Hyperopia and educational attainment in a primary school cohort

Background: Vision screening addresses the visual impairments that impact on child development. Tests of long-sightedness are not found in most school screening programmes. The evidence linking mild-moderate hyperopia and lack of progress in school is insufficient, although strengthened by recent fi...

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Veröffentlicht in:Archives of disease in childhood 2005-02, Vol.90 (2), p.150-153
Hauptverfasser: Williams, W R, Latif, A H A, Hannington, L, Watkins, D R
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creator Williams, W R
Latif, A H A
Hannington, L
Watkins, D R
description Background: Vision screening addresses the visual impairments that impact on child development. Tests of long-sightedness are not found in most school screening programmes. The evidence linking mild-moderate hyperopia and lack of progress in school is insufficient, although strengthened by recent findings of developmental problems in infants. Aims: To report on the relation between hyperopia and education test results in a cohort of primary school children. Methods: A total of 1298 children, aged 8 years, were screened for hyperopia on the basis of fogging test results. School test results (NFER and SATs) were compared between groups categorised by referral status and refractive error. Results: A total of 166 (12.8%) fogging test failures were referred for ophthalmic assessment. Ophthalmic tests on 105 children provided an accurate diagnosis of vision defects, for reference to their education scores. Fifty per cent of the children examined by optometrists required an intervention (prescription change, glasses prescribed, or referral). Mean (95% CI) NFER scores of children with refractive errors (summed for both eyes) >+3D (98.4, 93.0–103.8, n = 32) or >+1.25D (best eye) (99.3, 93.0–105.6, n = 26) were lower than the respective scores of children with a less positive refractive state (104.8, 100.7–108.9, n = 43) (103.6, 99.7–107.4, n = 49), the non-referred group, and total sample. The SATs results followed a similar trend. A high proportion of the fogging test failures (16%) and confirmed hyperopes (29%) had been referred to an educational psychologist, and the latter group contributed substantially to the poor education scores. Conclusions: The results of this study provide further evidence for a link between hyperopia and impaired literacy standards in children.
doi_str_mv 10.1136/adc.2003.046755
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Tests of long-sightedness are not found in most school screening programmes. The evidence linking mild-moderate hyperopia and lack of progress in school is insufficient, although strengthened by recent findings of developmental problems in infants. Aims: To report on the relation between hyperopia and education test results in a cohort of primary school children. Methods: A total of 1298 children, aged 8 years, were screened for hyperopia on the basis of fogging test results. School test results (NFER and SATs) were compared between groups categorised by referral status and refractive error. Results: A total of 166 (12.8%) fogging test failures were referred for ophthalmic assessment. Ophthalmic tests on 105 children provided an accurate diagnosis of vision defects, for reference to their education scores. Fifty per cent of the children examined by optometrists required an intervention (prescription change, glasses prescribed, or referral). Mean (95% CI) NFER scores of children with refractive errors (summed for both eyes) &gt;+3D (98.4, 93.0–103.8, n = 32) or &gt;+1.25D (best eye) (99.3, 93.0–105.6, n = 26) were lower than the respective scores of children with a less positive refractive state (104.8, 100.7–108.9, n = 43) (103.6, 99.7–107.4, n = 49), the non-referred group, and total sample. The SATs results followed a similar trend. A high proportion of the fogging test failures (16%) and confirmed hyperopes (29%) had been referred to an educational psychologist, and the latter group contributed substantially to the poor education scores. Conclusions: The results of this study provide further evidence for a link between hyperopia and impaired literacy standards in children.