Regional Disparities in Prevalence and Causes of Visual Impairment and Blindness, Cataract Surgical Coverage and Ocular Findings in Adults 50 Years and Older in Brazil: A Comparative Analysis between Two Population-Based Cross-Sectional Surveys Performed Within a 10-Year Interval
| Primer Autor |
Salomao, Solange Rios
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| Co-autores |
Cypel, Marcela Colussi
Berezovsky, Adriana
Fernandes, Arthur Gustavo
Watanabe, Sung Song
Mitsuhiro, Marcia Regina Kimie Higashi
Ferraz, Nivea Nunes
Sacai, Paula Yuri
Furtado, Joao Marcello
Morales, Paulo Henrique
Munoz, Sergio
Cohen, Jacob Moyses
Belfort, Rubens
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| Título |
Regional Disparities in Prevalence and Causes of Visual Impairment and Blindness, Cataract Surgical Coverage and Ocular Findings in Adults 50 Years and Older in Brazil: A Comparative Analysis between Two Population-Based Cross-Sectional Surveys Performed Within a 10-Year Interval
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| Editorial |
TAYLOR & FRANCIS INC
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| Revista |
SEMINARS IN OPHTHALMOLOGY
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| Lenguaje |
en
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| Resumen |
PurposeTo investigate disparities in the prevalence and causes of visual impairment and blindness, cataract surgical coverage, and ocular findings in older adults from two Brazilian geo-socio-demographic areas, Sao Paulo and Parintins cities.MethodsData from two population-based studies including participants 50 years and older from the cities of Sao Paulo (Sao Paulo Eye Study - SPES, 2004) and Parintins (Brazilian Amazon Region Eye Survey - BARES, 2014) were aggregated.ResultsA total of 5318 participants (3677 from SPES,1641 from BARES) were included. The prevalence of severe visual impairment (SVI) and blindness were, respectively, 0.74% (0.46-1.02) and 0.77% (0.48-1.05) in SPES and 1.72% (1.09-2.35) and 3.44% (2.55-4.33) in BARES. SVI and blindness were associated with BARES study [OR = 2.27 (1.30-3.95), p = .004 - SVI] [OR:4.07 (2.51-6.60), p < .001- blindness], and older age [OR = 10.93 (4.20-28.45), p < .001 - SPES, OR = 17.96 (8.75-36.83), p < .001 - BARES] while higher education level was a protective factor [OR = 0.21 (0.05-0.95) - SPES, p = .042, OR = 0.21 (0.05-0.91), p = .037 - BARES]. Cataract was the main cause of bilateral severe visual impairment (25.93% in SPES and 64.29% in BARES) and bilateral blindness (21.43% in SPES and 35.71% in BARES). Cataract surgical coverage was significantly lower in BARES (36.32%) compared to SPES (57.75%).ConclusionThe prevalence of SVI and blindness was three times higher in older adults from the Brazilian Amazon compared to those living in Sao Paulo city, despite a 10-year interval between the two studies. These disparities should be mitigated by initiatives to promote access to eye care services targeting underprivileged and remote Brazilian areas.
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| Fecha Publicación |
2023
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| Tipo de Recurso |
artículo original
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| doi |
10.1080/08820538.2023.2209164
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| Formato Recurso |
PDF
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| Palabras Claves |
Blindness
disparities
population-based
prevalence
visual impairment
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| Ubicación del archivo | |
| Categoría OCDE |
Oftalmología
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| Materias |
Ceguera
disparidades
basado en la población
predominio
discapacidad visual
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| Página de inicio (Recomendado-único) |
656.0
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| Página final (Recomendado-único) |
664
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| Identificador del recurso (Mandatado-único) |
artículo original
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| Versión del recurso (Recomendado-único) |
versión publicada
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| Derechos de acceso |
metadata
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| Access Rights |
metadata
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| Id de Web of Science |
WOS:000983002900001
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| ISSN |
0882-0538
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| Tipo de ruta |
hibrido
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| Categoría WOS |
Oftalmología
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