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Risk factors of ocular morbidity among under-five years old children in Khartoum State- Sudan- 2020
Mohanad Kamaleldin Mahmoud Ibrahim1, Jacqueline Elizabeth Wolvaardt2, Mustafa Khidir Mustafa Elnimeiri3
1Community Medicine & Epidemiology, Faculty of Medicine, Department of Community Medicine Ibn Sina University Khartoum Sudan.
Insights
Diabetes, maternal health, family history, and screen time are key risk factors for childhood visual impairment in Sudan. Early interventions targeting these factors can reduce ocular morbidity in young children.
Area of Science:
- Ophthalmology
- Public Health
- Pediatrics
Background:
- Early childhood visual impairment impacts development and psychosocial well-being.
- Identifying risk factors is crucial for timely intervention and prevention.
Purpose of the Study:
- To determine the risk factors associated with ocular morbidity in children under five years old in Khartoum State, Sudan.
Main Methods:
- A cross-sectional study involving 391 children under five years old.
- Data collected via questionnaires administered to parents/guardians.
- Statistical analysis using SPSS, with P < .05 considered significant.
Main Results:
- Diabetes mellitus in participants and mothers significantly correlated with poor vision (P < .001).
- Regular antenatal care attendance by mothers showed a significant association with visual impairment (P = .001).
- Family history of eye disease, watching television, and mobile phone use were significant risk factors (P < .001).
Conclusions:
- Diabetes, maternal health, family history of ocular morbidity, and excessive screen time (TV and mobile phones) are significant risk factors.
- Many identified risk factors are modifiable, suggesting interventions can reduce childhood ocular morbidity.
- Targeted interventions can mitigate the impact of ocular morbidity on children's development.
Background And Aims:
Visual impairment in early childhood can significantly affect the development of visual, motor, and cognitive function and potentially lead to long-term adverse psychosocial consequences. This study aimed to identify the risk factors of ocular morbidity among under 5-year old children in Khartoum State, Sudan.
Methods:
A cross-sectional study was conducted in three tertiary eye care hospitals in Khartoum State, Sudan. The study included 391 children under the age of 5 years. The parent(s) were interviewed using a precoded, pretested, closed-ended questionnaire that included questions regarding socio-demographic profile and possible risk factors. Data were analyzed using Statistical Package for the Social Sciences (version 21.0). A P-value of less than .05 was regarded as significant.
Results:
There was a significant association between participants with diabetes mellitus and poor vision (P-value <.001). Two-thirds of participants (57%) with visual impairment had mothers, who reportedly attended antenatal care services regularly (P-value .001), revealing a significant statistical association. Maternal diseases, specifically diabetes, was identified as a risk factor for poor visual acuity in their offspring (P-value <.001). A significant relation was revealed between family history of eye disease and the degree of relationship to the affected participant (P-value <.001). There was an association between watching TV and current visual acuity (P-value <.001); as well as using mobile phones and current visual acuity (P-value <.001). Multilinear analysis revealed the stronger influence of TV watching rather than the use of mobile phones (P-value <.001).
Conclusions:
Diabetes, diabetic mothers, a family history of ocular morbidity, watching television, and using mobile phones emerged as significant risk factors of ocular morbidity among children under the age of 5 years in this study. Many of these risk factors are either modifiable or controllable ocular morbidities among under-five children can be reduced with suitable interventions.
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