410所学校的学校视觉计划成果与学校特征之间的关联
Medha Kallem1, Xinxing Guo2, Xi Dai3
1Emory University School of Medicine, Atlanta, Georgia.
Ophthalmology
|November 14, 2024
概括
基于学校的视力计划 (SBVP) 对于儿童视力护理的准入至关重要. 更高的学生社会经济劣势与视力护理需求的增加相关,突出了SBVPs中有针对性的资源配置的重要性.
科学领域:
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
- 儿科医疗保健服务 儿科医疗保健服务
背景情况:
- 基于学校的视力计划 (SBVP) 对于解决儿童视力护理准入方面的差异至关重要.
- 这些项目直接为学校环境中的学生提供视觉服务.
- 了解学校特征对SBVP结果的影响对于优化护理提供至关重要.
研究的目的:
- 评估学校级特征与基于学校的视觉计划成果之间的关联.
- 确定影响视力查失败的因素,眼镜处方和SBVPs内的转诊率.
- 为资源分配策略提供信息,以最大限度地提高SBVP的有效性.
主要方法:
- 410所公立学校的回顾性横截面数据分析.
- 使用了来自Helen Keller International美国视觉计划 (2016-2022) 的数据.
- 采用分数回归模型来分析SBVP结果与学校社会经济/人口统计数据之间的关联 (例如,免费/低价餐饮资格,种族/种族,英语学习者身份).
主要成果:
- 与小学相比,高中观察到视力查失败率和眼镜处方率更高.
- 获得免费和低价餐饮 (FARM) 资格的学生比例增加与更高的查失败率,眼镜处方和转诊率显著相关.
- 符合FARM资格的学生增加10%与查失败率上升2.6%,处方率上升1.8%,推率上升0.86%.
结论:
- 公共学校,特别是那些服务于来自较低社会经济背景的学生的学校,表现出大量的视力护理需求.
- 在改善儿童视力护理的准入方面,SBVP发挥着至关重要的作用.
- 结果表明,根据学校特定需求优化SBVP资源配置,以改善计划的影响.
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