Quality of life and depression among patients with high myopia in Nigeria: a cross sectional study
AIM: To evaluate the quality of life (QOL) and level of depression among participants with high myopia in Nigeria and the demographic factors associated with these outcomes. METHODS: This cross-sectional study was conducted on 100 adult participants with high myopia (defined as refractive error ≤-5....
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2023-12-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://ies.ijo.cn/en_publish/2023/12/20231221.pdf |
| _version_ | 1827672184399593472 |
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| author | Uchechukwu Levi Osuagwu Kelechukwu Enyinnaya Ahaiwe Nnaemeka Meribe Elizabeth Dennis Nkanga Bernadine Nsa Ekpenyong Affiong Andem Ibanga Piwuna Christopher Goson Dennis George Nkanga |
| author_facet | Uchechukwu Levi Osuagwu Kelechukwu Enyinnaya Ahaiwe Nnaemeka Meribe Elizabeth Dennis Nkanga Bernadine Nsa Ekpenyong Affiong Andem Ibanga Piwuna Christopher Goson Dennis George Nkanga |
| author_sort | Uchechukwu Levi Osuagwu |
| collection | DOAJ |
| description | AIM: To evaluate the quality of life (QOL) and level of depression among participants with high myopia in Nigeria and the demographic factors associated with these outcomes. METHODS: This cross-sectional study was conducted on 100 adult participants with high myopia (defined as refractive error ≤-5.00 D or worse, and uncorrected visual acuity worse than 6/18 in the better seeing eye) attending ophthalmology centres in Nigeria from 2 October 2021 to 30 August 2022. The means and standard deviations were calculated for each of the four domains of World Health Organization Quality of life scale (WHOQOL-BREF) using the transformed scores. The Beck Depression Inventory (BDI) scale was used to assess the level of depression. RESULTS: The highest and the lowest mean scores of WHOQOL-BREF domains were found for the psychological and physical health domains (mean percentage scores were 67.0 [95% confidence intervals (CI) 64.1-68.9] and 55.3 (95%CI 51.8-58.8, P<0.001), respectively. One-way analysis of variance (ANOVA) revealed significant differences in physical health with educational status (higher among those with tertiary education: mean difference 0.9, 95%CI -0.2-2.1; P=0.049), differences in psychological health with working status (higher among those who were working 1.2, 95%CI 0.3-2.1; P=0.012). Also, the result showed a statistically significant association between environmental health and marital status (higher among non-married: 1.7, 95%CI -0.9-2.3; P=0.012) while overall health was associated with place of residence (higher in urban areas: 2.3, 95%CI 1.2-3.5; P=0.024). For depression, one in every nine participants reported major depressive symptom, mostly younger people (aged 16-29 vs 30-49y: 17.0% vs 0, P=0.019), and slightly more women than men (14.3% vs 0, P=0.064). There were significant negative correlations between the depression scores and psychological health (r=-0.48, P<0.001), physical health (r=-0.29, P=0.002), social and relationship (r=-0.49, P<0.001), environmental (r=-0.48, P<0.001) and overall health (r=-0.49, P<0.001) CONCLUSION: People with high myopia have a relatively moderate QOL, but poor physical health, particularly the younger age group, and women who are more likely to experience clinically relevant depression. Eye care professionals should consider possible referrals for counselling for people with high myopia. |
| first_indexed | 2024-03-10T03:58:03Z |
| format | Article |
| id | doaj.art-f237a7c036ce4700ab628fa213355743 |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-03-10T03:58:03Z |
| publishDate | 2023-12-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-f237a7c036ce4700ab628fa2133557432023-11-23T08:41:41ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982023-12-0116122071208110.18240/ijo.2023.12.2120231221Quality of life and depression among patients with high myopia in Nigeria: a cross sectional studyUchechukwu Levi Osuagwu0Kelechukwu Enyinnaya Ahaiwe1Nnaemeka Meribe2Elizabeth Dennis Nkanga3Bernadine Nsa Ekpenyong4Affiong Andem Ibanga5Piwuna Christopher Goson6Dennis George Nkanga7Uchechukwu Levi Osuagwu. Bathurst Rural Clinical School (BRCS), School of Medicine, Western Sydney University, PO Box 9008 Bathurst, NSW 2795, Australia. l.osuagwu@westernsydney.edu.auDepartment of Ophthalmology, University of Calabar Teaching Hospital, Calabar, Cross River State 