A population-based cross-sectional study of barriers to uptake of eye care services in South India: the Rapid Assessment of Visual Impairment (RAVI) project
Objective To assess the barriers to uptake of eye care services among those with avoidable impairment in the population aged ≥40 years in the South Indian state of Andhra Pradesh. Design Cross-sectional study. Setting Community setting. Participants Of 7800 participants recruited from one urban and...
Gespeichert in:
| Veröffentlicht in: | BMJ open 2014-06, Vol.4 (6), p.e005125-e005125 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e005125 |
|---|---|
| container_issue | 6 |
| container_start_page | e005125 |
| container_title | BMJ open |
| container_volume | 4 |
| creator | Marmamula, Srinivas Khanna, Rohit C Shekhar, Konegari Rao, Gullapalli N |
| description | Objective To assess the barriers to uptake of eye care services among those with avoidable impairment in the population aged ≥40 years in the South Indian state of Andhra Pradesh. Design Cross-sectional study. Setting Community setting. Participants Of 7800 participants recruited from one urban and two rural locations using a two-stage cluster random sampling methodology, 7378 (95%) were examined. Eye examinations were conducted using a rapid assessment protocol. Visual impairment (VI) was defined as presenting visual acuity |
| doi_str_mv | 10.1136/bmjopen-2014-005125 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4067889</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4039110531</sourcerecordid><originalsourceid>FETCH-LOGICAL-b472t-5cf0fd7680ccbf9dcde112f9ad334dd22cdea6004ad7abb8cef736e9c90bfac73</originalsourceid><addsrcrecordid>eNqNUk1v1DAQjRCIVqW_AAlZ4tIeUhwnzgcHpFXFx0qVkAr0ak3sCesliYPHqbT_hR-Ls7tUhRO-2Hp-73nG85LkZcavsiwv37TD1k04poJnRcq5zIR8kpwKXhRpyaV8-uh8kpwTbXlchWykFM-TE1E0opYNP01-rdjkprmHYN2YtkBomPaOKCXUCwY9ozCbHXMda8F7i55YcGyeAvzABcUdMg0eGaG_txqJ2ZF9cXPYsPVoLLxlYYPsFiZr2IoIiQYcw6K8szRH__UwgfV78OJ2dbe-ZJN32_j8i-RZBz3h-XE_S759eP_1-lN68_nj-np1k7ZFJUIqdcc7U5U117rtGqMNZpnoGjB5XhgjRASgjO2DqaBta41dlZfY6Ia3HegqP0veHXynuR3Q6FiJh15N3g7gd8qBVX_fjHajvrt7VfCyqusmGlwcDbz7OSMFNVjS2PcwoptJZTKXpRCCi0h9_Q9162YfvzmyqlqKphZ7w_zA2s_CY_dQTMbVEgB1DIBaAqAOAYiqV4_7eND8GXckXB0IUf1fjr8BlFzAkQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1785298289</pqid></control><display><type>article</type><title>A population-based cross-sectional study of barriers to uptake of eye care services in South India: the Rapid Assessment of Visual Impairment (RAVI) project</title><source>BMJ Open Access Journals</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Marmamula, Srinivas ; Khanna, Rohit C ; Shekhar, Konegari ; Rao, Gullapalli N</creator><creatorcontrib>Marmamula, Srinivas ; Khanna, Rohit C ; Shekhar, Konegari ; Rao, Gullapalli N</creatorcontrib><description>Objective To assess the barriers to uptake of eye care services among those with avoidable impairment in the population aged ≥40 years in the South Indian state of Andhra Pradesh. Design Cross-sectional study. Setting Community setting. Participants Of 7800 participants recruited from one urban and two rural locations using a two-stage cluster random sampling methodology, 7378 (95%) were examined. Eye examinations were conducted using a rapid assessment protocol. Visual impairment (VI) was defined as presenting visual acuity <6/18 in the better eye. For the purpose of this study, VI caused due to cataract or uncorrected refractive error was considered avoidable VI. A validated questionnaire was used to collect information on barriers for uptake of services among those who had avoidable VI. Primary outcome Barriers to uptake of services among those with avoidable VI. Results The prevalence of avoidable VI was 11.8% (95% CI 11.0% to 12.5%; n=868). Among these, 71.1% (n=617) individuals reported ‘person-related’ barriers whereas 28.9% (n=251) individuals reported ‘service-related’ barriers to uptake of services. Among the ‘person-related’ barriers, the leading barrier was ‘lack of perceived need’ (61.1%; n=377) for reasons such as old age, good vision in the other eye. This was followed by ‘no one to accompany’ (20.3%; n=125). Of the 251 individuals who had ‘service-related’ barriers, lack of affordability was the major barrier (76.1%; n=191) followed by lack of accessibility (12.7%; n=32). Over 11% (n=28) of the individuals were advised to wait for cataract surgery. Conclusions Person-related barriers are more common than service-related barriers in Andhra Pradesh. As the barriers trend more towards ‘person-related’ phenomenon such as person's attitude and ‘felt need’ to improve vision, newer and much intensive awareness campaigns are needed to bring about an attitudinal/behavioural change among individuals to improve the uptake of services.