Spectacle Compliance Amongst Rural Secondary School Children in Pune District, India
Gogate P, Mukhopadhyaya D, Mahadik A, et al.
Indian Journal of Ophthalmol.
The key objectives was to to study the compliance of spectacle wear among rural school children in Pune district as part of the sarva siksha abhiyan (education for all scheme) after 6 – 12 months of providing free spectacles.
This is a cross-sectional follow-up study of rural secondary school children in western India.
Of the 2312 students who were dispensed spectacles in 2009, 1018 were re-examined in 2010. 523 students (51.4%) were female, the mean age was 12.1 years 300 (29.5%) were wearing their spectacles, 492 (68.5%) students claimed to have them at home while 211 (29.4%) reported not having them at all.
Compliance of spectacle wear was positively associated to the magnitude of refractive error (P < 0.001), father’s education (P = 0.016), female sex (P = 0.029) and negatively associated to the visual acuity of the better eye (P < 0.001) and area of residence (P < 0.0001).
Of those that were examined and found to be myopic (N = 499), 220 (44%) wore their spectacles to examination.
Factors associated with compliance to spectacle usage in the myopic population included increasing refractive error (P < 0.001), worsening visual acuity (P < 0.001), and higher academic performance (P < 0.001).
The causes for not wearing spectacles were ‘lost spectacles’ 67(9.3%), ‘broken spectacles’ 125 (17.4%), ‘forgot spectacles at home’ 117 (16.3%), ‘uses spectacles sometimes’ 109 (15.2%), ‘teased about spectacles’ 142 (19.8%) and ‘do not like the spectacles’ 86 (12%).
The study concluded that spectacle compliance was poor amongst school children in rural Pune; many having significant vision loss as a result.