Abstract

BackgroundNear visual impairment leads to difficulty with near tasks at a working distance (40 centimeters) when near visual acuity is 6/12 (N8) or worse. High cost is the main barrier reported for low near vision spectacle coverage.ObjectiveThis study aimed to determine near vision spectacle coverage and associated factors among adults living in Finote Selam town, Northwest Ethiopia.MethodsA community-based, cross-sectional study was applied from June 3 to 25, 2019. A total of 565 study participants aged ≥35 years were recruited using a systematic random sampling technique. A pre-tested questionnaire with adequate physical examination was used for data collection. The data were entered into EPI INFO software and exported to a statistical package for science for analysis. Mean (standard), frequencies, tables, and figures were used to present descriptive statistics. A bi-variable and multivariable logistic regression was used to determine the association between independent variables and outcome variable with a P-value of less than 0.20 and a P-value of less than 0.05, respectively. Odds ratios and a 95% confidence interval were used to show strength of association.ResultsA total of 549 adults participated, with a response rate of 97.20% and a mean age of 46.4±8.7 years. The near vision spectacle coverage was 156 (28.42%; 95% CI=24.65–32.31). Higher education level (AOR=2.8; 95% CI=1.21–5.21), history of eye examination (AOR=2.40; 95% CI=1.51–3.81), awareness about near vision problems (AOR=2.12; 95% CI=1.41–3.24), and need of a high plus lens (AOR=4.21; 95% CI=2.41–7.39) were associated with near vision spectacle coverage.ConclusionNear vision spectacle coverage was low among adults living in Finote Selam town. Higher educational level, history of eye examination, awareness about near vision problems, and need of a high plus lens were associated with near vision spectacle coverage.

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