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Spectacle wear in children given spectacles through a school-based program.

Dawn H Messer1, G Lynn Mitchell, J Daniel Twelker

  • 1Department of Ophthalmology and Vision Science, University of Arizona, Tucson, Arizona 85711, USA. dmesser@eyes.arizona.edu

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|October 18, 2011
PubMed
Summary
This summary is machine-generated.

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Two-thirds of children in a school vision program did not wear their free spectacles, often due to loss or breakage. Poorer uncorrected vision was the strongest predictor of spectacle wear in this Native-American child population.

Area of Science:

  • Ophthalmology
  • Public Health
  • Pediatric Optometry

Background:

  • School-based vision programs aim to improve access to eye care for children.
  • Spectacle provision is a key intervention, but adherence to wear is crucial for effectiveness.
  • Understanding factors influencing spectacle wear is vital for program success, especially in underserved populations.

Purpose of the Study:

  • To identify factors associated with spectacle wear among Native-American children in a school vision program.
  • To assess the impact of vision parameters and child-reported factors on spectacle adherence.

Main Methods:

  • A cohort of 247 children, previously provided with two pairs of spectacles, was studied.
  • Logistic regression models (univariate and multivariate) analyzed associations between spectacle wear and variables like gender, socioeconomic status, refractive error, and attitudes towards vision correction.

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  • Uncorrected visual acuity and refractive error were key objective measures.

    • Main Results:

    • A significant proportion (65%) of children were not wearing their spectacles, primarily due to loss (44.9%) or breakage (35.3%).
    • Myopic spherical equivalent and astigmatism were associated with increased spectacle wear.
    • In multivariate analysis, poorer uncorrected acuity in the better-seeing eye and shorter spectacle acceptance time were significant predictors of wear.

    Conclusions:

    • Spectacle loss and breakage are major barriers to consistent wear, even when provided free of charge.
    • Uncorrected visual acuity emerged as the most powerful predictor of spectacle wear adherence.
    • Interventions should address practical barriers like spectacle durability and promote acceptance of vision correction.