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Spectacle-wearing compliance and its associated determinants among infants with bilateral corrective refractive

Xiaoyan Li1, Xiaoshan Lin2, Jinzhu Tang2

  • 1Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.

Medicine
|February 9, 2024
PubMed

Insights

Spectacle-wearing compliance in infants with refractive errors averaged 64%, with caregiver communication and spectacle weight being key factors. Improving compliance requires better caregiver communication, emphasizing importance, and using lighter spectacles.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Public Health

Background:

  • Infants with bilateral corrective refractive errors require timely spectacle correction for optimal visual development.
  • Spectacle-wearing compliance is crucial for achieving therapeutic benefits but can be challenging in young children.

Purpose of the Study:

  • To evaluate spectacle-wearing compliance in infants under 3 years old with bilateral refractive errors.
  • To identify determinants influencing spectacle-wearing compliance in this pediatric population.

Main Methods:

  • A cohort of 366 infants was studied, with compliance measured as the percentage of spectacle-wearing time in awake time (STIT).
  • Caregiver interviews and logistic regression analysis identified factors associated with compliance.
  • Pearson correlation analysis assessed the relationship between compliance and spectacle weight.

Main Results:

  • Mean STIT was 64.00%±41.69%, indicating suboptimal compliance.
  • Caregiver communication, perceived importance of spectacles, and spectacle weight were significant determinants of compliance.
  • Compliance showed a positive correlation with spectacle weight, with a decreasing trend as weight increased.

Conclusions:

  • Spectacle-wearing compliance in infants with refractive errors needs improvement.
  • Strategies to enhance compliance include improving caregiver communication, educating on the importance of spectacles, and reducing spectacle weight.

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