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2014-005125</identifier><identifier>PMID: 24928590</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Aged ; Blindness ; Cataracts ; Cross-Sectional Studies ; Data collection ; Eye surgery ; Female ; Health Services - utilization ; Health Services Accessibility - statistics & numerical data ; Humans ; India ; Macular degeneration ; Male ; Middle Aged ; Ophthalmology ; Population ; Program Evaluation ; Rural areas ; Studies ; Surgery ; Surveys and Questionnaires ; Time Factors ; Urban areas ; Vision Disorders - therapy ; Visual impairment</subject><ispartof>BMJ open, 2014-06, Vol.4 (6), p.e005125-e005125</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2014 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-5cf0fd7680ccbf9dcde112f9ad334dd22cdea6004ad7abb8cef736e9c90bfac73</citedby><cites>FETCH-LOGICAL-b472t-5cf0fd7680ccbf9dcde112f9ad334dd22cdea6004ad7abb8cef736e9c90bfac73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmjopen.bmj.com/content/4/6/e005125.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmjopen.bmj.com/content/4/6/e005125.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27528,27529,27903,27904,53769,53771,77347,77378</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24928590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marmamula, Srinivas</creatorcontrib><creatorcontrib>Khanna, Rohit C</creatorcontrib><creatorcontrib>Shekhar, Konegari</creatorcontrib><creatorcontrib>Rao, Gullapalli N</creatorcontrib><title>A population-based cross-sectional study of barriers to uptake of eye care services in South India: the Rapid Assessment of Visual Impairment (RAVI) project</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>Objective To assess the barriers to uptake of eye care services among those with avoidable impairment in the population aged ≥40 years in the South Indian state of Andhra Pradesh. Design Cross-sectional study. Setting Community setting. Participants Of 7800 participants recruited from one urban and two rural locations using a two-stage cluster random sampling methodology, 7378 (95%) were examined. Eye examinations were conducted using a rapid assessment protocol. Visual impairment (VI) was defined as presenting visual acuity <6/18 in the better eye. For the purpose of this study, VI caused due to cataract or uncorrected refractive error was considered avoidable VI. A validated questionnaire was used to collect information on barriers for uptake of services among those who had avoidable VI. Primary outcome Barriers to uptake of services among those with avoidable VI. Results The prevalence of avoidable VI was 11.8% (95% CI 11.0% to 12.5%; n=868). Among these, 71.1% (n=617) individuals reported ‘person-related’ barriers whereas 28.9% (n=251) individuals reported ‘service-related’ barriers to uptake of services. Among the ‘person-related’ barriers, the leading barrier was ‘lack of perceived need’ (61.1%; n=377) for reasons such as old age, good vision in the other eye. This was followed by ‘no one to accompany’ (20.3%; n=125). Of the 251 individuals who had ‘service-related’ barriers, lack of affordability was the major barrier (76.1%; n=191) followed by lack of accessibility (12.7%; n=32). Over 11% (n=28) of the individuals were advised to wait for cataract surgery. Conclusions Person-related barriers are more common than service-related barriers in Andhra Pradesh. As the barriers trend more towards ‘person-related’ phenomenon such as person's attitude and ‘felt need’ to improve vision, newer and much intensive awareness campaigns are needed to bring about an attitudinal/behavioural change among individuals to improve the uptake of services.</description><subject>Adult</subject><subject>Aged</subject><subject>Blindness</subject><subject>Cataracts</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Eye surgery</subject><subject>Female</subject><subject>Health Services - utilization</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>India</subject><subject>Macular degeneration</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Population</subject><subject>Program Evaluation</subject><subject>Rural areas</subject><subject>Studies</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Urban areas</subject><subject>Vision Disorders - therapy</subject><subject>Visual impairment</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNUk1v1DAQjRCIVqW_AAlZ4tIeUhwnzgcHpFXFx0qVkAr0ak3sCesliYPHqbT_hR-Ls7tUhRO-2Hp-73nG85LkZcavsiwv37TD1k04poJnRcq5zIR8kpwKXhRpyaV8-uh8kpwTbXlchWykFM-TE1E0opYNP01-rdjkprmHYN2YtkBomPaOKCXUCwY9ozCbHXMda8F7i55YcGyeAvzABcUdMg0eGaG_txqJ2ZF9cXPYsPVoLLxlYYPsFiZr2IoIiQYcw6K8szRH__UwgfV78OJ2dbe-ZJN32_j8i-RZBz3h-XE_S759eP_1-lN68_nj-np1k7ZFJUIqdcc7U5U117rtGqMNZpnoGjB5XhgjRASgjO2DqaBta41dlZfY6Ia3HegqP0veHXynuR3Q6FiJh15N3g7gd8qBVX_fjHajvrt7VfCyqusmGlwcDbz7OSMFNVjS2PcwoptJZTKXpRCCi0h9_Q9162YfvzmyqlqKphZ7w_zA2s_CY_dQTMbVEgB1DIBaAqAOAYiqV4_7eND8GXckXB0IUf1fjr8BlFzAkQ</recordid><startdate>20140612</startdate><enddate>20140612</enddate><creator>Marmamula, Srinivas</creator><creator>Khanna, Rohit C</creator><creator>Shekhar, Konegari</creator><creator>Rao, Gullapalli N</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140612</creationdate><title>A population-based cross-sectional study of barriers to uptake of eye care services in South India: the Rapid Assessment of Visual Impairment (RAVI) project</title><author>Marmamula, Srinivas ; Khanna, Rohit C ; Shekhar, Konegari ; Rao, Gullapalli