■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。
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.