How to improve Iranians’ vision health: on the national policy of preventing Iranians’ blindness

Damari, Behzad; Mahdavi, Alireza; Hajian, Maryam

doi:10.18240/ijo.2019.01.18

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…In addition, Iran had one of the largest decreases in the point prevalence of vision loss in the region. Iran’s successful initiatives, which are recommended to other countries, include: (1) improving community education, (2) implementing interventions in the social determinants of health and (3) increasing access to healthcare services [ 23 ]. At the global level, females had a higher age-standardised DALY rate of blindness and vision loss in both 1990 (3.11 vs. 2.96 per 1000) and 2019 (2.91 vs. 2.64 per 1000) [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

The burden of vision loss in the Middle East and North Africa region, 1990–2019

Bahremani,

Alizadeh,

Nejadghaderi

et al. 2023

Arch Public Health

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Background The loss of vision is a substantial public health concern that has important implications for an individual’s quality of life. The primary objective of this research was to document the burden of vision loss in the Middle East and North Africa (MENA) region, spanning the years 1990–2019, by age group, sex, underlying cause and sociodemographic index (SDI). Methods Publicly available data concerning the burden of vision loss were acquired from the Global Burden of Disease study 2019. The data encompassed all 21 countries within the MENA region for the period spanning 1990 to 2019. The estimates were reported as raw counts and age-standardised rates per 100,000, accompanied by their corresponding 95% uncertainty intervals (UIs). Results In 2019, MENA had an age-standardised point prevalence of 7040.0 (95% UI: 6195.0, 8002.7) and an YLD rate of 314.5 (222.1, 427.6) per 100,000 for vision loss, which were 11.1% (-12.5, -9.7) and 24.3% (-27.6, -20.8) lower, respectively, than in 1990. In 2019, Afghanistan [469.6 (333.0, 632.8)] had the largest age-standardised YLD rate and Turkey [210.7 (145.3, 290.9)] had the lowest. All countries showed a decrease in the age-standardised point prevalence and YLD rate between 1990 and 2019, except for Oman, Afghanistan, and Yemen. Furthermore, in 2019 the largest number of prevalent cases and YLDs were found in the 65–69 age group. Also in 2019, the age-standardised YLD rates in MENA exceeded the global averages for most age groups, for both males and females. In 2019, refractive disorders were the most common types of vision loss among children, adolescents, and middle-age adults in MENA, while near vision loss and cataracts were the most common among older adults. Finally, the burden of vision loss had a slightly negatively association with SDI over the period 1990–2019. Conclusion Although the burden of vision loss has decreased over the last three decades, the prevalence remains high. These results underscore the importance of healthcare policymakers taking action to implement preventive measures, especially among the elderly and those living in low socioeconomic countries, to decrease the attributable burden in MENA.

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Section: Discussionmentioning

confidence: 99%

The burden of vision loss in the Middle East and North Africa region, 1990–2019

Bahremani,

Alizadeh,

Nejadghaderi

et al. 2023

Arch Public Health

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“…32 The findings of these studies were recognized as major causes of visual impairment in Iran and addressed in national prevention programs and policies of the MOHME, as a way to facilitate the WHO Vision 2020 global initiative in the country. 33 Moreover, the findings of these studies have highlighted the need for more comprehensive ophthalmological research on a national scale, with a focus on the main visual problems of the Iranian populations according to the local studies. This is why the PECS decided to target cataract, refractive errors, glaucoma and PERSIAN eye cohort study diabetic retinopathy, as its main scope.…”

Section: Discussionmentioning

confidence: 99%

PERSIAN Eye Cohort Study (PECS): Design, Methodology

Alipour,

Hashemi,

Lashay

et al. 2023

Arch Iran Med

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Background: To report the study protocol, methodology and latest enrollment data of a large epidemiological multi-central eye cohort named PERSIAN Eye Cohort Study (PECS), originating from the ongoing PERSIAN Cohort Study, to investigate the distribution of ophthalmic disorders in different regions and ethnicities of Iran, and determine their associations with various exposures of ophthalmic and non-ophthalmic nature. Methods: A central committee designed the study and equipped six chosen centers (Khameneh, Some’e Sara, Hoveizeh, Yazd, Rafsanjan and Zahedan). A focal point in each center conducted the study under close supervision of the central committee. Results: This ongoing study was launched in 2014. Out of 65,580 eligible participants of the PERSIAN Cohort, 48,618 individuals aged 35-70 have been enrolled in the PECS (response rate: 74.13%) until June 2021. Slit lamp and fundus photography were performed for 28,702 (59.03%) and 27,437 (56.43%) individuals, respectively. Conclusion: This large epidemiological multi-central eye cohort can improve our epidemiological knowledge of the prevalent ophthalmic disorders in different regions and ethnicities of Iran, and determine their associations with various exposures of ophthalmic and non-ophthalmic nature. This will be very useful for future planned nationwide and global interventions.

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“…It has been estimated that globally about 45 million people are blind and almost 90% of them living in low-and middleincome countries [1]. Blind people become dependent on family members due to reduced independence in performing daily activities and vulnerability to accidents [2]. Mothers has the most responsibility for caring their blind children [3].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Time Use Between Mothers of Blind and Healthy Children in Tehran, Iran

Mahvari

Mirzakhany

Rezaee

et al. 2022

SJRM

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Background and Aims: The presence of a blind child in the family puts a lot of pressure on the caregivers, especially the mother. Therefore, the mother’s mental and emotional condition is affected and disturbs her ability to balance time. By knowing the pattern of time use in mothers of blind children, it is possible to help improve the health and quality of life of these mothers. This study aims to evaluate the time use in mothers of children with blindness compared to the mothers of healthy children. Methods: This is a descriptive and cross-sectional study. Ninety mothers of blind and healthy children aged 6-14 years participated in this study. Mothers were selected from among those whose children were in exceptional schools of Shahid Mohebi, Narjes, and Khazaeili and normal schools in West of Tehran, Iran using a convenience sampling method. Mothers’ time use for different activities was evaluated by the Persian version of the Mothers’ time Use questionnaire. The collected data were analyzed in SPSS software versio 21 using independent t-test and Mann-Whitney U test. Results: Mothers of children with blindness spent more time on household chores and childcare and less time on sleeping/resting compared to the mothers of healthy children (50.0≥P). Conclusion: The presence of a blind child in the family affects the ability of mothers in balancing the time and the quality of the time spent by them on daily activities. Therefore, there is a need to pay attention to balance of time as a variable of health and quality of life.

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How to improve Iranians’ vision health: on the national policy of preventing Iranians’ blindness

Cited by 5 publications

References 32 publications

The burden of vision loss in the Middle East and North Africa region, 1990–2019

The burden of vision loss in the Middle East and North Africa region, 1990–2019

PERSIAN Eye Cohort Study (PECS): Design, Methodology

Comparison of the Time Use Between Mothers of Blind and Healthy Children in Tehran, Iran

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