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.2003.046755</identifier><identifier>PMID: 15665167</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Academic achievement ; Age ; Analysis of Variance ; Child ; Cohort Studies ; Community child health, public health, and epidemiology ; Community health care ; Complications and side effects ; core subject indicator ; CSI ; CSI, core subject indicator ; Data Analysis ; Education ; Educational Attainment ; Educational Development ; Educational Measurement - methods ; Educational Status ; Elementary school students ; Eye protection ; fogging test ; Health aspects ; Humans ; Hyperopia ; Hyperopia - diagnosis ; Hyperopia - psychology ; Medical screening ; Myopia ; National Foundation for Education Research ; NFER ; NFER, National Foundation for Education Research ; Original ; Preschool education ; primary education ; Psychologists ; RE, refractive error ; Reading ; Reading Tests ; Referral and Consultation ; refractive error ; SAT ; SAT, standardised assessment test ; School nurses ; Screening Tests ; standardised assessment test ; Vision Tests ; Vision Tests - methods ; Vision, Binocular - physiology ; Visual Acuity ; Visual Acuity - physiology</subject><ispartof>Archives of disease in childhood, 2005-02, Vol.90 (2), p.150-153</ispartof><rights>Copyright 2005 Archives of Disease in Childhood</rights><rights>Copyright 2005 Archives of Disease in Childhood2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b598t-9b5342ec817e32eac2649768aafc350f31a01ba16bdb5af3fcd1ae375c61b9ca3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1720267/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1720267/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15665167$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Williams, W R</creatorcontrib><creatorcontrib>Latif, A H A</creatorcontrib><creatorcontrib>Hannington, L</creatorcontrib><creatorcontrib>Watkins, D R</creatorcontrib><title>Hyperopia and educational attainment in a primary school cohort</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><addtitle>Arch Dis Child</addtitle><description>Background: Vision screening addresses the visual impairments that impact on child development. Tests of long-sightedness are not found in most school screening programmes. The evidence linking mild-moderate hyperopia and lack of progress in school is insufficient, although strengthened by recent findings of developmental problems in infants. Aims: To report on the relation between hyperopia and education test results in a cohort of primary school children. Methods: A total of 1298 children, aged 8 years, were screened for hyperopia on the basis of fogging test results. School test results (NFER and SATs) were compared between groups categorised by referral status and refractive error. Results: A total of 166 (12.8%) fogging test failures were referred for ophthalmic assessment. Ophthalmic tests on 105 children provided an accurate diagnosis of vision defects, for reference to their education scores. Fifty per cent of the children examined by optometrists required an intervention (prescription change, glasses prescribed, or referral). Mean (95% CI) NFER scores of children with refractive errors (summed for both eyes) &gt;+3D (98.4, 93.0–103.8, n = 32) or &gt;+1.25D (best eye) (99.3, 93.0–105.6, n = 26) were lower than the respective scores of children with a less positive refractive state (104.8, 100.7–108.9, n = 43) (103.6, 99.7–107.4, n = 49), the non-referred group, and total sample. The SATs results followed a similar trend. A high proportion of the fogging test failures (16%) and confirmed hyperopes (29%) had been referred to an educational psychologist, and the latter group contributed substantially to the poor education scores. Conclusions: The results of this study provide further evidence for a link between hyperopia and impaired literacy standards in children.</description><subject>Academic achievement</subject><subject>Age</subject><subject>Analysis of Variance</subject><subject>Child</subject><subject>Cohort Studies</subject><subject>Community child health, public health, and epidemiology</subject><subject>Community health care</subject><subject>Complications and side effects</subject><subject>core subject indicator</subject><subject>CSI</subject><subject>CSI, core subject indicator</subject><subject>Data Analysis</subject><subject>Education</subject><subject>Educational Attainment</subject><subject>Educational Development</subject><subject>Educational Measurement - methods</subject><subject>Educational Status</subject><subject>Elementary school students</subject><subject>Eye protection</subject><subject>fogging test</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hyperopia</subject><subject>Hyperopia - diagnosis</subject><subject>Hyperopia - psychology</subject><subject>Medical screening</subject><subject>Myopia</subject><subject>National Foundation for Education Research</subject><subject>NFER</subject><subject>NFER, National Foundation for Education