2023 年，埃塞俄比亚北谢瓦省德布雷贝汉镇成年人的眼科保健服务利用情况及其影响因素。
Eye care service utilization and associated factors among adults in Debre Berhan Town, North Shewa, Ethiopia, 2023.
机构信息
Department of Optometry, College of Medicine and Health Sciences, Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia.
出版信息
Front Public Health. 2024 Sep 19;12:1440357. doi: 10.3389/fpubh.2024.1440357. eCollection 2024.
INTRODUCTION
Globally, the utilization of eye care services varies widely, ranging from 18 to 90%. Low utilization of eye care services can lead to delayed detection of vision problems. However, there are limited data on the proportion of eye care service utilization and its associated factors in Ethiopia at the community level.
OBJECTIVE
The objective of this study was to determine the proportion of eye care service utilization and its associated factors among adults in Debre Birhan town, North Shewa, Ethiopia.
METHODS
Using a multistage sampling method, a community-based cross-sectional study was conducted on 960 adults in Debre Birhan town from 8 May to 8 June 2023. Binary logistic regression was performed. Variables with a -value of less than 0.05 were considered significant.
RESULTS
A total of 940 study participants participated, resulting in a response rate of 97.9%. The mean age of the participants was 54.67 years (SD ± 8.69). The proportion of good-level eye care service utilization was found to be 32.98% [95% confidence interval (CI): 29.97, 35.99]. Factors positively associated with good-level eye care service utilization included older age [adjusted odds ratio (AOR) = 1.58, 95%CI: 1.00, 2.51], higher educational status (AOR = 2.25, 95%CI: 1.25, 4.06), high family monthly income (AOR = 8.70, 95%CI: 4.99,15.18), awareness of regular eye checkups (AOR = 1.77, 95%CI: 1.15, 2.73), a history of eye disease (AOR = 2.57, 95%CI: 1.77,3.74), health insurance (AOR = 1.99, 95% CI: 1.34, 2.95), and history of spectacle use (AOR = 1.94, 95%CI:1.34, 2.80).
CONCLUSION
The study revealed that the proportion of good-level eye care service utilization was low. Older age, higher educational status, high family monthly income, awareness of regular eye checkups, a history of eye disease, health insurance, and history of spectacle use were significantly associated with a good level of eye care service utilization.
引言
在全球范围内，眼科保健服务的利用率差异很大，范围在 18%至 90%之间。眼科保健服务利用率低可能导致视力问题的发现延迟。然而，在埃塞俄比亚社区层面，关于眼科保健服务利用率及其相关因素的比例的数据有限。
目的
本研究旨在确定北谢瓦德布雷尔布汉镇成年人的眼科保健服务利用率及其相关因素。
方法
采用多阶段抽样方法，于 2023 年 5 月 8 日至 6 月 8 日对北谢瓦德布雷尔布汉镇的 960 名成年人进行了一项社区为基础的横断面研究。采用二元逻辑回归分析。具有 p 值小于 0.05 的变量被认为具有统计学意义。
结果
共有 940 名研究参与者参与，应答率为 97.9%。参与者的平均年龄为 54.67 岁（标准差±8.69）。发现良好水平的眼科保健服务利用率比例为 32.98%[95%置信区间（CI）：29.97，35.99]。与良好水平的眼科保健服务利用率呈正相关的因素包括年龄较大（调整后的优势比（AOR）=1.58，95%CI：1.00，2.51）、较高的教育程度（AOR=2.25，95%CI：1.25，4.06）、高家庭月收入（AOR=8.70，95%CI：4.99，15.18）、定期进行眼部检查的意识（AOR=1.77，95%CI：1.15，2.73）、眼部疾病史（AOR=2.57，95%CI：1.77，3.74）、健康保险（AOR=1.99，95%CI：1.34，2.95）和眼镜使用史（AOR=1.94，95%CI：1.34，2.80）。
结论
本研究表明，良好水平的眼科保健服务利用率较低。年龄较大、较高的教育程度、高家庭月收入、定期进行眼部检查的意识、眼部疾病史、健康保险和眼镜使用史与良好水平的眼科保健服务利用率显著相关。
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