Glaucoma in rural China (the Rural Epidemiology for Glaucoma in China (REG-China)): a national cross-sectional study,British Journal of Ophthalmology

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Glaucoma in rural China (the Rural Epidemiology for Glaucoma in China (REG-China)): a national cross-sectional study
British Journal of Ophthalmology ( IF 3.7 ) Pub Date : 2023-10-01 , DOI: 10.1136/bjo-2021-320754
Yuanyuan Liu ₁ , Baoqun Yao ₁ , Xi Chen ₂ , Xueli Yang ₂ , Yong Liu ₃ , Zhenggao Xie ₄ , Xiaofeng Chen ₅ , Zhigang Yuan ₆ , Xingrong Wang ₇ , Dan Hu ₈ , Xiang Ma ₉ , Weiqi Gao ₁₀ , Ruifeng Wang ₁₁ , Yuzhong Yang ₁₂ , Song Chen ₁ , Jingkai Zhang ₁ , Zuoqing Song ₁₃ , Junsu Wang ₁ , Jing Wang ₁₄ , Jinyun Pei ₁₅ , Weijuan Wang ₁₆ , Meiyan Wang ₁₇ , Jun Gao ₁₈ , Hongwen Zhang ₁₉ , Lian Tan ₃ , Wei Du ₄ , Xuehui Pan ₅ , Gang Liu ₆ , Xiujuan Du ₇ , Xu Hou ₈ , Xin Gao ₉ , Zhen Zhang ₁₀ , Zhansheng Shen ₁₁ , Changfu Wu ₁₂ , Xiaochang Yan ₂₀ , Shaoye Bo ₂₁ , Xinghuai Sun ₂₂ , Nai-Jun Tang ₂ , Chun Zhang ₂₃ , Hua Yan ₂₄

Affiliation

Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, China.
Department of Occupational and Environmental Health, School of Public Health, Tianjin Key Laboratory of Environment, Nutrition, and Public Health, Center for International Collaborative Research on Environment, Nutrition and Public Health, Tianjin Medical University, Tianjin, China.
Department of Ophthalmology, Southwest Hospital/Southwest Eye Hospital, Army Medical University, Chongqing, China.
Department of Ophthalmology, Subei People's Hospital Affiliated to Yangzhou University, Yangzhou, Jiangsu, China.
Department of Ophthalmology, Ineye Hospital of Chengdu University of TCM, Chengdu, Sichuan, China.
Department of Ophthalmology, Shanxi Eye Hospital, Taiyuan, Shanxi, China.
Department of Ophthalmology, Eye Institute of Shandong University of Traditional Chinese Medicine, Affiliated Eye Hospital of Shandong University of TCM, Jinan, Shandong, China.
Department of Ophthalmology, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Department of Ophthalmology, Guyuan Municipal People's Hospital, Guyuan, Gansu, China.
Department of Ophthalmology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.
Department of Ophthalmology, Zhengzhou Second People's Hospital, Zhengzhou, Henan, China.
Department of Ophthalmology, Beizhen People's Hospital, Jinzhou, Liaoning, China.
Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjin, China.
Department of Ophthalmology, Santan Hospital, Tianjin, China.
Department of Ophthalmology, Binhai Hospital of Tianjin Medical University General Hospital, Tianjin, China.
Department of Ophthalmology, Tianjin Haibin People's Hospital, Tianjin, China.
Department of Ophthalmology, Tianjin Third Central Hospital, Tianjin, China.
Department of Ophthalmology, Tianjin Jizhou District People's Hospital, Tianjin, China.
National School of Development, Peking University, Beijing, China.
Department of Supervisory Board, China Foundation for Disabled Persons, Beijing, China.
Department of Ophthalmology and Vision Science, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Department of Ophthalmology, Peking University Eye Center, Third Hospital of Peking University, Beijing, China
Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, China

Objective This study aimed to investigate the prevalence of glaucoma with associated factors in the rural populations of 10 provinces in China. Design A population-based cross-sectional study. Methods All participants aged 6 years or older from 10 provinces completed visual acuity testing, slit-lamp examination, ophthalmoscopy and non-contact tonometry. Glaucoma suspects underwent fundus photography, Goldmann applanation tonometry, visual field testing and gonioscopy. Glaucoma was determined according to the International Society of Geographical and Epidemiological Ophthalmology classification scheme. Associations of demographics and medical factors with glaucoma were assessed using multiple logistic regression models. Results From June 2017 to October 2018, 48 398 of 52 041 participants were included in the final analyses. The age-standardised prevalence of glaucoma was 1.7% (95% CI 1.55% to 1.78%) among the participants older than 6 years, which was 2.1% (95% CI 1.93% to 2.23%) in participants aged over 40 years. The constituent ratios of glaucoma were: 44.4% primary angle-closure glaucoma (PACG), 34.7% primary open-angle glaucoma, 2.6% congenital glaucoma and 18.3% other types of glaucoma. Increasing age, smoking, cerebral stroke, type 2 diabetes, higher education (college or more) and higher personal income were significant risk factors for PACG. The unilateral and bilateral blindness rates in the entire study population were 4.692% and 1.068%, respectively. A family history of glaucoma was a significant risk factor for the prevalence of glaucoma and blindness in at least one eye. Conclusions Rural populations have a high prevalence of glaucoma, which should be included in chronic disease management programmes in China for long-term care. Data are available on reasonable request.

更新日期：2023-09-21

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