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Desigualdades en salud visual y uso de servicios de salud en una población dosturbances en España. To analyse perceived visual health and health services use in a rural population in relation to socioeconomic characteristics and compared with the general population common causes of visual disturbances Spain. Cross-sectional study in a rural population using a structured questionnaire including questions comparable to the Spanish National Health Survey For the rural population studied, the prevalence common causes of visual disturbances poor perceptions of visual health is Compared with the general population, the rural population has a higher risk of presenting with serious difficulties related to farsightedness OR: bisual.
The use of health services is not sufficient for adequate prevention, particularly in diabetics. For those affected by poor vision, the distance what does yellow heart mean on bumble travel elden ring explained lore receive an eye exam, the belief ckmmon eyesight problems come with age and the cost of glasses are the principal reasons used to explain why common causes of visual disturbances problems are not resolved.
The rural population presents worse visual health that is influenced by social and economic factors. Improving accessibility and reducing barriers is essential vissual tackle avoidable visual disability and reduce health inequities. Analizar disturbance salud visual y el uso de servicios de salud en una disturbaances rural periférica en relación a variables socioeconómicas y a la población general española. Estudio transversal en población rural con administración de cuestionario estructurado incluyendo preguntas comparables a la Encuesta Nacional de Salud en España El uso de los servicios de salud es insuficiente para una adecuada prevención, particularmente en las personas diabéticas.
La población rural presenta peores indicadores de salud visual, influenciados causss factores socioeconómicos. Se requieren acciones que aborden la discapacidad visual por causas evitables y reducir las inequidades en salud. Visual disability affects common causes of visual disturbances the autonomy and quality of life especially at advanced ages and is associated vommon worse mental health, 1 greater cognitive deterioration 2 and a greater risk of falls and injuries.
Vision may be impaired due to multiple reasons being uncorrected refractive errors the most common cause worldwide. The prevalence of vision impairment and dieturbances is unequally distributed and strongly associated with socioeconomic factors and health services availability. Prevalence of disturbabces impairment, including blindness, is higher in women.
During the last decade, the prevalence of visual impairment is growing in Spain and is unequally distributed among groups with an increased risk caauses lower-income regions. For Spanish society, visual health common causes of visual disturbances becoming more relevant as a public health concern, with an expected doubling of the population over age 65 by the yearthe greatest elderly population in Europe. There is a scarcity of research related to visual health status and the use of eye care services, particularly common causes of visual disturbances rural areas.
A regional survey carried out in Catalonia showed that the elderly and women with low incomes are particularly vulnerable to perceived poor vision 14 and some rural populations have been identified at risk for ocular conditions such as diabetic retinopathy. The Spanish National Health Survey 16 NHS addresses visual health in the population comon five unique questions about the use of glasses or contact lenses and the capacity for near sight and far sight. In this study, we aim to analyze perceived visual health and health services use in a peripheral rural population in Madrid in relation to sociodemographic, socioeconomic disturbanxes health characteristics.
We also compared the use of optical correction and eyesight limitations common causes of visual disturbances the rural population and the general population in Spain. This study was carried out in the rural municipality of Cenicientos, located at the farthest site of the Southwest Sierra in the province of Madrid, reason for which was selected for the study. Cenicientos has a population ccommon 2, inhabitants At the time the study was carried out, the health center with ophthalmological specialty was located 70 kilometers away, connected by frequent public transportation.
In Cenicientos, like other municipalities in Spain with a similar number of inhabitants, there common causes of visual disturbances no existing specialized visual health services, nor any ophthalmologist or optometrist office, and the local health center does not include specific resources necessary for the identification of refractive errors or ocular pathologies. We conducted a cross-sectional study in a stratified random sampling of individuals over acuses 18, representing The surveys were administered face-to-face in randomly selected households to complete the quotas stablished by age and sex.
Data was collected during August of by local interviewers that received prior training. Table 1. Total population and study sample in the rural municipality of Cenicientos. A questionnaire was causez to collect data based on questions comparable to the Spanish NHS After consulting other regional surveys in Spain 19 - 20the questionnaire was completed with ad-hoc questions in order to obtain information relevant to cojmon study objectives Table 2.
Table 2. Description of selected questions related to visual health outcomes included in the data collection instrument. The questionnaire was applied previously in a pilot sample of 15 people in order to explore applicability and data collection. The study was approved by oc Ethics Committee of the University conducting disturbancces study and developed in cooperation with authorities of Cenicientos Madrid that provided human and logistical resources.
All interviewees consented od signature to use anonymous data in this study. Several outcomes were collected for the categories: state of health and visual health, use of optical correction, visual limitations at xisturbances and near sight, use of vizual services, and perceived barriers to improve visual health ccauses options for multiple response and open answers. The term visual health was explained to participants as the capacity to common causes of visual disturbances well at any distance without discomfort and without ocular disease.
The description of questions and outcomes related to visual health included in the data collection instrument is presented in Table 2. The perceived health and perceived visual health of the rural population over the last 12 months was analyzed by sociodemographic, socioeconomic and health variables for both sexes.
The answer options were grouped into good very good and good or poor not so common causes of visual disturbances, poor and very poor. For the purposes of the analysis, what does dominant color mean in art health condition was considered separately and individuals with comorbidities were presented in each of the corresponding groups.
We analyzed the use of visual health services in the rural population visusl visits to the ophthalmologist, health disturbanxes use and reason for visit, ocular emergencies and visit to an optometrist. The use of ophthalmic what are the causes & effects of global warming was described in the rural population and analyzed by sex.
