Barriers, Costs, and Attitudes Toward Pediatric Cataract Surgery at Two Large Facilities in China and India

Ophthalmic Epidemiology
Jun WangNathan Congdon

Abstract

To better understand barriers of costs and attitudes toward pediatric cataract surgery in China and India. From January 2014 to June 2015, families of children ≤ 10 years old about to undergo or having completed surgery for bilateral, non-traumatic cataract at two tertiary centers in China and India completed questionnaires regarding their demographic characteristics, financial status, living environment, health seeking behaviors, and medical burden. In China, 38 children (23 boys [60.5%], mean age 3.11 ± 2.88 years) were un-operated, and 44 (26 boys [59.1%], mean age 5.09 +/- 2.17 years) had undergone surgery, while in India there were 60 (44 boys [73.3%], mean age 4.61 +/- 3.32 years) and 39 (29 boys [74.4%], mean age 6.45 +/- 2.74 years) children respectively, 181 in total. Chinese children were younger at presentation (p ≤ 0.03 for both operated and un-operated) and also when cataract was detected (median [inter quartile range] 10 [3-34] versus 24 [6-60] months [p = 0.06] for un-operated, 5 [2-12] versus 36 [8-72] months [p < 0.001] for operated). Maternal education levels were lower in India (48.3% and 51.3% with elementary education only among un-operated [p = 0.11] and operated [p = 0.006] families in India versus 27.0% ...Continue Reading

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Citations

Jun 11, 2020·BMJ Open Ophthalmology·Suzannah J BellAllen Foster
Oct 17, 2019·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Fang Qing, Chuang Liu
Mar 6, 2021·Acta Ophthalmologica·Moug Al-BakriLine Kessel

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