Knowledge, Attitudes and Practices (KAP) about Refractive Error among Students Attending Faculty of Health Sciences at Lúrio University in Mozambique, 2020
Introduction: Refractive error is recognized as one of the most important causes of correctable visual impairment and affects people of all ages, socioeconomic levels, and ethnic groups. The World Health Organization (WHO) estimated 285 million people globally were visually impaired, with 39 million blinds. The aim of this study is to access the knowledge, attitudes, and practices of health sciences students about the refractive error in Nampula, Mozambique. Material and Methods: Descriptive cross-sectional study including health sciences students of Lúrio University in Nampula, applying a questionnaire to access their knowledge, attitudes, and practices concerning the refractive error. The collected data were entered into SPSS version 22.0 for analysis. Frequency distribution and central tendency measures (mean, median) were used to summarize the descriptive part of the study. Results were described using tables and running text. Sample students were included after obtaining informed consent. Results: A total of 298 students participated in the study, 50.3% female, with average age of 24 ± 5.4 years. 69.8% had an eye exam and 54.7% believe they have good vision, 58.1% say that wearing glasses is the main method of correcting refractive errors. 92.3% refer to the Central Hospital as the best place to provide eye health services. The main reason for not purchasing the glasses was their cost (47.3%) and the alternative method for spectacle users was contact lenses (81.0%). The students’ attitudes were positive towards the use of glasses. Conclusion: Visual health education about the knowledge, attitudes and practices regarding refractive errors among students must be intensified to ensure good dissemination of information in the surrounding communities enrolled in the health promotion program “One Student, One Family” implemented by Lúrio University in Nampula.
References
[1]
Irving, E.L., Machan, C.M., Lam, S., Hrynchak, P.K. and Lillakas, L. (2019) Refractive Error Magnitude and Variability: Relation to Age. Journal of Optometry, 12, 55-63. https://doi.org/10.1016/j.optom.2018.02.002
[2]
Desalegn, A., Tsegaw, A., Shiferaw, D. and Woretaw, H. (2016) Knowledge, Attitude, Practice and Associated Factors towards Spectacles Use among Adults in Gondar Town, Northwest Ethiopia. BMC Ophthalmology, 16, Article No. 184. https://doi.org/10.1186/s12886-016-0357-3
[3]
Nyamai, L.A., Kanyata, D., Njambi, L. and Njuguna, M. (2016) Knowledge, Attitude and Practice on Refractive Error among Students Attending Public High Schools in Nairobi County. Journal of Ophthalmology of Eastern Central and Southern Africa, 20, 33-39.
[4]
Chawla, K. and Rovers, J. (2009) Survey of Patient Opinions on Eyeglasses and Eye Care in Rural and Slum Populations in Chennai. The Internet Journal of Epidemiology, 8, 1-7.
[5]
Carvalho, A.S.B. (2013) Prevalência dos Erros Refrativos em Portugal Usando Informação Proveniente da Venda de Receituário, Dissertação de Mestrado Mestrado em Optometria Avançada, Abril 2013.
[6]
Carvalho, G.F., et al. (2015) A importancia do teste de acuidade visual na idade escolar. Revista Investigação, 14, 56-72.
[7]
Oliveira, R.S., Parizotto, A.V., Caleffi, M.F., Beal, C., Yeh, W.S.S. and Vicensi, M.C. (2013) Avaliação da acuidade visual em escolares no município de Herval d’Oeste, Santa Catarina, Brasil. Revista Brasileira de Medicina de Família e Comunidade, 8, 180-186.
[8]
Sheeladevi, S., Seelam, B., Nukella, P.B., Borah, R.R., Ali, R. and Keay, L. (2019) Prevalence of Refractive Errors, Uncorrected Refractive Error, and Presbyopia in Adults in India: A Systematic Review. Indian Journal of Ophthalmology, 67, 583-592. https://doi.org/10.4103/ijo.IJO_1235_18
[9]
Kahloun, R., Khairallah, M., Resnikoff, S., Cicinelli, M.V., Flaxman, S.R., Das, A., et al. (2019) Vision Loss Expert Group of the Global Burden of Disease Study. Prevalence and Causes of Vision Loss in North Africa and Middle East in 2015: Magnitude, Temporal Trends and Projections. British Journal of Ophthalmology, 103, 863-870. https://doi.org/10.1136/bjophthalmol-2018-312068
[10]
Gupta, P., Majithia, S., Fenwick, E.K., Gan, A.T.L., Tham, Y.-C., Poh, S., Thakur, S., Sabanayagam, C., Wong, T.Y., Cheng, C.-Y. and Lamoureux, E.L. (2020) Rates and Determinants of Eyecare Utilization and Eyeglass Affordability among Individuals with Visual Impairment in a Multi-Ethnic Population-Based Study in Singapore. Translational Vision Science & Technology, 9, Article No. 11. https://doi.org/10.1167/tvst.9.5.11
[11]
Ntsoane, M.D. and Oduntan, O.A. (2010) A Review of Factors Influencing the Utilization of Eye Care Services. South African Optometrist, 69, Article No. a43. https://doi.org/10.4102/aveh.v69i4.143
[12]
Ebeigbe, J.A., Kio, F. and Okafor, L.I. (2013) Attitude and Beliefs of Nigerian Undergraduates to Spectacle Wear. Ghana Medical Journal, 47, 70-73.