Research</subject><subject>Original</subject><subject>Preschool education</subject><subject>primary education</subject><subject>Psychologists</subject><subject>RE, refractive error</subject><subject>Reading</subject><subject>Reading Tests</subject><subject>Referral and Consultation</subject><subject>refractive error</subject><subject>SAT</subject><subject>SAT, standardised assessment test</subject><subject>School nurses</subject><subject>Screening Tests</subject><subject>standardised assessment test</subject><subject>Vision Tests</subject><subject>Vision Tests - methods</subject><subject>Vision, Binocular - physiology</subject><subject>Visual Acuity</subject><subject>Visual Acuity - physiology</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc1v1DAQxS0EotvCmRuKhEQlULb-iB3n0qoKpYtUtRc-JC7WxHF2vSTxYicV_e_xNqsuIIE4zWF-82bmPYReEDwnhIkTqPWcYszmOBM554_QjGRCphRn2WM0w7GTFlLKA3QYwhpjQqVkT9EB4UJwIvIZOlvcbYx3GwsJ9HVi6lHDYF0PbQLDALbvTD8ktk8g2Xjbgb9Lgl451ybarZwfnqEnDbTBPN_VI_Tp_cXHcpFe3Vx-KM-v0ooXckiLirOMGi1Jbhg1oKnIilxIgEYzjhtGAJMKiKjqikPDGl0TMCznWpCq0MCO0OmkuxmrztQ6XuWhVbublAOrfu_0dqWW7laRnGIq8ihwvBPw7vtowqA6G7RpW-iNG4PKRUYzhgsZydf_JKNYzihmEXz1B7h2o4_WBUUklTQrON0uTidqCa1RtteuH8yPQbu2NUujokvljTonjMcJIXDkTyZeexeCN83DkwSrbegqhq62oasp9Djx8ldv9vwu5f0JNsTVD33w3-6f4er6c6muLxfv2FdSqi-RfzPxVbf-j-1v9_DegL_QPwEzhdDL</recordid><startdate>20050201</startdate><enddate>20050201</enddate><creator>Williams, W R</creator><creator>Latif, A H A</creator><creator>Hannington, L</creator><creator>Watkins, D R</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20050201</creationdate><title>Hyperopia and educational attainment in a primary school cohort</title><author>Williams, W R ; 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Tests of long-sightedness are not found in most school screening programmes. The evidence linking mild-moderate hyperopia and lack of progress in school is insufficient, although strengthened by recent findings of developmental problems in infants. Aims: To report on the relation between hyperopia and education test results in a cohort of primary school children. Methods: A total of 1298 children, aged 8 years, were screened for hyperopia on the basis of fogging test results. School test results (NFER and SATs) were compared between groups categorised by referral status and refractive error. Results: A total of 166 (12.8%) fogging test failures were referred for ophthalmic assessment. Ophthalmic tests on 105 children provided an accurate diagnosis of vision defects, for reference to their education scores. Fifty per cent of the children examined by optometrists required an intervention (prescription change, glasses prescribed, or referral). Mean (95% CI) NFER scores of children with refractive errors (summed for both eyes) &gt;+3D (98.4, 93.0–103.8, n = 32) or &gt;+1.25D (best eye) (99.3, 93.0–105.6, n = 26) were lower than the respective scores of children with a less positive refractive state (104.8, 100.7–108.9, n = 43) (103.6, 99.7–107.4, n = 49), the non-referred group, and total sample. The SATs results followed a similar trend. A high proportion of the fogging test failures (16%) and confirmed hyperopes (29%) had been referred to an educational psychologist, and the latter group contributed substantially to the poor education scores. Conclusions: The results of this study provide further evidence for a link between hyperopia and impaired literacy standards in children.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>15665167</pmid><doi>10.1136/adc.2003.046755</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Academic achievement
Age
Analysis of Variance
Child
Cohort Studies
Community child health, public health, and epidemiology
Community health care
Complications and side effects
core subject indicator
CSI
CSI, core subject indicator
Data Analysis
Education
Educational Attainment
Educational Development
Educational Measurement - methods
Educational Status
Elementary school students
Eye protection
fogging test
Health aspects
Humans
Hyperopia
Hyperopia - diagnosis
Hyperopia - psychology
Medical screening
Myopia
National Foundation for Education Research
NFER
NFER, National Foundation for Education Research
Original
Preschool education
primary education
Psychologists
RE, refractive error
Reading
Reading Tests
Referral and Consultation
refractive error
SAT
SAT, standardised assessment test
School nurses
Screening Tests
standardised assessment test
Vision Tests
Vision Tests - methods
Vision, Binocular - physiology
Visual Acuity
Visual Acuity - physiology
title Hyperopia and educational attainment in a primary school cohort
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