Bekele Matiyas Mamo, Tegegn Melkamu Temeselew, Adimassu Nebiyat Feleke, Sinshaw Assem Abel, CheklieZeleke Tarekegn, Zigale Bayabil Abebizuhan, Birhan Getenet Shumet, Shumye Abebech Fikade
Department of Optometry, College of Medicine and Health Sciences, Comprehensive Specialized Hospital, University of Gondar, Gondar, Ethiopia.
Front Ophthalmol (Lausanne). 2025 Apr 16;5:1496499. doi: 10.3389/fopht.2025.1496499. eCollection 2025.
Near vision impairment can be addressed through several methods, including spectacles, contact lenses, miotic drugs, and refractive surgery. Of these options, spectacles are the most commonly used, affordable, and accessible solution. Reading spectacle coverage is an important indicator of admittance and eye care service utilization. Additionally, it serves as a valuable tool for monitoring progress toward achieving universal eye health coverage worldwide.
The aim of this study was to assess the prevalence and associated factors of reading spectacle coverage among adults aged 35 years and above living in Debre Berhan town, North Shewa, Ethiopia.
A community-based cross-sectional study involving 808 adults was conducted in Debre Berhan town from May 8 to June 8, 2023, utilizing a multistage sampling technique. Data were gathered using a pre-tested, structured questionnaire administered by interviewers. The information was collected through Kobo Collect version 2021.4.4 and subsequently exported to Stata version 14 for processing and analysis. A binary logistic regression analysis was performed to identify the factors associated with reading spectacle coverage. Variables with a p-value of less than 0.05 in the multivariable binary logistic regression were deemed statistically significant.
A total of 780 participants took part in the study, resulting in a response rate of 96.53%. The average age of the participants was 49.58 ± 9.31 years. The proportion of reading spectacle coverage was 32.69% (95% CI: 28.82, 36.31). Factors positively associated with reading spectacle coverage included higher educational status (AOR = 3.10, 95% CI: 1.59, 6.05), awareness of near vision problems (AOR = 3.24, 95% CI: 2.08, 5.05), a history of eye examination (AOR = 3.16, 95% CI: 1.58, 6.55), experiencing difficulties with near vision (AOR = 2.56, 95% CI: 1.26, 5.21), and adding plus lens power used ≥2.50D (AOR = 1.26, 95% CI: 1.13, 3.16).
The study found that the proportion of reading spectacle coverage was low. A higher level of education, history of awareness of near vision problems, history of difficulties in near vision, history of eye examination, and high adding lens power used were significantly associated with reading spectacle coverage.
近视力障碍可通过多种方法解决，包括眼镜、隐形眼镜、缩瞳药物和屈光手术。在这些选择中，眼镜是最常用、最经济且最易获得的解决方案。阅读眼镜覆盖率是就诊和眼保健服务利用的重要指标。此外，它还是监测全球实现全民眼健康覆盖进展情况的宝贵工具。
本研究旨在评估居住在埃塞俄比亚北谢瓦德布雷伯汉镇35岁及以上成年人的阅读眼镜覆盖率及其相关因素。
2023年5月8日至6月8日，在德布雷伯汉镇采用多阶段抽样技术进行了一项基于社区的横断面研究，涉及808名成年人。数据通过由访谈员管理的预先测试的结构化问卷收集。信息通过Kobo Collect 2021.4.4版本收集，随后导出到Stata 14版本进行处理和分析。进行二元逻辑回归分析以确定与阅读眼镜覆盖率相关的因素。在多变量二元逻辑回归中p值小于0.05的变量被认为具有统计学意义。
共有780名参与者参加了研究，应答率为96.53%。参与者的平均年龄为49.58±9.31岁。阅读眼镜覆盖率为32.69%（95%置信区间：28.82，36.31）。与阅读眼镜覆盖率呈正相关的因素包括较高的教育水平（比值比=3.10，95%置信区间：1.59，6.05）、对近视力问题的认知（比值比=3.24，95%置信区间：2.08，5.05）、眼部检查史（比值比=3.16，95%置信区间：1.58，6.55）、近视力困难（比值比=2.56，95%置信区间：1.26，5.21）以及使用的正镜片度数增加≥2.50D（比值比=1.26，95%置信区间：1.13，3.16）。
研究发现阅读眼镜覆盖率较低。较高的教育水平、近视力问题认知史、近视力困难史、眼部检查史以及使用的较高正镜片度数与阅读眼镜覆盖率显著相关。
