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Physical and Psychosocial Challenges as Predictors of Vision Difficulty in Children: A Nationally Representative

Andrew Mihalache1, Ryan S Huang1, Nikhil S Patil2

  • 1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Ophthalmic Epidemiology
|June 4, 2024
PubMed

Insights

Children with fair or poor general health, hearing, communication, learning, or social difficulties face higher odds of vision problems. These findings highlight the link between overall child well-being and vision health.

Area of Science:

  • Pediatric Health
  • Ophthalmology
  • Public Health

Background:

  • Vision difficulties in children can significantly impact development and quality of life.
  • Understanding associated physical and psychosocial challenges is crucial for early intervention and support.

Purpose of the Study:

  • To investigate the associations between vision difficulties and physical or psychosocial challenges in US children.
  • To identify key predictors of vision difficulty among children aged 2-17 years.

Main Methods:

  • Retrospective, population-based analysis using data from the 2021 National Health Interview Survey.
  • Inclusion of 7,373 children aged 2-17 with data on vision difficulty.
  • Logistic regression models were employed to determine odds ratios (OR) and 95% confidence intervals (CI).

Main Results:

  • Children with fair/poor general health status had significantly higher odds of vision difficulty (OR=1.84, OR=5.08).
  • Difficulties in hearing (OR=8.67), communicating (OR=1.96), learning (OR=1.93), and making friends (OR=1.94) were strongly associated with vision difficulty.
  • Anxiety, depression, and need for mobility equipment were significant in univariable but not multivariable analysis.

Conclusions:

  • Physical and psychosocial challenges are significantly associated with vision difficulty in children.
  • Further research into causal links is recommended to inform public health strategies for vision health equity.
  • Early identification and management of associated challenges may improve vision health outcomes.
Abstract

Keywords:
ChildrenNational Health Interview Surveypsychosocial factorsvision difficulty

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