N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-5cf0fd7680ccbf9dcde112f9ad334dd22cdea6004ad7abb8cef736e9c90bfac73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blindness</topic><topic>Cataracts</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Eye surgery</topic><topic>Female</topic><topic>Health Services - utilization</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>India</topic><topic>Macular degeneration</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Population</topic><topic>Program Evaluation</topic><topic>Rural areas</topic><topic>Studies</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Urban areas</topic><topic>Vision Disorders - therapy</topic><topic>Visual impairment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marmamula, Srinivas</creatorcontrib><creatorcontrib>Khanna, Rohit C</creatorcontrib><creatorcontrib>Shekhar, Konegari</creatorcontrib><creatorcontrib>Rao, Gullapalli N</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marmamula, Srinivas</au><au>Khanna, Rohit C</au><au>Shekhar, Konegari</au><au>Rao, Gullapalli N</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A population-based cross-sectional study of barriers to uptake of eye care services in South India: the Rapid Assessment of Visual Impairment (RAVI) project</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2014-06-12</date><risdate>2014</risdate><volume>4</volume><issue>6</issue><spage>e005125</spage><epage>e005125</epage><pages>e005125-e005125</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>Objective To assess the barriers to uptake of eye care services among those with avoidable impairment in the population aged ≥40 years in the South Indian state of Andhra Pradesh. Design Cross-sectional study. Setting Community setting. Participants Of 7800 participants recruited from one urban and two rural locations using a two-stage cluster random sampling methodology, 7378 (95%) were examined. Eye examinations were conducted using a rapid assessment protocol. Visual impairment (VI) was defined as presenting visual acuity <6/18 in the better eye. For the purpose of this study, VI caused due to cataract or uncorrected refractive error was considered avoidable VI. A validated questionnaire was used to collect information on barriers for uptake of services among those who had avoidable VI. Primary outcome Barriers to uptake of services among those with avoidable VI. Results The prevalence of avoidable VI was 11.8% (95% CI 11.0% to 12.5%; n=868). Among these, 71.1% (n=617) individuals reported ‘person-related’ barriers whereas 28.9% (n=251) individuals reported ‘service-related’ barriers to uptake of services. Among the ‘person-related’ barriers, the leading barrier was ‘lack of perceived need’ (61.1%; n=377) for reasons such as old age, good vision in the other eye. This was followed by ‘no one to accompany’ (20.3%; n=125). Of the 251 individuals who had ‘service-related’ barriers, lack of affordability was the major barrier (76.1%; n=191) followed by lack of accessibility (12.7%; n=32). Over 11% (n=28) of the individuals were advised to wait for cataract surgery. Conclusions Person-related barriers are more common than service-related barriers in Andhra Pradesh. As the barriers trend more towards ‘person-related’ phenomenon such as person's attitude and ‘felt need’ to improve vision, newer and much intensive awareness campaigns are needed to bring about an attitudinal/behavioural change among individuals to improve the uptake of services.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>24928590</pmid><doi>10.1136/bmjopen-2014-005125</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2044-6055 |
| ispartof | BMJ open, 2014-06, Vol.4 (6), p.e005125-e005125 |
| issn | 2044-6055 2044-6055 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4067889 |
| source | BMJ Open Access Journals; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Adult Aged Blindness Cataracts Cross-Sectional Studies Data collection Eye surgery Female Health Services - utilization Health Services Accessibility - statistics & numerical data Humans India Macular degeneration Male Middle Aged Ophthalmology Population Program Evaluation Rural areas Studies Surgery Surveys and Questionnaires Time Factors Urban areas Vision Disorders - therapy Visual impairment |
| title | A population-based cross-sectional study of barriers to uptake of eye care services in South India: the Rapid Assessment of Visual Impairment (RAVI) project |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T22%3A36%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20population-based%20cross-sectional%20study%20of%20barriers%20to%20uptake%20of%20eye%20care%20services%20in%20South%20India:%20the%20Rapid%20Assessment%20of%20Visual%20Impairment%20(RAVI)%20project&rft.jtitle=BMJ%20open&rft.au=Marmamula,%20Srinivas&rft.date=2014-06-12&rft.volume=4&rft.issue=6&rft.spage=e005125&rft.epage=e005125&rft.pages=e005125-e005125&rft.issn=2044-6055&rft.eissn=2044-6055&rft_id=info:doi/10.1136/bmjopen-2014-005125&rft_dat=%3Cproquest_pubme%3E4039110531%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1785298289&rft_id=info:pmid/24928590&rfr_iscdi=true |