Retisha Warr, Nicole Ruggiano, Jane Daquin, Monica Anderson Herzog, Zhe Jiang, Jeff Gray
Health Information Seeking Using Tech and Non-Tech Sources Among a Diverse Sample of Caregivers in the Deep South
Journal of gerontological social work
although school screenings identify children vision problems issue referrals medical treatment ophthalmic hospital effectiveness approach remains unverified investigate impact ophthalmic clinical services onset progression myopia preschool children identified vision impairment using data shanghai child adolescent largescale eye study scale retrospective cohort study evaluated visual development children three districtsjingan minhang pudongwhich representative geographic diversity economic disparity shanghais 17 districts initially 2015 study encompassed 14572 children aged 46 years 5917 needed referral cohort consisted 5511 children two vision screenings complete personal information followup period january 2015 december 2020 divided children two groups based initial spherical equivalent se highrisk group se 05 myopia group se 05 within groups categorized children never tardily timely groups based referral compliance compare differences occurrence progression myopia cox proportional models applied estimate hazard ratios hrs myopia incidence per personyears followup highrisk group generalized additive modelsgam used calculating progression annual spherical equivalent changes children 5511 preschool children mean age 525 years 5224 male received referral recommendation 1327 2408 sought clinical services ophthalmic hospital six years followup 6553 children developed myopia sixyear cumulative incidence myopia never tardily timely groups 6476 6931 5714 respectively percentages corresponded hazard ratios hrs 131 95 ci 110155 tardily group 055 95 ci 033093 timely group compared never group hrs adjusted age sex se study entry interestingly timely group showed significantly less se progression groups p 0001 se progression higher highrisk group 033 037dyear children myopia 008 055dyear timely utilization ophthalmic clinical services among children aged 4 6 years fail school vision screenings significantly reduce incidence myopia slow se progression