PDF(Pubmed)
Abstract：
UNASSIGNED: The use of eye care services varies among different population groups.
UNASSIGNED: This study aimed to assess self-reported eye care use (ECU) and associated demographic factors among Malawian adults.
UNASSIGNED: This study used secondary data from the Malawi Fifth Integrated Household Survey 2019-2020, a nationally representative survey. The study included 12,288 households and 27,336 individuals 15 years and older. We entered age, sex, level of education, residency (urban/rural), and chronic disease into a logistic regression model, and used a confusion matrix to predict the model\'s accuracy. A P value <.05 was considered statistically significant.
UNASSIGNED: About 60.6% (95% CI 60.0%-61.2%) of those with eye problems accessed formal care 2 weeks before the survey date. A logistic regression model showed that ECU was positively associated with education compared to none (odds ratio [OR] 6.6, 95% CI 5.927-7.366; P<.001), males compared to females (OR 1.2, 95% CI 1.104-1.290; P<.001), and urban residence compared to rural (OR 1.2, 95% CI 1.118-1.375; P<.001). ECU was negatively associated with age (OR 7, 95% CI 6.782-8.476; P<.001) and having chronic diseases (OR 0.6, 95% CI 0.547-0.708; P<.001).
UNASSIGNED: Social support, women empowerment, education, and mobile clinics are key strategic areas that would increase access to eye care in Malawi. Further studies can investigate ECU among the pediatric population.
UNASSIGNED: This study aimed to assess self-reported eye care use (ECU) and associated demographic factors among Malawian adults.
UNASSIGNED: This study used secondary data from the Malawi Fifth Integrated Household Survey 2019-2020, a nationally representative survey. The study included 12,288 households and 27,336 individuals 15 years and older. We entered age, sex, level of education, residency (urban/rural), and chronic disease into a logistic regression model, and used a confusion matrix to predict the model\'s accuracy. A P value <.05 was considered statistically significant.
UNASSIGNED: About 60.6% (95% CI 60.0%-61.2%) of those with eye problems accessed formal care 2 weeks before the survey date. A logistic regression model showed that ECU was positively associated with education compared to none (odds ratio [OR] 6.6, 95% CI 5.927-7.366; P<.001), males compared to females (OR 1.2, 95% CI 1.104-1.290; P<.001), and urban residence compared to rural (OR 1.2, 95% CI 1.118-1.375; P<.001). ECU was negatively associated with age (OR 7, 95% CI 6.782-8.476; P<.001) and having chronic diseases (OR 0.6, 95% CI 0.547-0.708; P<.001).
UNASSIGNED: Social support, women empowerment, education, and mobile clinics are key strategic areas that would increase access to eye care in Malawi. Further studies can investigate ECU among the pediatric population.
摘要：
■不同人群对眼部护理服务的使用各不相同。
本研究旨在评估马拉维成年人自我报告的眼部护理使用（ECU）和相关的人口统计学因素。
■这项研究使用了马拉维第五次综合家庭调查2019-2020的二次数据，这是一项具有全国代表性的调查。该研究包括12,288户家庭和27,336名15岁及以上的个人。我们进入了年龄，性别,教育水平,居住地(城市/农村)，和慢性病进入逻辑回归模型，并使用混淆矩阵来预测模型的准确性。P值<0.05被认为具有统计学意义。
■约60.6%（95%CI60.0%-61.2%）的眼部问题患者在调查日期前2周接受了正式护理。逻辑回归模型显示，与无教育相比，ECU与教育呈正相关（比值比[OR]6.6，95％CI5.927-7.366；P<.001），男性与女性相比（OR1.2，95%CI1.104-1.290；P<.001），和城市住宅与农村住宅相比（OR1.2，95%CI1.118-1.375；P<.001）。ECU与年龄（OR7，95％CI6.782-8.476；P<.001）和患有慢性疾病（OR0.6，95％CI0.547-0.708；P<.001）呈负相关。
■社会支持，妇女赋权,教育,和流动诊所是关键的战略领域，将增加获得眼睛保健在马拉维。进一步的研究可以调查儿科人群中的ECU。
本研究旨在评估马拉维成年人自我报告的眼部护理使用（ECU）和相关的人口统计学因素。
■这项研究使用了马拉维第五次综合家庭调查2019-2020的二次数据，这是一项具有全国代表性的调查。该研究包括12,288户家庭和27,336名15岁及以上的个人。我们进入了年龄，性别,教育水平,居住地(城市/农村)，和慢性病进入逻辑回归模型，并使用混淆矩阵来预测模型的准确性。P值<0.05被认为具有统计学意义。
■约60.6%（95%CI60.0%-61.2%）的眼部问题患者在调查日期前2周接受了正式护理。逻辑回归模型显示，与无教育相比，ECU与教育呈正相关（比值比[OR]6.6，95％CI5.927-7.366；P<.001），男性与女性相比（OR1.2，95%CI1.104-1.290；P<.001），和城市住宅与农村住宅相比（OR1.2，95%CI1.118-1.375；P<.001）。ECU与年龄（OR7，95％CI6.782-8.476；P<.001）和患有慢性疾病（OR0.6，95％CI0.547-0.708；P<.001）呈负相关。
■社会支持，妇女赋权,教育,和流动诊所是关键的战略领域，将增加获得眼睛保健在马拉维。进一步的研究可以调查儿科人群中的ECU。
