ArticleBMC health services research2020
Eye care utilization pattern in South Africa: results from SANHANES-1.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- A cross-sectional clinical and epidemiological overview of a cohort of acute infectious keratoconjunctivitis among war-displaced populations in Kassala State, Sudan, 2024.International ophthalmology · 2026Article
- Parents' and teachers' perspectives on the barriers to spectacle uptake among learners in the Free State, South Africa.Health SA = SA Gesondheid · 2026Article
- A theory- and evidence-based holistic intervention to enhance the uptake of preventive eye examination among the elderly centre members.Public health in practice (Oxford, England) · 2025Article
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- Prevalence of uncorrected refractive error in low-resource high schools in the Free State, South Africa.African journal of primary health care & family medicine · 2025Article
- Evaluating the access and utilization of eyecare services after the adoption of eyecare PBF and its financial sustainability: the case of Rwanda.BMC health services research · 2025Article
- Association of lifestyle and behavioral factors with self-reported visual problems among schoolchildren in rural Bangladesh.PloS one · 2025Article
- Optometrists' perceptions of vision impairment services in public hospitals of Limpopo province.African journal of disability · 2025Article
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- Utilisation pattern of ophthalmic services in Ashanti Region, Ghana.African journal of primary health care & family medicine · 2024Article
- Barriers to the uptake of eye care services: A cross-sectional survey from rural and urban communities.PloS one · 2024Article
- Experiences of primary eye care use among adults in Southern Ethiopia: A qualitative study.Health SA = SA Gesondheid · 2024Article
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8 authors.
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Abstract
backgroundEye examinations are recommended for all persons throughout life. However, there is disparity in the uptake of eye care services in different populations. Using data from a nationally representative population-based cross-sectional study (the South African National Health and Nutrition Examination Survey, [SANHANES-1]), this paper investigates the utilization of eye care services and its associated factors in South Africa.
methodsParticipants aged 15 years and older who participated in interviews and clinical examination were enrolled in the SANHANES from 2011 to 2012. Eye care utilization was assessed from participants' responses to whether they had their eyes examined by a medical professional and when they were last examined. Data were analysed using multiple logistic regression models employing a hierarchical approach to add predisposing (e.g. age, sex), enabling (e.g. health insurance) and need (e.g. hypertension) factors sequentially.
resultsThe study sampled 3320 participants, with 64.9% being females. 73.4% (95% CI [69.7-76.7]) of participants had never had an eye examination. After statistical adjustment, age groups (compared with 15-29 years: 30-44 years Odds Ratio [OR] = 1.76; 45-59 years OR = 2.13; 60-74 years OR = 2.74; ≥75 years OR = 3.22), ethnicity (compared with African descent: white OR = 4.71; mixed-race OR = 1.87; Indian OR = 7.67), high risk alcohol use (OR = 1.83), wealth index (compared with lowest quintile: third quintile OR = 1.75; fourth quintile OR = 2.23; fifth quintile OR = 2.49), health insurance (OR = 2.19), diabetes (OR = 1.75), high cholesterol (OR = 2.51), having assessed healthcare in the past 5 years (OR = 2.42), and self-reported vision problems (OR = 1.51) were significantly associated with eye care utilization.
conclusionAlmost three-quarters of South Africans sampled were not utilizing eye care services. It is imperative to strengthen current public health measures (including eye health promotion programs) to address the alarmingly low uptake of eye care services as well as the disparities in eye care utilization in South Africa.
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