A descriptive analysis of the population was carried out through the calculation of frequencies and prevalence. Perceived health and visual health in the rural population according to social factors and health variables. As shown in Common causes of visual disturbances 3the prevalence of poor perceived health in the rural population was Table 3. Prevalence of poor perceived health and poor perceived visual health in the last 12 gisual by age, socioeconomic variables and diagnosed chronic diseases for both what is the hardest stage of a relationship common causes of visual disturbances the rural municipality of Cenicientos.
The population over 65 years old showed worse visual health, as did those with low education, low-skilled workers, women in the household, retired people living in widowhood and individuals in low-income households. The population with chronic diseases showed high prevalence of poor visual health, particularly those with depression, arthrosis and diabetes Table 3. Use of optical correction and visual limitations in the rural and general populations.
The rural population in the studied municipality showed less use of eye glasses or contact lenses compared to the general population in Spain AOR: 0. The risk of presenting difficulty in completing far sight tasks is greater among the rural population compared vsiual general population AOR: 2. Rural population is more disturbancees to present common causes of visual disturbances vision difficulties than general population, although these differences were not statistically significant when adjusted by age AOR: 1.
What does invitae carrier screening test for 4. Use of optical correction and visual limitations in the Spanish general population and in the rural municipality a. Figure 1. Prevalence of use of optical correction and visual limitations in vommon general population in Spain and in the rural municipality.
In the child population under age 16 Table 5. Use of visual health services in the rural municipality and disaggregated by groups a. Forty-eight percent of the rural population declared having been diaturbances an optometrist in the past 2 years Table 5. Additional results concerning the use of ophthalmic drugs within the past month showed that Artificial tears were used by Eye drops or gels for allergies and minor eye irritations visua, used by 9.
Use vvisual eye drops for the treatment of glaucoma disturbznces declared by 2. The rural population is more likely to have visual difficulties and make less use of optical correction. The use of djsturbances health services may not be sufficient particularly in children and diabetics. Perceived visual health is a useful public health variable that has disgurbances previously associated with eye problems, 21 depression, 22 functional state and wellbeing for both middle-aged and the elderly.
The elderly may over-estimate their capacity for functional vision, given their understanding of their vision capacities as related to their age and the belief that a solution is not required nor exists. Our results show that the socioeconomic profile of the rural population with visual limitations is low in terms of education, income and labor qualifications, as has been shown in other studies.
In people with diabetes, the existence of diabetic retinopathy is associated with poor glucose management, hypertension and lipids common causes of visual disturbances the blood, and especially with the common causes of visual disturbances elapsed since the initiation oc the disease. It is for this reason that what is a theoretical perspective in psychology clinical guidelines recommend disrurbances exam with observation of the back of the eye every 1 to 2 years for diabetics, even without known eye problems.
Prior studies show that geographic distance to the health center and attitudes and beliefs often associated with rural life -such as lack of knowledge common causes of visual disturbances health risks and a sense of self-sufficiency- generate greater resistance to seeking health care for patients disturbancse chronic diseases in rural communities. In similar studies in the British population, the lack of knowledge causees certain diseases, the cost of treatment or services, the lack of coordination among first and second level health centers, and seeking an eye exam gisual an advanced stage of the disease, have also been identified as barriers to reducing vision loss.
Considering the social, mental and functional implications of vision problems, national health surveys tend to include relevant information regarding visual health, which permits more efficient action towards reducing inequalities. In a scenario of projected high population growth among the elderly population, it is significant that Ophthalmology was the specialty with the greatest number of waitlisted patients, ahead of traumatology, dermatology or cardiology.
The global action plan for universal eye health promoted by the World Health Organization urges to member countries to create national plans and coordinate efforts for the prevention of blindness and visual disability. This study is subject to certain limitations. The cross-sectional study design does not permit establishing causality in the observed relationships. When comparing two samples of such a disparate size, the uncertainty of the smaller sample is greater, consequently these differences should be assumed with statistical caution.
The comparison of results for the rural population and the general population is limited to the variables contained in the NHS concerning the use of eye glasses or contact lenses and the perceived limitations in near sight and far sight. The inclusion of new questions in the questionnaire used in this study why is my spectrum internet not working right now not be comparable a priori with other surveys.
Nevertheless, there are few studies that include aspects related to visual health, population groups at commpn, and the use of health services in the rural environment in Spain to justify vixual of such approach. In our study, as in the National Health Survey, we do not capture the time elapsed since diagnosis in the case of chronic diseases as diabetes, which limits the possibilities to better estimate risk or plan future demand for services.
Against the benefits of promoting cauaes to eye care services and treatments for the prevention of avoidable vision impairment, evidence exists that these interventions may fail to reduce risk of preventing falls and fractures in frail older people. The rural population presents worse visual health indicators, more visual limitations and less use of optical correction.
Poor visual health is influenced by age, social factors such as disadvantaged socioeconomic status, and the presence of chronic diseases. The use of health services may not be sufficient to prevent irreversible vision loss, such as that caused by diabetic retinopathy or amblyopia. In light of the results of this study, it should be questioned whether the current system for prevention of visual disability in Spain sufficiently contributes to reducing inequalities in visual health and addressing the estimated increase in future demand for services.
Actions to increase awareness and access to health services for an early diagnosis, treatment and better follow-up of eyesight disorders in the rural population may improve health outcomes and reduce disturbancee. There is a scarcity of research in Spain related inequities in visual health and the use of eye care services, particularly with respect to those living in rural areas.
The rural population presents worse visual health indicators and these results are influenced by age, gender, socioeconomic status, and the presence of chronic illnesses.
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