540281, NigeriaDepartment of Politics, Media and Philosophy, La Trobe University, Melbourne, Victoria 3086, AustraliaDepartment of Ophthalmology, Faculty of Clinical Sciences, University of Calabar, Cross River State 540281, NigeriaDepartment of Public Health, University of Calabar, Calabar, Cross River State 540281, NigeriaDepartment of Ophthalmology, Faculty of Clinical Sciences, University of Calabar, Cross River State 540281, NigeriaDepartment of Psychiatry, College of Health Sciences, University of Jos, Jos, Plateau 930001, NigeriaDepartment of Ophthalmology, Faculty of Clinical Sciences, University of Calabar, Cross River State 540281, NigeriaAIM: To evaluate the quality of life (QOL) and level of depression among participants with high myopia in Nigeria and the demographic factors associated with these outcomes. METHODS: This cross-sectional study was conducted on 100 adult participants with high myopia (defined as refractive error ≤-5.00 D or worse, and uncorrected visual acuity worse than 6/18 in the better seeing eye) attending ophthalmology centres in Nigeria from 2 October 2021 to 30 August 2022. The means and standard deviations were calculated for each of the four domains of World Health Organization Quality of life scale (WHOQOL-BREF) using the transformed scores. The Beck Depression Inventory (BDI) scale was used to assess the level of depression. RESULTS: The highest and the lowest mean scores of WHOQOL-BREF domains were found for the psychological and physical health domains (mean percentage scores were 67.0 [95% confidence intervals (CI) 64.1-68.9] and 55.3 (95%CI 51.8-58.8, P<0.001), respectively. One-way analysis of variance (ANOVA) revealed significant differences in physical health with educational status (higher among those with tertiary education: mean difference 0.9, 95%CI -0.2-2.1; P=0.049), differences in psychological health with working status (higher among those who were working 1.2, 95%CI 0.3-2.1; P=0.012). Also, the result showed a statistically significant association between environmental health and marital status (higher among non-married: 1.7, 95%CI -0.9-2.3; P=0.012) while overall health was associated with place of residence (higher in urban areas: 2.3, 95%CI 1.2-3.5; P=0.024). For depression, one in every nine participants reported major depressive symptom, mostly younger people (aged 16-29 vs 30-49y: 17.0% vs 0, P=0.019), and slightly more women than men (14.3% vs 0, P=0.064). There were significant negative correlations between the depression scores and psychological health (r=-0.48, P<0.001), physical health (r=-0.29, P=0.002), social and relationship (r=-0.49, P<0.001), environmental (r=-0.48, P<0.001) and overall health (r=-0.49, P<0.001) CONCLUSION: People with high myopia have a relatively moderate QOL, but poor physical health, particularly the younger age group, and women who are more likely to experience clinically relevant depression. Eye care professionals should consider possible referrals for counselling for people with high myopia.http://ies.ijo.cn/en_publish/2023/12/20231221.pdfmyopiauncorrected refractive errorvision impairmentlow visionquality of lifeafrica |
| spellingShingle | Uchechukwu Levi Osuagwu Kelechukwu Enyinnaya Ahaiwe Nnaemeka Meribe Elizabeth Dennis Nkanga Bernadine Nsa Ekpenyong Affiong Andem Ibanga Piwuna Christopher Goson Dennis George Nkanga Quality of life and depression among patients with high myopia in Nigeria: a cross sectional study International Journal of Ophthalmology myopia uncorrected refractive error vision impairment low vision quality of life africa |
| title | Quality of life and depression among patients with high myopia in Nigeria: a cross sectional study |
| title_full | Quality of life and depression among patients with high myopia in Nigeria: a cross sectional study |
| title_fullStr | Quality of life and depression among patients with high myopia in Nigeria: a cross sectional study |
| title_full_unstemmed | Quality of life and depression among patients with high myopia in Nigeria: a cross sectional study |
| title_short | Quality of life and depression among patients with high myopia in Nigeria: a cross sectional study |
| title_sort | quality of life and depression among patients with high myopia in nigeria a cross sectional study |
| topic | myopia uncorrected refractive error vision impairment low vision quality of life africa |
| url | http://ies.ijo.cn/en_publish/2023/12/20231221.pdf |
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