The impact of glaucoma on quality of life in Ethiopia: a case-control study

被引:10
作者
Ayele, Fisseha A. [1 ]
Zeraye, Banchamelak [1 ]
Assefa, Yared [1 ]
Legesse, Kbrom [2 ]
Azale, Telake [3 ]
Burton, Matthew J. [4 ]
机构
[1] Univ Gondar, Coll Med & Hlth Sci, Sch Med, Dept Ophthalmol, POB 196, Gondar, Ethiopia
[2] Univ Gondar, Coll Med & Hlth Sci, Sch Med, Dept Optometry, Gondar, Ethiopia
[3] Univ Gondar, Coll Med & Hlth Sci, Inst Publ Hlth, Dept Hlth Educ & Behav Sci, Gondar, Ethiopia
[4] London Sch Hyg & Trop Med, Fac Infect & Trop Dis, Int Ctr Eye Hlth, London, England
来源
BMC OPHTHALMOLOGY | 2017年 / 17卷
关键词
Glaucoma; Quality of life; GQOL-15; Gondar; Ethiopia; VISUAL IMPAIRMENT; CLASSIFICATION; NIGERIA; EYE;
D O I
10.1186/s12886-017-0643-8
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background: Glaucoma is a chronic disease characterized by irreversible optic nerve damage and visual field loss that leads to visual impairment and blindness; ultimately limiting personal independence and compromising overall quality of life of affected individuals. There is paucity of information on how glaucoma affects the quality of life of patients in low and middle-income countries where resources for both diagnosis and treatment of such conditions are limited. In this study we investigate the impact of glaucoma on quality of life in Ethiopian patients. Methods: The quality of life of 307 glaucoma patients and 76 normal controls that were frequency matched to the age and sex profiles of the cases was assessed using Amharic version of Glaucoma Quality of Life-15 questionnaire. Linear regression models and the t-test were employed to compare significant differences in GQL-15 scores and to generate mean and mean differences between cases and controls respectively. Results: The mean GQL-15 score in the glaucoma cases was substantially higher (indicating poorer quality of life) than the controls [cases 46.3 (95% CI, 28.8-63.8) and controls 18.6 (95% CI, 15.2-22.0), p < 0.0001]. Cases with normal visual acuity and mild glaucoma had significantly higher scores than the controls. Poorer quality of life was associated with age >= 71 years old 51.1 (95% CI, 26.2-75.9), rural residence 55.7 (95% CI, 49.9-61.5), monthly income of < 400 Birr (53.1; 95% CI, 50.5-55.6), diagnosis time 1-5 years (49.6; 95% CI, 41.2-57.9), severe visual impairment (70.5; 95% CI, 58.1-82.8), and advanced glaucoma (50.9; 95% CI, 43.6-58.3). Conclusion: These glaucoma patients, including those with normal visual acuity and early disease, had poorer quality of life compared to normal controls. Older age, rural residence, low income and more advanced disease were significantly associated with poorer quality of life. There is a need to increase awareness of the impact of glaucoma among clinicians, patients and their families, for a better understanding of the impact this disease has on a person's life.
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页数:9
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