Underserved groups could be better considered within population-based eye health surveys: a methodological study.

Autor: Goodman L; School of Optometry & Vision Science, The University of Auckland, Auckland, New Zealand., Reis T; Division of Ophthalmology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil., Zhang JH; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom., Yusufu M; Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia; Department of Surgery (Ophthalmology), The University of Melbourne, Melbourne, Australia., Turnbull PR; School of Optometry & Vision Science, The University of Auckland, Auckland, New Zealand., Silwal P; School of Optometry & Vision Science, The University of Auckland, Auckland, New Zealand., Kang M; Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Lab, Beijing, China., Safi S; Ophthalmic Epidemiology Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Yee H; Singapore Eye Research Institute, Singapore., Kitema GF; Department of Ophthalmology, University of Rwanda, Kigali, Rwanda., Lai ACK; Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong., McCormick I; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom., Furtado JM; Division of Ophthalmology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil., Bondok M; Faculty of Medicine, The University of British Columbia, Vancouver, Canada., Lai E; School of Optometry & Vision Science, The University of Auckland, Auckland, New Zealand., Woodburn S; School of Optometry & Vision Science, The University of Auckland, Auckland, New Zealand., Burton MJ; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom; National Institute for Health Research Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, United Kingdom., Evans JR; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom., Ramke J; School of Optometry & Vision Science, The University of Auckland, Auckland, New Zealand; International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom. Electronic address: j.ramke@auckland.ac.nz.
Jazyk: angličtina
Zdroj: Journal of clinical epidemiology [J Clin Epidemiol] 2024 Sep; Vol. 173, pp. 111444. Date of Electronic Publication: 2024 Jun 27.
DOI: 10.1016/j.jclinepi.2024.111444
Abstrakt: Objectives: In pursuit of health equity, the World Health Organization has recently called for more extensive monitoring of inequalities in eye health. Population-based eye health surveys can provide this information, but whether underserved groups are considered in the design, implementation, and reporting of surveys is unknown. We conducted a systematic methodological review of surveys published since 2000 to examine how many population-based eye health surveys have considered underserved groups in their design, implementation, or reporting.
Study Design and Setting: We identified all population-based cross-sectional surveys reporting the prevalence of objectively measured vision impairment or blindness. Using the PROGRESS + framework to identify underserved groups, we assessed whether each study considered underserved groups within 15 items across the rationale, sampling or recruitment methods, or the reporting of participation and prevalence rates.
Results: 388 eye health surveys were included in this review. Few studies prospectively considered underserved groups during study planning or implementation, for example within their sample size calculations (n = 5, ∼1%) or recruitment strategies (n = 70, 18%). The most common way that studies considered underserved groups was in the reporting of prevalence estimates (n = 374, 96%). We observed a modest increase in the number of distinct PROGRESS + factors considered by a publication over the study period. Gender/sex was considered within at least one item by 95% (n = 367) of studies. Forty-three percent (n = 166) of included studies were conducted primarily on underserved population groups, particularly for subnational studies of people living in rural areas, and we identified examples of robust population-based studies in socially excluded groups.
Conclusion: More effort is needed to improve the design, implementation, and reporting of surveys to monitor inequality and promote equity in eye health. Ideally, national-level monitoring of vision impairment and service coverage would be supplemented with smaller-scale studies to understand the disparities experienced by the most underserved groups.
Competing Interests: Declaration of competing interest There are no competing interests for any author.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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