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. 2022 Jul 18;15(7):1157-1164.
doi: 10.18240/ijo.2022.07.17. eCollection 2022.

Visual acuity of urban and rural adults in a coastal province of southern China: the Fujian Eye Study

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Visual acuity of urban and rural adults in a coastal province of southern China: the Fujian Eye Study

Yang Li et al. Int J Ophthalmol. .

Abstract

Aim: To evaluate the vision status and sociodemographic associations of visual acuity (VA) in an urban and rural population in a coastal province of southern China.

Methods: The Fujian Eye Study, a population-based cross-sectional study, was performed from May 2018 to October 2019. Totally 10 044 participants over 50 years old from all nine cities in Fujian Province were enrolled, and underwent a questionnaire and a series of standard physical and ocular examinations. VA was measured by E Standard Logarithmic Visual Acuity Chart (GB 11533-1989). Data was double entered with EpiData v3.1 for data collation and Stata/SE statistical software v15.1 was used to analyze the data.

Results: Totally 8211 (81.8%) participants were finally included and were divided into urban populations (4678 subjects), rural populations (n=3533), coastal residents (n=6434), and inland residents (1777 subjects); 4836 participants were female. The mean age was 64.39±8.87y (median 64y; range 50-98y). The mean presenting VA was 0.61±0.30 (0.23±0.27 logMAR), and the mean best corrected visual acuity (BCVA) was 0.82±0.28 (0.08±0.19 logMAR). In the multiple regression analysis, BCVA was significantly correlated with several socioeconomic and biologic factors, including age (P<0.001), education level (P<0.001), income (P=0.005), rural residency (P<0.001), inland residency (P=0.001) and refractive error (P<0.001), while sex (P=0.194) was independent with BCVA.

Conclusion: Accessible services and eye health policies targeting the elderly, people with high myopia and people living in rural or inland areas are needed.

Keywords: best corrected visual acuity; coastal and inland; cross sectional eye study; presenting visual acuity; urban and rural.

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Figures

Figure 1
Figure 1. The comparisons of mean presenting VA and mean BCVA among different regional groups by education
aP>0.05; bP<0.05; cP<0.001. VA: Visual acuity; BCVA: Best corrected visual acuity.
Figure 2
Figure 2. The comparisons of mean presenting VA and mean BCVA among different regional groups by income
aP>0.05; bP<0.05; cP<0.001. VA: Visual acuity; BCVA: Best corrected visual acuity.

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