Prevalence, Causes, and Factors Associated with Visual Impairment and Blindness among Registered Pensioners in Ghana

Purpose. To determine the prevalence, causes, and factors associated with presenting visual impairment and blindness among pensioners. Design. A nationwide cross-sectional study. This study was part of the analysis on data obtained in the pensioners’ medical survey conducted among members of the Nat...

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Main Authors: Benjamin D. Nuertey, Kwesi Nyan Amissah-Arthur, Joyce Addai, Victor Adongo, Augustine D. Nuertey, Clement Kabutey, Isaac Asimadu Mensah, Richard Bekoe Biritwum
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2019/1717464
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author Benjamin D. Nuertey
Kwesi Nyan Amissah-Arthur
Joyce Addai
Victor Adongo
Augustine D. Nuertey
Clement Kabutey
Isaac Asimadu Mensah
Richard Bekoe Biritwum
author_facet Benjamin D. Nuertey
Kwesi Nyan Amissah-Arthur
Joyce Addai
Victor Adongo
Augustine D. Nuertey
Clement Kabutey
Isaac Asimadu Mensah
Richard Bekoe Biritwum
author_sort Benjamin D. Nuertey
collection DOAJ
description Purpose. To determine the prevalence, causes, and factors associated with presenting visual impairment and blindness among pensioners. Design. A nationwide cross-sectional study. This study was part of the analysis on data obtained in the pensioners’ medical survey conducted among members of the National Pensioners Association in Ghana. Method. (i) Setting: it was a multicenter study involving thirteen centers throughout Ghana with a center in each regional capital. (ii) Study population: the study involved 4813 pensioners. (iii) Observation procedures: data were captured through the use of questionnaires, physical examinations including eye examinations, and urine and blood sample analysis. (iv) Main outcome measure: presenting visual impairment and blindness (as defined by the WHO ICD-10 classification). Results. The overall prevalence of blindness among pensioners in Ghana was 3.8% (95% CI = 3.2–4.4), while the prevalence of moderate and severe visual impairment was 21.7% (95% CI = 20.5–23.0). The prevalence of blindness was lowest in the 60–65-year-old age group (2.1% (95% CI = 1.3–2.8)) and highest in the above 80-year-old age group (12.2% (95% CI = 6.6–17.8)). Cataract was the leading cause of blindness (62.4%) and moderate and severe visual impairment (55.7%). Factors significantly associated with blindness and visual impairment include educational status, vegetarianism, arthritis, and having proteins in urine. Conclusion. There is a high prevalence of visual impairment and blindness among the pensioners in Ghana. Sadly, the greatest cause was cataract, which is correctable. Increase in formal education status will be important in the prevention of blindness and visual impairment.
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spelling doaj-art-3701e9433916418aa9f1c9a07f1612982025-02-03T01:23:21ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/17174641717464Prevalence, Causes, and Factors Associated with Visual Impairment and Blindness among Registered Pensioners in GhanaBenjamin D. Nuertey0Kwesi Nyan Amissah-Arthur1Joyce Addai2Victor Adongo3Augustine D. Nuertey4Clement Kabutey5Isaac Asimadu Mensah6Richard Bekoe Biritwum7Tamale Teaching Hospital, Tamale P. O. Box TL 16, Tamale, GhanaOphthalmology Unit, Department of Surgery, Korle Bu Teaching Hospital, College of Health Sciences, School of Medicine and Dentistry, University of Ghana, Accra, GhanaKorle-Bu Teaching Hospital, Korle-Bu, GhanaTamale Teaching Hospital, Tamale P. O. Box TL 16, Tamale, GhanaSt Francis Xavier Hospital, Assin Fosu, GhanaNursing and Midwifery Training College, Koforidua, GhanaTamale Teaching Hospital, Tamale P. O. Box TL 16, Tamale, GhanaCommunity Health Department, School of Public Health, University of Ghana, Korle-Bu, GhanaPurpose. To determine the prevalence, causes, and factors associated with presenting visual impairment and blindness among pensioners. Design. A nationwide cross-sectional study. This study was part of the analysis on data obtained in the pensioners’ medical survey conducted among members of the National Pensioners Association in Ghana. Method. (i) Setting: it was a multicenter study involving thirteen centers throughout Ghana with a center in each regional capital. (ii) Study population: the study involved 4813 pensioners. (iii) Observation procedures: data were captured through the use of questionnaires, physical examinations including eye examinations, and urine and blood sample analysis. (iv) Main outcome measure: presenting visual impairment and blindness (as defined by the WHO ICD-10 classification). Results. The overall prevalence of blindness among pensioners in Ghana was 3.8% (95% CI = 3.2–4.4), while the prevalence of moderate and severe visual impairment was 21.7% (95% CI = 20.5–23.0). The prevalence of blindness was lowest in the 60–65-year-old age group (2.1% (95% CI = 1.3–2.8)) and highest in the above 80-year-old age group (12.2% (95% CI = 6.6–17.8)). Cataract was the leading cause of blindness (62.4%) and moderate and severe visual impairment (55.7%). Factors significantly associated with blindness and visual impairment include educational status, vegetarianism, arthritis, and having proteins in urine. Conclusion. There is a high prevalence of visual impairment and blindness among the pensioners in Ghana. Sadly, the greatest cause was cataract, which is correctable. Increase in formal education status will be important in the prevention of blindness and visual impairment.http://dx.doi.org/10.1155/2019/1717464
spellingShingle Benjamin D. Nuertey
Kwesi Nyan Amissah-Arthur
Joyce Addai
Victor Adongo
Augustine D. Nuertey
Clement Kabutey
Isaac Asimadu Mensah
Richard Bekoe Biritwum
Prevalence, Causes, and Factors Associated with Visual Impairment and Blindness among Registered Pensioners in Ghana
Journal of Ophthalmology
title Prevalence, Causes, and Factors Associated with Visual Impairment and Blindness among Registered Pensioners in Ghana
title_full Prevalence, Causes, and Factors Associated with Visual Impairment and Blindness among Registered Pensioners in Ghana
title_fullStr Prevalence, Causes, and Factors Associated with Visual Impairment and Blindness among Registered Pensioners in Ghana
title_full_unstemmed Prevalence, Causes, and Factors Associated with Visual Impairment and Blindness among Registered Pensioners in Ghana
title_short Prevalence, Causes, and Factors Associated with Visual Impairment and Blindness among Registered Pensioners in Ghana
title_sort prevalence causes and factors associated with visual impairment and blindness among registered pensioners in ghana
url http://dx.doi.org/10.1155/2019/1717464
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