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How much eye care services do Asian populations need? Projection from the Singapore Epidemiology of Eye Disease (SEED) study.

Publication ,  Journal Article
Zheng, Y; Cheng, C-Y; Lamoureux, EL; Chiang, PPC; Rahman Anuar, A; Wang, JJ; Mitchell, P; Saw, S-M; Wong, TY
Published in: Invest Ophthalmol Vis Sci
March 1, 2013

PURPOSE: We quantified and measured the needs for specific eye care services, including refractive services (RS), annual eye examination services (AES), cataract surgery services (CSS), and low vision services (LVS) in urban adult populations in Asia. METHODS: We conducted three population-based studies of Singapore-resident Chinese, Malays, and Indians aged ≥40 years to measure the proportion of people who needed specific eye care services. RESULTS: Our data included 3353 Chinese, 3280 Malays, and 3400 Indians (participation rate 73.6%). Overall, approximately 70% of the populations needed eye care services and more than 30% had more than one need. The age-standardized proportion of people who need RS, AES, CSS, and LVS were 65.3%, 22.4%, 12.5%, and 0.5%, respectively, in Chinese. These figures were 49.6%, 33.6%, 11.0%, and 0.7%, respectively, in Malays, and 55.6%, 40.0%, 13.4%, and 0.8%, respectively, in Indians. With demographic change, our projection showed that the number of adults needing eye care services in urban Asia will grow from 437 million in 2010 to 827 million in 2030. Diabetes was a major cause of AES and a significant predictor for CSS, whereas higher blood pressure was a predictor for AES. CONCLUSIONS: The needs for eye care services in an urban setting in Asia is high, particularly the needs for RS, AES, and CSS. The high prevalences of diabetes and hypertension are the driving factors underlying these needs. The burden of providing such eye care services highlights the need for new strategies for improvements in primary care and capacity building for eye care professionals other than ophthalmologists.

Duke Scholars

Published In

Invest Ophthalmol Vis Sci

DOI

EISSN

1552-5783

Publication Date

March 1, 2013

Volume

54

Issue

3

Start / End Page

2171 / 2177

Location

United States

Related Subject Headings

  • Singapore
  • Optometry
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • India
  • Humans
  • Health Services Needs and Demand
  • Female
  • Eye Diseases
 

Citation

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ICMJE
MLA
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Zheng, Y., Cheng, C.-Y., Lamoureux, E. L., Chiang, P. P. C., Rahman Anuar, A., Wang, J. J., … Wong, T. Y. (2013). How much eye care services do Asian populations need? Projection from the Singapore Epidemiology of Eye Disease (SEED) study. Invest Ophthalmol Vis Sci, 54(3), 2171–2177. https://doi.org/10.1167/iovs.12-11393
Zheng, Yingfeng, Ching-Yu Cheng, Ecosse L. Lamoureux, Peggy P. C. Chiang, Ainur Rahman Anuar, Jie Jin Wang, Paul Mitchell, Seang-Mei Saw, and Tien Y. Wong. “How much eye care services do Asian populations need? Projection from the Singapore Epidemiology of Eye Disease (SEED) study.Invest Ophthalmol Vis Sci 54, no. 3 (March 1, 2013): 2171–77. https://doi.org/10.1167/iovs.12-11393.
Zheng Y, Cheng C-Y, Lamoureux EL, Chiang PPC, Rahman Anuar A, Wang JJ, et al. How much eye care services do Asian populations need? Projection from the Singapore Epidemiology of Eye Disease (SEED) study. Invest Ophthalmol Vis Sci. 2013 Mar 1;54(3):2171–7.
Zheng, Yingfeng, et al. “How much eye care services do Asian populations need? Projection from the Singapore Epidemiology of Eye Disease (SEED) study.Invest Ophthalmol Vis Sci, vol. 54, no. 3, Mar. 2013, pp. 2171–77. Pubmed, doi:10.1167/iovs.12-11393.
Zheng Y, Cheng C-Y, Lamoureux EL, Chiang PPC, Rahman Anuar A, Wang JJ, Mitchell P, Saw S-M, Wong TY. How much eye care services do Asian populations need? Projection from the Singapore Epidemiology of Eye Disease (SEED) study. Invest Ophthalmol Vis Sci. 2013 Mar 1;54(3):2171–2177.

Published In

Invest Ophthalmol Vis Sci

DOI

EISSN

1552-5783

Publication Date

March 1, 2013

Volume

54

Issue

3

Start / End Page

2171 / 2177

Location

United States

Related Subject Headings

  • Singapore
  • Optometry
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • India
  • Humans
  • Health Services Needs and Demand
  • Female
  • Eye Diseases