Factors associated with spectacle-wear compliance in school-aged Mexican children

Aaron M. Castanon Holguin, Nathan Congdon, Nita Patel, Amy Ratcliffe, Paul Esteso, Silvia Toledo Flores, Donna Gilbert, Marco A. Pereyra Rito, Beatriz Munoz

Research output: Contribution to journalArticle

Abstract

PURPOSE. To study the prevalence and determinants of compliance with spectacle wear among school-age children in Oaxaca, Mexico, who were provided spectacles free of charge. METHODS. A cohort of 493 children aged 5 to 18 years chosen by random cluster sampling from primary and secondary schools in Oaxaca, Mexico, all of whom had received free spectacles through a local program, underwent unannounced, direct examination to determine compliance with spectacle wear within 18 months after initial provision of spectacles. Potential determinants of spectacle wear including age, gender, urban versus rural residence, presenting visual acuity, refractive error, and time since dispensing of the spectacles were examined in univariate and multivariate regression models. Children not currently wearing their spectacles were asked to select the reason from a list of possibilities, and reasons for noncompliance were analyzed within different demographic groups. RESULTS. Among this sample of children with a mean age of 10.4 ± 2.6 years, the majority (74.5%) of whom were myopic (spherical equivalent [SE] ≤ -0.50 D), 13.4% (66/493) were wearing their spectacles at the time of examination. An additional 34% (169/493) had the spectacles with them but were not wearing them. In regression models, the odds of spectacle wear were significantly higher among younger (OR = 1.19 per year of age; 95% CI, 1.05-1.33) rural (OR = 10.6; 95% CI, 5.3-21.0) children and those with myopia ≤ -1.25 D (OR = 3.97; 95% CI, 1.98-7.94). The oldest children and children in urban-suburban areas were significantly more likely to list concerns about the appearance of the glasses or about being teased than were younger, rurally resident children. CONCLUSIONS. Compliance with spectacle wear may be very low, even when spectacles are provided free of charge, particularly among older, urban children, who have been shown in many populations to have the highest prevalence of myopia. As screening programs for refractive error become increasingly common throughout the world, new strategies are needed to improve compliance if program resources are to be maximized.

Original languageEnglish (US)
Pages (from-to)925-928
Number of pages4
JournalInvestigative Ophthalmology and Visual Science
Volume47
Issue number3
DOIs
StatePublished - Mar 2006

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Compliance
Refractive Errors
Myopia
Mexico
Visual Acuity
Glass
Cross-Sectional Studies
Demography

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Castanon Holguin, A. M., Congdon, N., Patel, N., Ratcliffe, A., Esteso, P., Toledo Flores, S., ... Munoz, B. (2006). Factors associated with spectacle-wear compliance in school-aged Mexican children. Investigative Ophthalmology and Visual Science, 47(3), 925-928. https://doi.org/10.1167/iovs.05-0895

Factors associated with spectacle-wear compliance in school-aged Mexican children. / Castanon Holguin, Aaron M.; Congdon, Nathan; Patel, Nita; Ratcliffe, Amy; Esteso, Paul; Toledo Flores, Silvia; Gilbert, Donna; Pereyra Rito, Marco A.; Munoz, Beatriz.

In: Investigative Ophthalmology and Visual Science, Vol. 47, No. 3, 03.2006, p. 925-928.

Research output: Contribution to journalArticle

Castanon Holguin, AM, Congdon, N, Patel, N, Ratcliffe, A, Esteso, P, Toledo Flores, S, Gilbert, D, Pereyra Rito, MA & Munoz, B 2006, 'Factors associated with spectacle-wear compliance in school-aged Mexican children', Investigative Ophthalmology and Visual Science, vol. 47, no. 3, pp. 925-928. https://doi.org/10.1167/iovs.05-0895
Castanon Holguin AM, Congdon N, Patel N, Ratcliffe A, Esteso P, Toledo Flores S et al. Factors associated with spectacle-wear compliance in school-aged Mexican children. Investigative Ophthalmology and Visual Science. 2006 Mar;47(3):925-928. https://doi.org/10.1167/iovs.05-0895
Castanon Holguin, Aaron M. ; Congdon, Nathan ; Patel, Nita ; Ratcliffe, Amy ; Esteso, Paul ; Toledo Flores, Silvia ; Gilbert, Donna ; Pereyra Rito, Marco A. ; Munoz, Beatriz. / Factors associated with spectacle-wear compliance in school-aged Mexican children. In: Investigative Ophthalmology and Visual Science. 2006 ; Vol. 47, No. 3. pp. 925-928.
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abstract = "PURPOSE. To study the prevalence and determinants of compliance with spectacle wear among school-age children in Oaxaca, Mexico, who were provided spectacles free of charge. METHODS. A cohort of 493 children aged 5 to 18 years chosen by random cluster sampling from primary and secondary schools in Oaxaca, Mexico, all of whom had received free spectacles through a local program, underwent unannounced, direct examination to determine compliance with spectacle wear within 18 months after initial provision of spectacles. Potential determinants of spectacle wear including age, gender, urban versus rural residence, presenting visual acuity, refractive error, and time since dispensing of the spectacles were examined in univariate and multivariate regression models. Children not currently wearing their spectacles were asked to select the reason from a list of possibilities, and reasons for noncompliance were analyzed within different demographic groups. RESULTS. Among this sample of children with a mean age of 10.4 ± 2.6 years, the majority (74.5{\%}) of whom were myopic (spherical equivalent [SE] ≤ -0.50 D), 13.4{\%} (66/493) were wearing their spectacles at the time of examination. An additional 34{\%} (169/493) had the spectacles with them but were not wearing them. In regression models, the odds of spectacle wear were significantly higher among younger (OR = 1.19 per year of age; 95{\%} CI, 1.05-1.33) rural (OR = 10.6; 95{\%} CI, 5.3-21.0) children and those with myopia ≤ -1.25 D (OR = 3.97; 95{\%} CI, 1.98-7.94). The oldest children and children in urban-suburban areas were significantly more likely to list concerns about the appearance of the glasses or about being teased than were younger, rurally resident children. CONCLUSIONS. Compliance with spectacle wear may be very low, even when spectacles are provided free of charge, particularly among older, urban children, who have been shown in many populations to have the highest prevalence of myopia. As screening programs for refractive error become increasingly common throughout the world, new strategies are needed to improve compliance if program resources are to be maximized.",
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AU - Castanon Holguin, Aaron M.

