The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian population

Uncorrected refractive error (URE) is a major health problem among school children. This study was aimed to determine the frequency and patterns of URE across 4 gradients of residential densities (urban, exurban, suburban and rural). This was a cross-sectional study of school children from 3 distric...

Full description

Bibliographic Details
Main Authors: Indra Tri Mahayana, Sagung Gede Indrawati, Suhardjo Pawiroranu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2017-11-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.cn/en_publish/2017/11/20171121.pdf
_version_ 1818669514219323392
author Indra Tri Mahayana
Sagung Gede Indrawati
Suhardjo Pawiroranu
author_facet Indra Tri Mahayana
Sagung Gede Indrawati
Suhardjo Pawiroranu
author_sort Indra Tri Mahayana
collection DOAJ
description Uncorrected refractive error (URE) is a major health problem among school children. This study was aimed to determine the frequency and patterns of URE across 4 gradients of residential densities (urban, exurban, suburban and rural). This was a cross-sectional study of school children from 3 districts in Yogyakarta and 1 district near Yogyakarta, Indonesia. The information regarding age, sex, school and school grader were recorded. The Snellen’s chart was used to measure the visual acuity and to perform the subjective refraction. The district was then divided into urban, suburban, exurban and rural area based on their location and population. In total, 410 school children were included in the analyses (urban=79, exurban=73, suburban=160 and rural=98 school children). Urban school children revealed the worst visual acuity (P<0.001) and it was significant when compared with exurban and rural. The proportion of URE among urban, suburban, exurban and rural area were 10.1%, 12.3%, 3.8%, and 1%, respectively, and it was significant when compared to the proportion of ametropia and corrected refractive error across residential densities (P=0.003). The risk of URE development in urban, suburban, exurban, and rural were 2.218 (95%CI: 0.914-5.385), 3.019 (95%CI: 1.266-7.197), 0.502 (95%CI: 0.195-1.293), and 0.130 (95%CI:0.017-0.972), respectively. Urban school children showed the worst visual acuity. The school children in urban and suburban residential area had 2 and 3 times higher risk of developing the URE.
first_indexed 2024-12-17T06:53:25Z
format Article
id doaj.art-764e45ea9565481d824723ee492829a6
institution Directory Open Access Journal
issn 2222-3959
2227-4898
language English
last_indexed 2024-12-17T06:53:25Z
publishDate 2017-11-01
publisher Press of International Journal of Ophthalmology (IJO PRESS)
record_format Article
series International Journal of Ophthalmology
spelling doaj.art-764e45ea9565481d824723ee492829a62022-12-21T21:59:31ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982017-11-0110111771177610.18240/ijo.2017.11.21The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian populationIndra Tri Mahayana0Sagung Gede Indrawati1Suhardjo Pawiroranu2Department of Ophthalmology, Faculty of Medicine, Universitas Gadjah Mada-Dr. Sardjito General Hospital, Yogyakarta 55281, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Gadjah Mada-Dr. Sardjito General Hospital, Yogyakarta 55281, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Gadjah Mada-Dr. Sardjito General Hospital, Yogyakarta 55281, Indonesia; Dr. Yap Eye Hospital, Yogyakarta 55232, IndonesiaUncorrected refractive error (URE) is a major health problem among school children. This study was aimed to determine the frequency and patterns of URE across 4 gradients of residential densities (urban, exurban, suburban and rural). This was a cross-sectional study of school children from 3 districts in Yogyakarta and 1 district near Yogyakarta, Indonesia. The information regarding age, sex, school and school grader were recorded. The Snellen’s chart was used to measure the visual acuity and to perform the subjective refraction. The district was then divided into urban, suburban, exurban and rural area based on their location and population. In total, 410 school children were included in the analyses (urban=79, exurban=73, suburban=160 and rural=98 school children). Urban school children revealed the worst visual acuity (P<0.001) and it was significant when compared with exurban and rural. The proportion of URE among urban, suburban, exurban and rural area were 10.1%, 12.3%, 3.8%, and 1%, respectively, and it was significant when compared to the proportion of ametropia and corrected refractive error across residential densities (P=0.003). The risk of URE development in urban, suburban, exurban, and rural were 2.218 (95%CI: 0.914-5.385), 3.019 (95%CI: 1.266-7.197), 0.502 (95%CI: 0.195-1.293), and 0.130 (95%CI:0.017-0.972), respectively. Urban school children showed the worst visual acuity. The school children in urban and suburban residential area had 2 and 3 times higher risk of developing the URE.http://www.ijo.cn/en_publish/2017/11/20171121.pdf1776refractive errorschool childrenmyopiaamblyopiavisual impairment
spellingShingle Indra Tri Mahayana
Sagung Gede Indrawati
Suhardjo Pawiroranu
The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian population
International Journal of Ophthalmology
1776
refractive error
school children
myopia
amblyopia
visual impairment
title The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian population
title_full The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian population
title_fullStr The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian population
title_full_unstemmed The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian population
title_short The prevalence of uncorrected refractive error in urban, suburban, exurban and rural primary school children in Indonesian population
title_sort prevalence of uncorrected refractive error in urban suburban exurban and rural primary school children in indonesian population
topic 1776
refractive error
school children
myopia
amblyopia
visual impairment
url http://www.ijo.cn/en_publish/2017/11/20171121.pdf
work_keys_str_mv AT indratrimahayana theprevalenceofuncorrectedrefractiveerrorinurbansuburbanexurbanandruralprimaryschoolchildreninindonesianpopulation
AT sagunggedeindrawati theprevalenceofuncorrectedrefractiveerrorinurbansuburbanexurbanandruralprimaryschoolchildreninindonesianpopulation
AT suhardjopawiroranu theprevalenceofuncorrectedrefractiveerrorinurbansuburbanexurbanandruralprimaryschoolchildreninindonesianpopulation
AT indratrimahayana prevalenceofuncorrectedrefractiveerrorinurbansuburbanexurbanandruralprimaryschoolchildreninindonesianpopulation
AT sagunggedeindrawati prevalenceofuncorrectedrefractiveerrorinurbansuburbanexurbanandruralprimaryschoolchildreninindonesianpopulation
AT suhardjopawiroranu prevalenceofuncorrectedrefractiveerrorinurbansuburbanexurbanandruralprimaryschoolchildreninindonesianpopulation