Investigation of the effects of sociodemographic conditions on adherence to spectacles treatment in adolescents

Year 2023, Volume: 14 Issue: 4, 736 - 743, 30.12.2023

Fuat Yavrum Çağrı İlhan

https://doi.org/10.18663/tjcl.1377462

Abstract

Aim: To investigate the effects of several sociodemographic conditions on adherence to spectacles treatment in adolescents.
Material and Methods: 10-19-year-old otherwise healthy adolescents who had been prescribed spectacles at least one year ago were included in this study. To quantitatively evaluate adherence to spectacles treatment, patients were asked to mark along a visual analog scale and the result was noted as an adherence score (AS). Sociodemographic conditions that have potential to affect adherence to spectacles treatment were questioned.
Results: This study includes 107 patients and the mean age of patients was 14.83 ± 2.75 years (10-19). The mean AS was 8.59 ± 2.21 (3-10) for mothers with a higher educational degree, and 6.85 ± 3.14 (0-10) for mothers with a lower educational degree (p =0.018). Similarly, the mean AS was 8.45 ± 2.40 (3-10) for fathers with a higher educational degree and 6.94 ± 3.08 (0-10) for fathers with a lower educational degree (p =0.033). According to logistic regression analysis, a higher educational degree in fathers was associated with 8 and more AS (odds ratio: 4.17, 95% confidence interval 1.14-15.25, and p =0.031). There was no significant difference in AS according to conditions regarding whether or not to use spectacles in a family and social environment (p >0.05, for all).
Conclusion: It was concluded that higher parental educational level is associated with higher adherence to spectacles treatment in adolescents.

Keywords

Adolescent, children, glasses, refractive error, spectacles.

Sosyodemografik koşulların genç erişkinlerdeki gözlük tedavisine uyum üzerine etkilerinin incelenmesi

Abstract

Aim: To investigate the effects of several sociodemographic conditions on adherence to spectacles treatment in adolescents.
Material and Methods: 10-19-year-old otherwise healthy adolescents who had been prescribed spectacles at least one year ago were included in this study. To quantitatively evaluate adherence to spectacles treatment, patients were asked to mark along a visual analog scale and the result was noted as an adherence score (AS). Sociodemographic conditions that have potential to affect adherence to spectacles treatment were questioned.
Results: This study includes 107 patients and the mean age of patients was 14.83 ± 2.75 years (10-19). The mean AS was 8.59 ± 2.21 (3-10) for mothers with a higher educational degree, and 6.85 ± 3.14 (0-10) for mothers with a lower educational degree (p =0.018). Similarly, the mean AS was 8.45 ± 2.40 (3-10) for fathers with a higher educational degree and 6.94 ± 3.08 (0-10) for fathers with a lower educational degree (p =0.033). According to logistic regression analysis, a higher educational degree in fathers was associated with 8 and more AS (odds ratio: 4.17, 95% confidence interval 1.14-15.25, and p =0.031). There was no significant difference in AS according to conditions regarding whether or not to use spectacles in a family and social environment (p >0.05, for all).
Conclusion: It was concluded that higher parental educational level is associated with higher adherence to spectacles treatment in adolescents.

Keywords

Adolescent, children, glasses, refractive error, spectacles.