AU - Congdon, Nathan

AU - Patel, Nita

AU - Ratcliffe, Amy

AU - Esteso, Paul

AU - Toledo Flores, Silvia

AU - Gilbert, Donna

AU - Pereyra Rito, Marco A.

AU - Munoz, Beatriz

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N2 - PURPOSE. To study the prevalence and determinants of compliance with spectacle wear among school-age children in Oaxaca, Mexico, who were provided spectacles free of charge. METHODS. A cohort of 493 children aged 5 to 18 years chosen by random cluster sampling from primary and secondary schools in Oaxaca, Mexico, all of whom had received free spectacles through a local program, underwent unannounced, direct examination to determine compliance with spectacle wear within 18 months after initial provision of spectacles. Potential determinants of spectacle wear including age, gender, urban versus rural residence, presenting visual acuity, refractive error, and time since dispensing of the spectacles were examined in univariate and multivariate regression models. Children not currently wearing their spectacles were asked to select the reason from a list of possibilities, and reasons for noncompliance were analyzed within different demographic groups. RESULTS. Among this sample of children with a mean age of 10.4 ± 2.6 years, the majority (74.5%) of whom were myopic (spherical equivalent [SE] ≤ -0.50 D), 13.4% (66/493) were wearing their spectacles at the time of examination. An additional 34% (169/493) had the spectacles with them but were not wearing them. In regression models, the odds of spectacle wear were significantly higher among younger (OR = 1.19 per year of age; 95% CI, 1.05-1.33) rural (OR = 10.6; 95% CI, 5.3-21.0) children and those with myopia ≤ -1.25 D (OR = 3.97; 95% CI, 1.98-7.94). The oldest children and children in urban-suburban areas were significantly more likely to list concerns about the appearance of the glasses or about being teased than were younger, rurally resident children. CONCLUSIONS. Compliance with spectacle wear may be very low, even when spectacles are provided free of charge, particularly among older, urban children, who have been shown in many populations to have the highest prevalence of myopia. As screening programs for refractive error become increasingly common throughout the world, new strategies are needed to improve compliance if program resources are to be maximized.

AB - PURPOSE. To study the prevalence and determinants of compliance with spectacle wear among school-age children in Oaxaca, Mexico, who were provided spectacles free of charge. METHODS. A cohort of 493 children aged 5 to 18 years chosen by random cluster sampling from primary and secondary schools in Oaxaca, Mexico, all of whom had received free spectacles through a local program, underwent unannounced, direct examination to determine compliance with spectacle wear within 18 months after initial provision of spectacles. Potential determinants of spectacle wear including age, gender, urban versus rural residence, presenting visual acuity, refractive error, and time since dispensing of the spectacles were examined in univariate and multivariate regression models. Children not currently wearing their spectacles were asked to select the reason from a list of possibilities, and reasons for noncompliance were analyzed within different demographic groups. RESULTS. Among this sample of children with a mean age of 10.4 ± 2.6 years, the majority (74.5%) of whom were myopic (spherical equivalent [SE] ≤ -0.50 D), 13.4% (66/493) were wearing their spectacles at the time of examination. An additional 34% (169/493) had the spectacles with them but were not wearing them. In regression models, the odds of spectacle wear were significantly higher among younger (OR = 1.19 per year of age; 95% CI, 1.05-1.33) rural (OR = 10.6; 95% CI, 5.3-21.0) children and those with myopia ≤ -1.25 D (OR = 3.97; 95% CI, 1.98-7.94). The oldest children and children in urban-suburban areas were significantly more likely to list concerns about the appearance of the glasses or about being teased than were younger, rurally resident children. CONCLUSIONS. Compliance with spectacle wear may be very low, even when spectacles are provided free of charge, particularly among older, urban children, who have been shown in many populations to have the highest prevalence of myopia. As screening programs for refractive error become increasingly common throughout the world, new strategies are needed to improve compliance if program resources are to be maximized.

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