Prevalence and factors associated with childhood visual impairment in Ethiopia

Abstract

Background

Visual impairment is a significant loss of vision. It has an impact on the prosperity of different countries. It has been difficult to plan preventive measures against visual impairment due to the scarcity of data about the extent of the problem.

Objectives

The study was aimed at assessing the prevalence and identifying factors associated with visual impairment among school-age children in Ethiopia.

Materials and methods

A cross-sectional study design was used in four randomly selected schools found in Addis Ababa from May 15 to June 14, 2016. A total of 804 school-age students were selected using the simple random sampling method. Bivariable logistic regression and multivariable logistic regression were conducted. A p-value <0.05 was taken as a significant association.

Results

A total of 718 students participated in the study, obtaining a response rate of 89.3%. In all, 7.24% of school-age children were visually impaired, of whom 3.9% had low vision and 3.34% had severe visual impairment. Factors associated with visual impairment were being female (adjusted odds ratio [AOR], 2.28; 95% confidence interval [CI], 1.06–3.50), being in the age group of 10–13 years (AOR, 2.94; 95% CI, 1.36–6.22), being in the age group of 14–18 years (AOR, 4.06; 95% CI, 2.17–11.95), being a private school student (AOR, 2.61; 95% CI, 1.81–4.41), watching television for 2–4 hours/day (AOR, 3.56; 95% CI, 1.37–7.34), watching television at <1 m (AOR, 7.65; 95% CI, 2.59–34.61), watching television at 1–2 m (AOR, 6.89; 95% CI, 1.74–25.27), mobile exposure for 2–4 hours/day (AOR, 2.61; 95% CI, 1.35–4.58), mobile exposure for >4 hours/day (AOR, 3.05; 95% CI, 1.41–9.18), medical visit while experiencing symptoms (AOR, 11.32; 95% CI, 1.80–82.25) and no medical visit experience (AOR, 3.84; 95% CI, 0.46–31.76).

Conclusion

The majority of the visually impaired school-age children had low vision. Sex, age, school type, television exposure duration, the distance of television exposure, mobile exposure and medical visit were factors associated with visual impairment. Increasing community awareness about early detection of visual impairment and providing affordable eye health service may decrease the prevalence of visual impairment.

Keywords:

• Adama
• visual impairment
• children
• amblyopia

Acknowledgments

The authors express our deepest gratitude to Adama General Hospital and Medical College for sponsoring this thesis project. We also thank the schools administrators for their collaboration, while conducting this study. We deeply appreciate Mr Berhane Abrha for his valuable support during the research project. Sun Optical Technologies’ management staff, especially Marketing Department, deserve our heartfelt appreciation for their kindness and unlimited support in regard to providing us with access for the required data. Last but not the least, our appreciation also goes to the data collectors, supervisors, nurses and students.

Disclosure

The authors report no conflicts of interest in this work.