Near-vision impairment and unresolved vision problems in Indigenous Australian adults

Anna Lena Arnold, Nicolas Goujon, Lucy Busija, Sarah Fox, Jing Xie, Ross A. Dunn, Jill E. Keeffe, Hugh R. Taylor

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

Abstract

To describe near-vision impairment, self-reported unresolved vision problems and barriers to having near-vision correction in Indigenous Australians. Design: A nationwide population-based study designed to determine the causes and prevalence of vision loss and utilization of eye care services. Participants: Indigenous Australians aged ≥40years. Methods: Using a multistage random cluster sampling methodology, 30 geographical areas stratified by remoteness were selected to obtain a representation of Indigenous Australians. Visual acuity was conducted using a standard E chart. A questionnaire collected data on eye health, eye care service utilization and vision-related quality of life. Main Outcome Measures: Near-vision impairment defined as presenting binocular near visual acuity <N8. Self-reported unresolved vision problems defined as anything considered an eye/vision problem by the participant, including distance and/or near-vision impairments, not resolved after seeking care and quality-of-life scores. Results: Being aged 50-59years (reference group 40-49years), speaking a language other than English at home and vision loss (distance vision impairment and blindness) increased the odds of near-vision impairment. Of those with near-vision impairment, 37% (175/468) reported not having near-vision correction. Being aged 60-69years, speaking a language other than English at home and having vision loss decreased the odds of having near-vision correction. Longer time since last consultation was associated with unresolved vision problems and worse quality-of-life scores. Conclusion: There remains a large unmet need in regard to near-vision correction. Many Indigenous adults have unresolved vision problems that could be resolved with regular consultations with eye care services.

Original languageEnglish
Pages (from-to)223-230
Number of pages8
JournalClinical and Experimental Ophthalmology
Volume41
Issue number3
DOIs
Publication statusPublished - 1 Apr 2013
Externally publishedYes

Keywords

  • Indigenous Australian
  • Near-vision impairment
  • Quality of life
  • Unresolved vision problem

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