成年人的有效折射误差覆盖率:对76个国家的基于人口的调查的最新估计进行了系统审查和元分析,以建模实现2030年全球目标的道路
Rupert Richard Alexander Bourne1, Maria Vittoria Cicinelli2, David A Selby3
1Vision & Eye Research Institute, Anglia Ruskin University, Cambridge, UK.
The Lancet. Global health
|May 25, 2025
概括
全球有效折射误差覆盖率 (eREC) 在2023年达到65.8%,但进展不足以实现2030年世卫组织的目标. 地区,年龄和性别差异仍然很大,需要加快努力,以公平地覆盖眼镜.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 全球卫生平等全球卫生平等
背景情况:
- 世界卫生组织 (WHO) 将有效的折射误差覆盖 (eREC) 纳入其2025-2028年第14个总工作计划.
- eREC量化了人群中折射校正的可用性和质量.
- 这项研究评估了2023年全球eREC与世卫组织到2030年增长40个百分点的目标相比.
研究的目的:
- 从2023年开始,模拟全球和区域的eREC估计.
- 评估朝着世界卫生组织2030年eREC目标的进展.
- 分析不同地区的折射校正质量差距.
主要方法:
- 自2000年以来,对来自76个国家的237个基于人口的眼科调查进行了系统审查和元分析 (815,273名参与者).
- 使用已确定的公式计算eREC和相对质量差距.
- 贝叶斯逻辑回归建模与专家诱导用于共变量选择,估计50岁以上成年人按国家年龄性别的eREC.
主要成果:
- 全球eREC在2023年为65.8%,比2010年增加了6个百分点.
- 存在显著的区域差异:高收入国家为84.0%,撒哈拉以南非洲为28.3%.
- 妇女的eREC比男性低,并且随着年龄的增长而下降;全球未满足需求从10.0%降至5.3%.
结论:
- 目前在eREC和减少质量差距方面的进展不足以实现2030年世卫组织的目标.
- 加快全球努力至关重要,以公平地增加观看覆盖率,解决地理,年龄和性别的差异.
- 目前,没有一个地区接近实现普遍的折射校正覆盖.
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