Individual and school-level factors associated with suspected pediatric eye disorders and referral adherence in an enhanced school-based vision screening program in Ghana
Rattachement africain : us, Ghana. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Evidence on how social and school-level contexts shape pediatric vision screening outcomes is limited, particularly in sub-Saharan Africa. We examined the association between individual and contextual factors and vision screening outcomes in a pilot enhanced school-based vision screening program (ESVSP) in Kumasi, Ghana. We conducted a cross-sectional study using data from an ESVSP to detect suspected eye disorders in school-children aged 4-22 years. Outcomes were the presence of suspected eye disorders and referral adherence. Exposure variables were individual [(age, sex, socioeconomic status (SES)], and contextual [school type (public vs private)] factors. Logistic regression was used to estimate unadjusted (OR) and adjusted (aOR) odds ratios with 95% confidence intervals (CI). We analyzed data for 1,123 children screened and 299 referred. The average age was 10.2 (±2.6) years. Overall, 34.0% (n = 382) had suspected eye disorders, and 32.8% (n = 98) adhered to the referral. After adjusting for key variables, children attending public (32.2%) compared to private (67.8%) schools had 45% lower odds of suspected eye disorders (aOR= 0.55; 95% CI 0.37, 0.83). Children with low (13.3%) compared to high (28.6%) SES had 70% lower odds of referral adherence (aOR= 0.30; 95% CI 0.12, 0.80). In this pilot school-based program, school context and SES (an individual-level factor) were associated with suspected pediatric eye disorders and referral adherence, respectively. These findings highlight equity-relevant gaps in referral adherence and underscore the need for context-specific strategies to strengthen referral pathways in low-resource settings.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Individual and school-level factors associated with suspected pediatric eye disorders and referral adherence in an enhanced school-based vision screening program in Ghana
- Date Crossref
- 03/06/2026
- Éditeur
- Public Library of Science (PLoS)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Utah Department of Population Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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Eye Institute of Utah pays non établi dans la noticeStructure de recherche
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Kwame Nkrumah University of Science and Technology Department of Optometry and Visual Science Kumasi, Ghana (code pays fourni par la source)Université ou école supérieure
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Eye Care Associates pays non établi dans la noticeÉtablissement de santé
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Komfo Anokye Teaching Hospital Ghana (code pays fourni par la source)Établissement de santé
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West End Hospital Ghana (code pays fourni par la source)Établissement de santé
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Ghana Health Service Ghana (code pays fourni par la source)Organisme public
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Klarion Eye Care Center Kumasi, Ghana (pays nommé en fin d’affiliation)Institution
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Asafo Agyei Hospital Kumasi, Ghana (pays nommé en fin d’affiliation)Établissement de santé
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Asokwa Children's Hospital Kumasi, Ghana (pays nommé en fin d’affiliation)Établissement de santé
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National Eye Care Unit Accra, Ghana (pays nommé en fin d’affiliation)Institution
Department of Population Health Sciences — University of Utah, Eye Institute of Utah et Department of Optometry and Visual Science — Kwame Nkrumah University of Science and Technology (Kumasi, Ghana), avec 8 autres affiliations. Pays d’affiliation : Ghana.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.