Barriers, Costs, and Attitudes Toward Pediatric Cataract Surgery at Two Large Facilities in China and India
| Autor: | Rahul Ali, Ling Jin, Clare Gilbert, Manish Kumar, Jessica Pan, Chandni Chakraborti, Rishi R Borah, Jun Wang, Qing Lu, Junhong Li, Nathan Congdon |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Rural Population China medicine.medical_specialty Epidemiology Visual Acuity India Cataract Extraction Cataract 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Medicine 030212 general & internal medicine Child Socioeconomic status Retrospective Studies business.industry Health Care Costs Surgery Ophthalmology Attitude Socioeconomic Factors Child Preschool 030221 ophthalmology & optometry Female business Pediatric cataract Hospitals High-Volume |
| Zdroj: | Wang, J, Jin, L, Lu, Q, Borah, R R, Ali, R, Li, J, Chakraborti, C, Kumar, M, Pan, J, Gilbert, C & Congdon, N 2018, ' Barriers, Costs, and Attitudes Toward Pediatric Cataract Surgery at Two Large Facilities in China and India ', Ophthalmic Epidemiology, pp. 1-8 . https://doi.org/10.1080/09286586.2018.1513043 |
| ISSN: | 1744-5086 0928-6586 |
| DOI: | 10.1080/09286586.2018.1513043 |
| Popis: | PURPOSE: To better understand barriers of costs and attitudes toward pediatric cataract surgery in China and India.METHODS: From January 2014 to June 2015, families of children ≤ 10 years old about to undergo or having completed surgery for bilateral, non-traumatic cataract at two tertiary centers in China and India completed questionnaires regarding their demographic characteristics, financial status, living environment, health seeking behaviors, and medical burden.RESULTS: In China, 38 children (23 boys [60.5%], mean age 3.11 ± 2.88 years) were un-operated, and 44 (26 boys [59.1%], mean age 5.09 +/- 2.17 years) had undergone surgery, while in India there were 60 (44 boys [73.3%], mean age 4.61 +/- 3.32 years) and 39 (29 boys [74.4%], mean age 6.45 +/- 2.74 years) children respectively, 181 in total. Chinese children were younger at presentation (p ≤ 0.03 for both operated and un-operated) and also when cataract was detected (median [inter quartile range] 10 [3-34] versus 24 [6-60] months [p = 0.06] for un-operated, 5 [2-12] versus 36 [8-72] months [p < 0.001] for operated). Maternal education levels were lower in India (48.3% and 51.3% with elementary education only among un-operated [p = 0.11] and operated [p = 0.006] families in India versus 27.0% and 20.5% in China), as were rates of consulting medical practitioners for illness (44.7% and 36.4% for un-operated [p < 0.001] and operated [p = 0.001] in China versus 10% and 5.13% in India).CONCLUSIONS: Socioeconomic challenges to securing cataract surgery may be greater, and delays in obtaining surgery longer, in India compared to China, if these facilities are representative. |
| Databáze: | OpenAIRE |
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