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在以人口为基础的眼睛健康调查中,可以更好地考虑欠缺服务的群体:一项方法学研究
Lucy Goodman1, Tulio Reis2, Justine H Zhang3
1School of Optometry & Vision Science, The University of Auckland, Auckland, New Zealand.
Journal of clinical epidemiology
|June 29, 2024
概括
很少有眼睛健康调查在设计和实施时充分考虑服务不足的群体. 需要更多的努力来确保所有人群的公平的眼睛健康监测和报告.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
背景情况:
- 世界卫生组织倡导加强对眼睛健康不平等的监测.
- 基于人口的眼睛健康调查对于这种监测至关重要.
- 目前关于将服务不足群体纳入这些调查的现行做法尚不清楚.
研究的目的:
- 系统地审查自2000年以来发布的基于人口的眼睛健康调查.
- 评估在调查设计,实施和报告中考虑服务不足的群体的程度.
- 识别眼睛健康公平监测方面的差距和需要改进的领域.
主要方法:
- 基于人口的横截面调查的系统方法论审查.
- 包括调查报告客观测量的视力障碍或失明患病率.
- 评估使用PROGRESS+框架评估对15个项目 (理性,抽样,招聘,报告) 的服务不足群体的考虑.
主要成果:
- 审查了388项调查;在规划 (例如,样本大小计算,1%) 或招聘 (18%) 中,很少有预期考虑服务不足的群体.
- 报告患病率估计是最常见的考虑 (96%).
- 在95%的研究中考虑了性别/性别;43%的研究主要集中在服务不足的群体 (例如,农村人口).
结论:
- 需要在眼睛健康调查的设计,实施和报告方面进行重大改进.
- 加强调查方法对于监测不平等和促进健康公平至关重要.
- 用较小规模的研究来补充国家监测对于了解最不充分服务的人群之间的差异至关重要.
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