be screened. The parental role in ensuring timely visual screening is pivotal to their child's visual well-being and educational success. This study explored parental awareness and reasons for their nonattendance.
A cross-sectional study of 401 parents was conducted in the Brunei-Muara district in private kindergarten schools and maternal and child health clinics. A self-designed and self-administered questionnaire was used. Data collected was analysed using RStudio in the form of descriptive and analytic statistics.
The study findings showed that 52.8% defaulted their screening and there was a significant association between parental awareness and the defaulters ( < 0.05). Only 39.9% of parents were aware of the screening service availability, and 50.1% had not taken their children for an eye check. The most significant sociodemographic factor that influenced awareness of the importance of vision screening was parental employment status ( = 0.013), revealing a 4.43 times higher likelihood of default if the father was unemployed. This study found that with each additional child, parents are 1.25 times less likely to seek eye screening ( < 0.05).
The main reason for nonattendance was a lack of awareness of the situation and parents believed that their children were seeing well. Mitigating child visual screening defaults requires a community-focused approach.
2004年，文莱达鲁萨兰国启动了学前斜视弱视视觉筛查项目，以检测弱视，弱视是儿童可治疗视觉障碍的常见原因。弱视可能没有症状，容易被忽视，并会导致永久性的不良视觉后果；因此，有必要进行筛查。父母在确保及时进行视觉筛查方面的作用对于孩子的视觉健康和教育成功至关重要。本研究探讨了父母的认知以及他们未参加筛查的原因。
在文莱摩拉区的私立幼儿园和妇幼保健诊所对401名家长进行了一项横断面研究。使用了一份自行设计和自行填写的问卷。收集到的数据在RStudio中以描述性和分析性统计的形式进行分析。
研究结果显示，52.8%的家长未参加筛查，父母的认知与未参加筛查者之间存在显著关联（<0.05）。只有39.9%的家长知道有筛查服务，50.1%的家长没有带孩子进行眼部检查。影响视力筛查重要性认知的最显著社会人口学因素是父母的就业状况（=0.013），表明如果父亲失业，未参加筛查的可能性要高4.43倍。本研究发现，每增加一个孩子，父母寻求眼部筛查的可能性就降低1.25倍（<0.05）。
未参加筛查的主要原因是对情况缺乏了解，父母认为他们的孩子视力良好。减少儿童视觉筛查的未参加情况需要采取以社区为重点的方法。
