The Impact of Socioeconomic Status on Visual Acuity Changes in Schoolchildren: A One-Year Follow-Up.

IF 2 4区 医学 Q2 PEDIATRICS
Alba Galdón, Núria Vila-Vidal, Mariam El Gharbi, Valldeflors Vinuela-Navarro, Joan Pérez-Corral, Núria Tomás, Laura Guisasola
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Abstract

(1) Background: Visual acuity (VA) is essential for children's quality of life, and its relationship with socioeconomic status (SES) highlights disparities in healthcare. This study investigated the influence of SES on changes in schoolchildren's VA over one year. (2) Methods: Initial examinations were conducted on 1822 children (8-10 years). Follow-up was performed on 804 of these children a year later. Uncorrected (UCVA) and presenting (PVA) distance VA were measured monocularly using a decimal Snellen chart. Very reduced UCVA (<0.5) was considered a proxy of myopia. (3) Results: The prevalence of initially very reduced UCVA (myopia) was similar in children with low and high SES (12.6% vs. 12.4%) (χ2; p = 0.153). After one year, the prevalence of very reduced UCVA increased to 14.1% in children with a low SES compared with 11.1% in children with a high SES (p = 0.001). Significant disparities related to SES were also found in PVA so that children with a low SES exhibited a greater reduction in PVA than children with a high SES (5.2% vs. 3.5%) (χ2; p = 0.004). (4) Conclusions: Children with a low SES showed an increase in reduced UCVA values over one year and a higher number of children with very reduced PVA compared with those with a high SES.

社会经济地位对学龄儿童视力变化的影响:一年跟踪调查
(1) 背景:视力(VA)对儿童的生活质量至关重要,其与社会经济地位(SES)的关系凸显了医疗保健方面的差异。本研究调查了社会经济地位对学龄儿童一年内视力变化的影响。(2)方法:对 1822 名儿童(8-10 岁)进行了初步检查。一年后对其中的 804 名儿童进行了随访。使用十进制斯奈伦视力表单眼测量未矫正视力(UCVA)和呈现视力(PVA)。UCVA 非常低 (2; p = 0.153)。一年后,在社会经济地位较低的儿童中,UCVA极度降低的发生率增至14.1%,而在社会经济地位较高的儿童中,这一比例为11.1%(p = 0.001)。在 PVA 方面也发现了与 SES 有关的显著差异,SES 低的儿童比 SES 高的儿童 PVA 减少得更多(5.2% 对 3.5%)(χ2;p = 0.004)。(4) 结论:与社会经济地位高的儿童相比,社会经济地位低的儿童的 UCVA 值在一年内下降的幅度增大,PVA 值极度下降的儿童人数也更多。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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