ABSTRACT

Purpose:

This study analyzes the factors associated with eye care service utilization among Peruvians 50 years of age and older, measured as self-reporting of having undergone examination of visual acuity during the last 12 months.

Methods:

A secondary analysis of the 2019 Demographic and Family Health Survey (ENDES, for its acronym in Spanish) database was carried out. We estimated the weighted proportion of adults 50 years of age and older that reported having undergone a visual acuity examination in the previous 12 months and the frequency according to the variables of interest. Crude (PR) and adjusted prevalence ratios (aPR) of eye care service utilization were constructed using generalized linear models.

Results:

Approximately 28.8% of Peruvians 50 years of age and older underwent a visual acuity examination in the previous 12 months. Having a higher education (aPR = 1.79; 95% CI: 1.33–2.40), health insurance such as EsSalud (aPR = 1.54; 95% CI: 1.28–1.87), a previous diagnosis of cataracts (aPR = 1.86; 95% CI: 1.67–2.09) and being part of the richest wealth quintile (aPR = 2.36; 95% CI: 1.74–3.20) were associated with greater utilization of eye care services, while living in the jungle was associated with a lower likelihood of utilization of these services.

Conclusion:

The unequal distribution of health resources within the territory and socioeconomic gaps among the population could explain our findings. Further efforts are needed to fulfill the eye health needs of the Peruvian population.

中文翻译：

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秘鲁成年人眼保健服务利用的决定因素：来自全国家庭调查的证据

摘要

目的：

本研究分析了与 50 岁及以上秘鲁人眼保健服务利用相关的因素，以在过去 12 个月内接受视力检查的自我报告来衡量。

方法：

对 2019 年人口和家庭健康调查（ENDES，西班牙语缩写）数据库进行了二次分析。我们根据感兴趣的变量估计了报告在过去 12 个月内接受过视力检查的 50 岁及以上成年人的加权比例和频率。使用广义线性模型构建眼保健服务利用率的粗略 (PR) 和调整后的患病率 (aPR)。

结果：

大约 28.8% 的 50 岁及以上秘鲁人在过去 12 个月内接受了视力检查。受过高等教育（aPR = 1.79；95% CI：1.33-2.40），有 EsSalud 等健康保险（aPR = 1.54；95% CI：1.28-1.87），既往白内障诊断（aPR = 1.86；95% CI : 1.67–2.09) 和属于最富有的五分之一 (aPR = 2.36; 95% CI: 1.74–3.20) 与更多地利用眼保健服务有关，而生活在丛林中与利用眼保健服务的可能性较低有关这些服务。

结论：

领土内卫生资源的不平等分配和人口之间的社会经济差距可以解释我们的发现。需要进一步努力满足秘鲁人口的眼部健康需求。