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Environmental factors associated with ocular morbidity among children in three ecological regions of Nepal: a phase II Nepal Pediatric Ocular Diseases Study.
Adhikari, Srijana; Shrestha, Ujjowala; Shrestha, Mohan K; Paudyal, Manish; Thapa, Bijaya; Shrestha, Murari.
Afiliación
  • Adhikari S; Tilganga Institute of Ophthalmology, PO Box No 561, Gaushala, Kathmandu, Nepal. srij_a@yahoo.com.
  • Shrestha U; Tilganga Institute of Ophthalmology, PO Box No 561, Gaushala, Kathmandu, Nepal.
  • Shrestha MK; Tilganga Institute of Ophthalmology, PO Box No 561, Gaushala, Kathmandu, Nepal.
  • Paudyal M; Tilganga Institute of Ophthalmology, PO Box No 561, Gaushala, Kathmandu, Nepal.
  • Thapa B; Nobel Medical College, Biratnagar, Kathmandu, Nepal.
  • Shrestha M; SAARC Secretariat, Kathmandu, Nepal.
Int Ophthalmol ; 38(6): 2313-2319, 2018 Dec.
Article en En | MEDLINE | ID: mdl-29032435
ABSTRACT

PURPOSE:

The Nepal Pediatric Ocular Diseases Study (NPODS) was a 3-year (January 2012-December 2014) longitudinal study carried out in three ecological regions of Nepal to understand the magnitude of the problems of childhood ocular morbidity and blindness. Based on the results of this study, a second phase of NPODS was undertaken to understand the risk factors associated with childhood ocular diseases. This paper analyzes environmental factors.

METHOD:

This was a nested case-control study with study population selected from the same cohort of children included in the baseline survey of NPODS. The study areas were the same (three districts from three ecological regions Sindhupalchowk from mountain, Makawanpur from hills, and Sarlahi from terai). After sample size calculation, cases and controls were taken in 14 ratio and matched for age, sex, and location.

RESULTS:

A total of 830 children (166 cases, 664 controls) were selected with 5.4 % of cases and 2.7 % of control participants nonresponders. Among environmental factors, children who stayed with their mother during cooking, who had with fewer windows in their kitchen, and who used dusty roads to school had significant association with ocular morbidities. Similarly, children with cable TV in their house had higher chance of having refractive error.

CONCLUSIONS:

Many of the environmental factors associated with ocular diseases in children are modifiable. Improving the household environment is likely to effectively decrease the burden of eye diseases. The association of refractive error with increased indoor and near activities is an important finding, reported herein for the first time in Nepalese children.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Ceguera / Ecosistema / Países en Desarrollo / Ambiente / Oftalmopatías Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Int Ophthalmol Año: 2018 Tipo del documento: Article País de afiliación: Nepal

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Ceguera / Ecosistema / Países en Desarrollo / Ambiente / Oftalmopatías Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Child / Child, preschool / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Int Ophthalmol Año: 2018 Tipo del documento: Article País de afiliación: Nepal