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Ocular morbidity among school-going children in the Union Territory of Chandigarh
Neeti Gupta1, Sudesh Kumar Arya, Dinesh Walia
1Department of Ophthalmology, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Jolly Grant, Doiwala, Dehradun, Uttrakahand, India, drneetigupta@rediffmail.com.
Insights
Ocular morbidity affects 30.4% of Indian schoolchildren, with refractive errors being most common. Early detection and intervention are crucial for preventing vision impairment in children.
Area of Science:
- Ophthalmology
- Public Health
- Pediatrics
Background:
- Schoolchildren in India face significant risks of ocular morbidities.
- Early detection of eye conditions is vital for timely treatment and preventing childhood blindness.
Purpose of the Study:
- To determine the prevalence of ocular morbidity in Indian schoolchildren aged 6-16 years.
- To identify socio-demographic risk factors associated with ocular morbidity in this population.
Main Methods:
- A cross-sectional study was conducted in Chandigarh, India, involving 9,067 students from 30 schools.
- The World Health Organization's 30-cluster sampling technique was employed for sample selection.
- Statistical analysis included Chi-squared tests and logistic regression to identify risk factors.
Main Results:
- The overall prevalence of ocular morbidity was 30.4%, with refractive error (29.3%) being the most common condition.
- Prevalence rates for color blindness, squint, and vitamin A deficiency were 1.2%, 0.8%, and 0.05%, respectively.
- Ocular morbidity was more prevalent in female students, those in private schools, and increased with age.
Conclusions:
- A substantial burden of treatable and preventable ocular morbidity exists among Indian schoolchildren.
- Refractive errors represent the leading cause of ocular morbidity in this age group.
- Targeted screening and interventions are necessary to address the high prevalence of eye conditions in school children.
Abstract:
Schoolchildren in India are susceptible to various types of ocular morbidities. Early detection through regular surveys helps in prompt treatment and prevention of blindness. The aim of this study was to estimate the prevalence of ocular morbidity among schoolchildren aged 6-16 years and to determine their socio-demographic risk factors. This cross-sectional study includes government and private schools in Chandigarh. The study was conducted during August 2010 to December 2010. The World Health Organization 30-cluster sampling technique was used to cover an optimum sample size of 9,067 students in 30 schools from 169 schools in Chandigarh with proportional allocation in different classes. Statistical analysis was done using SPSS version 15.0. Qualitative data was analysed using the Chi squared test. Logistic regression analysis was performed to identify risk factors. Prevalence rates of refractive error, colour-blindness, squint, and vitamin A deficiency were found to be 29.3, 1.2, 0.8 and 0.05 %, respectively, with an overall prevalence of ocular morbidity of 30.4 %. The prevalence of ocular morbidity was significantly higher among female students and among those studying in private schools. The prevalence rate increased significantly with age. A high prevalence of treatable or preventable ocular morbidity was observed among school-going children, and refractive error was the most common problem.
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