References

• World, Health, Organization. Blindness and vision impairment. [Accessed May 25, 2022]. https://www.who.int/en/news-room/fact-sheets/detail/blindness-and-visual-impairment
• Aldebasi YH. A descriptive study on compliance of spectacle-wear in children of primary schools at Qassim Province, Saudi Arabia. Int J Health Sci (Qassim). 2013;7:291-299.
• Zhao J, Pan X, Sui R, et al. Refractive error study in children: Results from Shunyi district, China. Am J Ophthalmol. 2000;129:427-435.
• Murthy GVS, Gupta SK, Ellwein LB, et al. Refractive error in children in an urban population in New Delhi. Invest Ophthalmol Vis Sci. 2002;43:623-631.
• Castanon Holguin AM, Congdon N, Patel N, et al. Factors associated with spectacle-wear compliance in school-aged Mexican children. Invest Ophthalmol Vis Sci. 2006;47:925-928.
• Messer DH, Mitchell GL, Twelker JD, et al. Spectacle wear in children given through a school based program. Optom Vis Sci.; 2012;19-26.
• Zeng Y, Keay L, He M, et al. A randomized, clinical trial evaluating ready-made and custom spectacles delivered via a school based screening program in China. Ophthalmology. 2009;116:1839–1845.
• Congdon NG, Patel N, Esteso P, et al. The association between refractive cutoffs for spectacle provision and visual improvement among school aged children in South Africa. Br J Ophthalmol. 2008;92:13–18.
• SimonsK. Amblyopia characterization, treatment, and prophylaxis. Surv Ophthalmol. 2005;50:123–166.
• CobbCJ, RussellK, CoxA, et al. Factors influencing visual outcome in anisometropic amblyopes. Br J Ophthalmol. 2002;86:1278–1281.
• HusseinMAW, CoatsDK, MuthialuA, et al. Risk factor for treatment failure on anisometropic amblyopia. J Am Assoc Pediatric Ophthalmol Strabismus. 2004;8:429–434.
• Gogate P, Mukhopadhyaya D, Mahadik A, et al. Spectacle compliance amongst rural secondary school children in Pune district, India. Indian J Ophthalmol. 2013;61:8-12.
• Gajiwala UR, Patel RU, Sudhan A, et al. Compliance of spectacle wear among school children. Indian J Ophthalmol. 2021;69:1376-1380.
• Narayanan A, Kumar S, Ramani KK. Spectacle Compliance among Adolescents: A Qualitative Study from Southern India. Optom Vis Sci. 2017; 94:582–587.
• Kumar MR, Mallika OU. Study of refractive errors, amblyopia and compliance of spectacles in school children. J Med Sci Clin Res. 2017;5:1–8.
• Bhatt NK, Rathi M, Dhull CS, et al. Spectacle compliance amongst school children of Rohtak, Harayan, India. Int J Community Med Public Health. 2017;4:734–737.
• Pavithra M, Hamsa L, Madhukumar S. Factors associated with spectacle-wear compliance among school children of 7-15 years in South India. Int J Med Public Heal. 2014;4:146.
• Dhirar N, Dudeja S, Duggal M, et al. Compliance to spectacle use in children with refractive errors- a systematic review and meta-analysis. BMC Ophthalmol. 2020;20:71.
• Morjaria P, Evans J, Gilbert C. Predictors of Spectacle Wear and Reasons for Nonwear in Students Randomized to Ready-made or Custom-made Spectacles: Results of Secondary Objectives From a Randomized Noninferiority Trial. JAMA Ophthalmol. 2019;137:408-414.
• Morjaria P, McCormick I, Gilbert C. Compliance and Predictors of Spectacle Wear in Schoolchildren and Reasons for Non-Wear: A Review of the Literature. Ophthalmic Epidemiol. 2019;26:367-377.
• Castanon Holguin AM, Congdon N, Patel N, et al. Factors associated with spectacle-wear compliance in school-aged Mexican children. Invest Ophthalmol Vis Sci. 2006;47:925–928.
• von-Bischhoffshausen FB, Munoz B, Riquelme A, et al. Spectacle-wear compliance in school children in Concepcion Chile. Ophthalmic Epidemiol. 2014;21:362–369.
• Khandekar R, Mohammed AJ, Al Raisi A. Compliance of spectacle wear and its determinants among schoolchildren of Dhakhiliya region of Oman: A descriptive study. J Sci Res Med Sci. 2002;4:39–43.
• McCormick I, Morjaria P, Mactaggart I, et al. Spectacle compliance and its determinants in a school vision screening pilot in Botswana. Ophthalmic Epidemiol. 2019;26:109-116.
• Thapa HB, Rai SK, Thapa SK, et al. Eye-glasses wear compliance following school-based visual acuity screening in Nepal: a comparative study. Nepal J Ophthalmol. 2020;12:91-98.