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Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India

PURPOSE: Reliable data on the barriers to the uptake of cataract surgical services in the Northeast Indian states are scanty. The purpose of this study was to assess the barriers to uptake of cataract surgical services among elderly patients and suggest appropriate strategies to reduce these. METHOD...

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Autores principales: Kumar, S G Prem, Mondal, Amit, Vishwakarma, Pankaj, Kundu, Sabitra, Lalrindiki, Ralte, Kurian, Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6032733/
https://www.ncbi.nlm.nih.gov/pubmed/29941741
http://dx.doi.org/10.4103/ijo.IJO_1184_17
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author Kumar, S G Prem
Mondal, Amit
Vishwakarma, Pankaj
Kundu, Sabitra
Lalrindiki, Ralte
Kurian, Elizabeth
author_facet Kumar, S G Prem
Mondal, Amit
Vishwakarma, Pankaj
Kundu, Sabitra
Lalrindiki, Ralte
Kurian, Elizabeth
author_sort Kumar, S G Prem
collection PubMed
description PURPOSE: Reliable data on the barriers to the uptake of cataract surgical services in the Northeast Indian states are scanty. The purpose of this study was to assess the barriers to uptake of cataract surgical services among elderly patients and suggest appropriate strategies to reduce these. METHODS: A cross-sectional study was conducted among patients who failed to avail cataract surgical services, 6–12 months’ postinitial diagnosis at a community eye health camp. Validated questionnaire was used to collect information through face-to-face interviews at the residence of the participants. Descriptive statistics and Chi-square tests were conducted to assess the association between the barriers quoted and sociodemographic variables. RESULTS: A total of 140 (89.2%) individuals participated in the study, of whom 56 (40%) were aged between 71 and 80 years. The median age for men and women was 73.5 and 72.5 years, respectively. About 57% of participants were female patients. A total of 66 (47.1%) participants had borderline visual acuity followed by those with poor vision (41.4%, n = 58). “Bad roads/difficult terrain” (P = 0.009), “witnessed bad surgical outcomes in others” and “did not feel important” (P < 0.024), “poor overall health status” (P < 0.001), “lack of information” (P = 0.025) and “no escort” (P = 0.025) were significant barriers reported by this population. CONCLUSION: Most of the barriers reported in this study seem to be endogenous in nature and appear to be within the purview of the local eye care service provider to remedy. Counseling and targeted awareness and information, education, and communication strategies could nullify many of the barriers reported in this study.
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spelling pubmed-60327332018-07-20 Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India Kumar, S G Prem Mondal, Amit Vishwakarma, Pankaj Kundu, Sabitra Lalrindiki, Ralte Kurian, Elizabeth Indian J Ophthalmol Original Article PURPOSE: Reliable data on the barriers to the uptake of cataract surgical services in the Northeast Indian states are scanty. The purpose of this study was to assess the barriers to uptake of cataract surgical services among elderly patients and suggest appropriate strategies to reduce these. METHODS: A cross-sectional study was conducted among patients who failed to avail cataract surgical services, 6–12 months’ postinitial diagnosis at a community eye health camp. Validated questionnaire was used to collect information through face-to-face interviews at the residence of the participants. Descriptive statistics and Chi-square tests were conducted to assess the association between the barriers quoted and sociodemographic variables. RESULTS: A total of 140 (89.2%) individuals participated in the study, of whom 56 (40%) were aged between 71 and 80 years. The median age for men and women was 73.5 and 72.5 years, respectively. About 57% of participants were female patients. A total of 66 (47.1%) participants had borderline visual acuity followed by those with poor vision (41.4%, n = 58). “Bad roads/difficult terrain” (P = 0.009), “witnessed bad surgical outcomes in others” and “did not feel important” (P < 0.024), “poor overall health status” (P < 0.001), “lack of information” (P = 0.025) and “no escort” (P = 0.025) were significant barriers reported by this population. CONCLUSION: Most of the barriers reported in this study seem to be endogenous in nature and appear to be within the purview of the local eye care service provider to remedy. Counseling and targeted awareness and information, education, and communication strategies could nullify many of the barriers reported in this study. Medknow Publications & Media Pvt Ltd 2018-07 /pmc/articles/PMC6032733/ /pubmed/29941741 http://dx.doi.org/10.4103/ijo.IJO_1184_17 Text en Copyright: © 2018 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Kumar, S G Prem
Mondal, Amit
Vishwakarma, Pankaj
Kundu, Sabitra
Lalrindiki, Ralte
Kurian, Elizabeth
Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India
title Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India
title_full Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India
title_fullStr Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India
title_full_unstemmed Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India
title_short Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India
title_sort factors limiting the northeast indian elderly population from seeking cataract surgical treatment: evidence from kolasib district, mizoram, india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6032733/
https://www.ncbi.nlm.nih.gov/pubmed/29941741
http://dx.doi.org/10.4103/ijo.IJO_1184_17
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