[13]
Omolase, C.O. and Mahmoud, A.O. (2009) Factors Associated with Non-Compliance with Spectacle Wear in an Adult Nigerian Population. African Journal of Biomedical Research, 12, 43-46.
[14]
Holden, B.A., Sulaiman, S. and Knox, K. (2000) The Challenge of Providing Spectacles in the Developing World. Community Eye Health, 13, 9-10.
[15]
Keeffe, J.E., Weih, L.M., McCarty, C.A. and Taylor, H.R. (2002) Utilisation of Eye care Services by Urban and Rural Australians. British Journal of Ophthalmology, 86, 24-27. https://doi.org/10.1136/bjo.86.1.24
[16]
Dandona, R., Dandona, L., Naduvilath, T.J., McCarty, C.A. and Rao, G.N. (2000) Utilisation of Eyecare Services in an Urban Population in Southern India: The Andhra Pradesh Eye Disease Study. British Journal of Ophthalmology, 84, 22-27. https://doi.org/10.1136/bjo.84.1.22
[17]
Thompson, S., Naidoo, K., Gonzalez-Alvarez, C., Harris, G., Chinanayi, F. and Loughman, J. (2015) Barriers to Use of Refractive Services in Mozambique. Optometry and Vision Science, 92, 59-69. https://doi.org/10.1097/OPX.0000000000000431
[18]
Crews, J.E., Chou, C.F., Zack, M.M., Zhang, X., Bullard, K.M., Morse, A.R. and Saaddine, J.B. (2016) The Association of Health-Related Quality of Life with Severity of Visual Impairment among People Aged 40-64 Years: Findings from the 2006-2010 Behavioral Risk Factor Surveillance System. Ophthalmic Epidemiology, 23, 145-153. https://doi.org/10.3109/09286586.2016.1168851
[19]
Crews, J.E., Chou, C.F., Zhang, X., Zack, M.M. and Saaddine, J.B. (2014) Health-Related Quality of Life among People Aged ≥ 65 Years with Self-Reported Visual Impairment: Findings from the 2006-2010 Behavioral Risk Factor Surveillance System. Ophthalmic Epidemiology, 21, 287-296. https://doi.org/10.3109/09286586.2014.926556
[20]
Pang, Y., Ren, Z. and Wang, J. (2020) Impact of the Affordable Care Act on Utilization of Benefits of Eye Care and Primary Care Examinations. PLoS ONE, 15, Article ID: e0241475. https://doi.org/10.1371/journal.pone.0241475
[21]
World Health Organization (2019) World Report on Vision. World Health Organization, Geneva.
[22]
Misra, V., Vashist, P., Malhotra, S. and Gupta, S.K. (2015) Models for Primary Eye Care Services in India. Indian Journal of Community Medicine, 40, 79-84. https://doi.org/10.4103/0970-0218.153868
[23]
Rono, H., Bastawrous, A., Macleod, D., Mamboleo, R., Bunywera, C., Wanjala, E., et al. (2021) Effectiveness of an mHealth System on Access to Eye Health Services in Kenya: A Cluster-Randomised Controlled Trial. Lancet Digital Health, 3, e414-e424. https://doi.org/10.1016/S2589-7500(21)00083-2
[24]
Assefa, N.L., Tegegn, M.T. and Wolde, S.Y. (2021) Knowledge and Attitude of Refractive Error among Public High School Students in Gondar City. Clinical Optometry, 13, 201-208. https://doi.org/10.2147/OPTO.S322438
[25]
Alswailmi, F., Mohamed, A., Gomma, S., Khalafallah, H. and Mohamed, H. (2018) Attitude of Female Undergraduates towards Spectacle Correction of Refractive Errors. COJ Nursing & Healthcare, 4, 422-426.
[26]
Dhoble, P., Agarwal, R., Patel, C., Anand, G., Sharma, J. and Sabde, Y. (2013) Study to Assess the Psychosocial Aspects of Refractive Errors and Effectiveness of Health Education in Correcting Stigmas Related to Spectacle Use in High-School Students of Rural India. International Journal of Medical Science and Public Health, 2, 716-719. https://doi.org/10.5455/ijmsph.2013.060520131