Effective Cataract Surgery Coverage and Potential Influencing Factors for Adults in Fujian, Southeast of China:...

The purpose of this study is to identify the impact factors of effective cataract surgery coverage (eCSC) through a cross-sectional epidemiological survey for the population in the southeast of China.

The eCSC for primary analysis was defined as the proportion of the population that underwent cataract surgery and achieved a good visual outcome (6/12 or better) in the Fujian Eye Study (FJES). The FJES is a cross-sectional epidemiological survey targeting individuals aged 50 years and older in southeastern China. Multivariate analysis was performed to identify potential factors associated with eCSC. The study primarily examined socioeconomic status, geographical location, and various sociodemographic characteristics within this region.

In this study, the eCSC rates were 34.7%, 51.0%, and 92.6% based on visual acuity thresholds of 6/12, 6/18, and 6/60, respectively. Univariate analysis revealed that males had significantly higher eCSC rates compared with females (38.5% vs. 31.9%, p = 0.046). Higher educational attainment was associated with increased eCSC rates (p = 0.005). Similarly, residents with higher incomes demonstrated significantly higher eCSC rates (51.6%) compared with those with lower incomes (29.6%, p = 0.046). Additionally, individuals with a history of alcohol consumption showed a higher prevalence of cataract surgery (51.6% vs. 29.6%, p = 0.005). Multivariate linear regression analysis identified age and educational level as significant predictors of eCSC.

Age and educational level emerged as critical factors associated with eCSC. These findings highlight the influence of sociodemographic variables on cataract surgery outcomes in the population.