J Korean Ophthalmol Soc.  2015 Jun;56(6):944-949. 10.3341/jkos.2015.56.6.944.

Factors Associated with Vision Screening in Children: The Korea National Health and Nutrition Examination Survey

Affiliations
  • 1The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. SEMEKIM@yuhs.ac

Abstract

PURPOSE
To identify the factors associated with vision screening in children.
METHODS
This study included 4,827 young children 3-11 years of age who answered the question "Has [name] ever had an eye examination (vision screening) in the past year?" from The Korea National Health and Nutrition Examination Survey 2008-2012 (KNHANES). The trained interviewer asked the questions to a member of the household familiar with the study participant. The factors related to vision screening were analyzed using multivariate logistic regression.
RESULTS
The rate of vision screening gradually increased with age in young children between 3 (25.8%) and 11 years of age (72.5%). Regarding the rate by region, Busan had the highest rate (63.5%), followed by Daegu (62.2%) and Seoul (59.9%). Chungnam had the lowest rate (43.2%), followed by Chonbuk (44.6%) and Chonnam (44.9%). Higher income was associated with increased screening rate with marginal statistical significance (adjusted odds ratio [aOR]=1.5 for 3rd quartile, 95% confidential interval [CI], 1.0-2.4 versus 1st quartile as a reference group). Households with 5 or more members were less likely to receive vision screening compared to households with 1 child (aOR=0.6, 95% CI, 0.4-0.8).
CONCLUSIONS
The rate of vision screening differed according to age group (25.8-72.5%) and region (43.2-63.5%). Regional disparity, low household income and large number of household members were barriers for vision screening in Korean children.

Keyword

KNHANES; Sociodemographic factors; Vision screening in children

MeSH Terms

Busan
Child*
Chungcheongnam-do
Daegu
Family Characteristics
Humans
Jeollabuk-do
Jeollanam-do
Korea
Logistic Models
Mass Screening
Nutrition Surveys*
Odds Ratio
Seoul
Vision Screening*

Cited by  2 articles

Prevalence and Risk Factors for Undercorrected Refractive Errors among South Korean: KNHANES 2008-2012
Min Jae Kang, Tyler Hyungtaek Rim, Sung Soo Kim,
J Korean Ophthalmol Soc. 2016;57(8):1287-1293.    doi: 10.3341/jkos.2016.57.8.1287.

Development and Effects of Social Learning Theory Based Eye-Health Program for Preschoolers
Sunghwa Lee, Haejung Lee, Hyungsik Seo, Jaeho Jung
J Korean Acad Nurs. 2018;48(4):407-418.    doi: 10.4040/jkan.2018.48.4.407.


Reference

References

1. Choi KW, Koo BS, Lee HY. Preschool vision screening in Korea: results in 2003. J Korean Ophthalmol Soc. 2006; 47:112–20.
2. Kim MS, Koo BS. Preschool vision screening for 3 to 6-year old children in Korea. J Korean Ophthalmol Soc. 2003; 44:971–81.
3. Hillis A, Flynn JT, Hawkins BS. The evolving concept of amblyopia: a challenge to epidemiologists. Am J Epidemiol. 1983; 118:192–205.
Article
4. Williams C, Northstone K, Harrad RA, et al. Amblyopia treatment outcomes after preschool screening v school entry screening: observational data from a prospective cohort study. Br J Ophthalmol. 2003; 87:988–93.
Article
5. Schmucker C, Grosselfinger R, Riemsma R, et al. Effectiveness of screening preschool children for amblyopia: a systematic review. BMC Ophthalmol. 2009; 9:3.
Article
6. Kvarnström G, Jakobsson P, Lennerstrand G. Screening for visual and ocular disorders in children, evaluation of the system in Sweden. Acta Paediatr. 1998; 87:1173–9.
7. Mathers M, Keyes M, Wright M. A review of the evidence on the effectiveness of children's vision screening. Child Care Health Dev. 2010; 36:756–80.
Article
8. Mema SC, McIntyre L, Musto R. Childhood vision screening in Canada: public health evidence and practice. Can J Public Health. 2012; 103:40–5.
Article
9. Williams C, Northstone K, Harrad RA, et al. Amblyopia treatment outcomes after screening before or at age 3 years: follow up from randomised trial. BMJ. 2002; 324:1549.
Article
10. Jewell G, Reeves B, Saffin K, Crofts B. The effectiveness of vision screening by school nurses in secondary school. Arch Dis Child. 1994; 70:14–8.
Article
11. Lennerstrand G, Jakobsson P, Kvarnström G. Screening for ocular dysfunction in children: approaching a common program. Acta Ophthalmol Scand Suppl. 1995; (214):26–38. discussion 39-40.
Article
12. Hudak DT, Magoon EH. Poverty predicts amblyopia treatment failure. J AAPOS. 1997; 1:214–5.
Article
13. Eibschitz-Tsimhoni M, Friedman T, Naor J, et al. Early screening for amblyogenic risk factors lowers the prevalence and severity of amblyopia. J AAPOS. 2000; 4:194–9.
Article
14. Neubauer AS, Neubauer S. Cost-effectiveness of screening for amblyopia. Klin Monbl Augenheilkd. 2005; 222:110–6.
15. Webber AL, Wood JM, Gole GA, Brown B. The effect of amblyopia on fine motor skills in children. Invest Ophthalmol Vis Sci. 2008; 49:594–603.
Article
16. Hrisos S, Clarke MP, Kelly T, et al. Unilateral visual impairment and neurodevelopmental performance in preschool children. Br J Ophthalmol. 2006; 90:836–8.
Article
17. Stifter E, Burggasser G, Hirmann E, et al. Monocular and binocular reading performance in children with microstrabismic amblyopia. Br J Ophthalmol. 2005; 89:1324–9.
Article
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr