Eye care use among rural adults in China: The Handan Eye study

Yi Peng, Qiu Shan Tao, Yuan Bo Liang, David S Friedman, Xiao Hui Yang, Vishal Jhanji, Xin Rong Duan, Lan Ping Sun, Ning Li Wang

Research output: Contribution to journalArticle


Purpose: To assess the use of eye care services in a rural population in North China and to analyze the factors associated with underuse of these services. Methods: In a cross-sectional population-based study, demographic, health and vision-related information including use of eye care services were determined during a face-to-face interview. A single visit to an eye care provider qualified as "use" of eye care services. Results: Of 6612 participants, 754 (11.4%, 95% confidence interval, CI, 8.7-14.1%) had used eye care services. The most common reason cited for not seeing an eye care provider was "no need" (n=5754). Of the 5754 who thought that there was no need to see an ophthalmologist, 3458 (60.1%) were found to have one or more type of eye disease, including glaucoma (56, 1.0%), cataract (1056, 18.4%), age-related macular degeneration (AMD; 164, 2.9%) and refractive error (3048, 53.0%). Also, 74 (1.3%) and 409 (7.1%) of the 5754 participants had visual impairment (

Original languageEnglish (US)
Pages (from-to)274-280
Number of pages7
JournalOphthalmic Epidemiology
Issue number5
Publication statusPublished - Oct 2013



  • Eye care
  • Eye care use
  • Handan Eye Study
  • Northern China

ASJC Scopus subject areas

  • Ophthalmology
  • Epidemiology

Cite this

Peng, Y., Tao, Q. S., Liang, Y. B., Friedman, D. S., Yang, X. H., Jhanji, V., ... Wang, N. L. (2013). Eye care use among rural adults in China: The Handan Eye study. Ophthalmic Epidemiology, 20(5), 274-280. https://doi.org/10.3109/09286586.2013.823216