Articles Vol. 67 No. CĐ8-NCKH 06/07/2026

EVALUATION OF INTERVENTION EFFECTIVENESS AND BARRIERS TO WEARING REFRACTIVE CORRECTION GLASSES AMONG CHILDREN FROM DISADVANTAGED BACKGROUNDS IN CA MAU PROVINCE, 2025

Doan Thuy Thanh Truc1,2, Ngo Thanh Tan1,2, Tran Phuong1,2, Huynh Trung Lam1,2
1 Ca Mau Provincial Eye and Dermatology Hospital
2 Bệnh viện Mắt - Da liễu tỉnh Cà Mau
DOI: 10.52163/yhc.v67iCD8.5674
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Keywords
Spectacle-wearing effectiveness; barriers to spectacle use.
Abstract

Objectives: (1) To evaluate the effectiveness of an intervention providing refractive correction spectacles for children from disadvantaged backgrounds in Ca Mau Province in 2025; and (2) to describe selected barriers to wearing refractive correction spectacles among this population. Methods: A controlled before–after interventional study was conducted among 96 schoolchildren who underwent eye examinations and received spectacles through a support program of Ca Mau Eye Hospital, and 96 schoolchildren in a control group who were not eligible for free spectacle provision during 2025. Descriptive and analytical statistical methods were applied in conjunction with appropriate statistical tests. Statistical significance was defined as p < 0.05. Results: After 3 months of intervention, the proportion of students achieving visual acuity ≥7/10 in the intervention group increased from 6.3% to 81.3%, which was significantly higher than that in the control group (14.6%; p < 0.05). At 3 months post-intervention, vision-related quality-of-life scores in the intervention group were markedly higher than those in the control group across all assessed domains. The proportion of students who reported regular spectacle wear reached 70.8% in the intervention group, compared with 20.8% in the control group. Following the intervention, barriers related to spectacle wear were reduced in the intervention group, whereas no statistically significant changes were observed in the control group.

References
[1]
Đỗ Như Hơn (2012), Nhãn Khoa tập 1, Nhà xuất bản Y học. Google Scholar
[2]
World Health Organization (2024), Eye care, vision impairment and blindness: Refractive errors, truy cập ngày 19/11/2024, tại trang web https://www.who.int/news-room/questions-and-answers/item/blindness-and-vision-impairment-refractive-errors. Google Scholar
[3]
World Health Organization (2023), Key facts: Blindness and vision impairment, truy cập ngày 15/11/2024, tại trang web https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment. Google Scholar
[4]
Trần Đức Nghĩa (2019), Thực trạng cận thị ở học sinh tiểu học Thành phố Điện Biên Phủ và hiệu quả một số giải pháp can thiệp, Luận án Tiến sĩ Y học, Viện Vệ sinh dịch tễ Trung ương Hà Nội. Google Scholar
[5]
Chirag Patel, Yiran Tan, Stephen Nygaard. (2023), "Prevalence of Refractive Error in Vientiane Province, Lao People's Democratic Republic", Ophthalmic epidemiology, 30(1), p. 57-65. Google Scholar
[6]
Sabreena Hassan, Sahila Nabi, Nazia Zahoor (2023), "Prevalence and pattern of refractive errors among school-going children in district Baramulla, Kashmir: A cross sectional study", Indian Journal of Ophthalmology, 71(12), p. 3642-3645. Google Scholar
[7]
Mohd. Mizanur Rahman, Mohd. Golam Rasul and Abdur Rashid (2014), "Identification Refraction Error in School Children for Avoid Refractive Blindness Age Group 6 to 15 Years", 3(1), p. 28-35. Google Scholar
[8]
Mai Viết Kiên, Trương Viết Trường, Nguyễn Thị Quỳnh Hoa và các cộng sự. (2024), "Kiến thức, thái độ, thực hành về phòng cận thị học đường ở học sinh trung học phổ thông chuyên Thái Nguyên", Tạp chí Y học Việt Nam, 528(2), tr. 345-348. Google Scholar
[9]
Trần Việt Tuấn và Nguyễn Trần Việt Hùng (2020), Đánh giá thực trạng và đề xuất các giải pháp can thiệp phòng chống tật khúc xạ cho học sinh trung học cơ sở tỉnh Tiền Giang. Bệnh viện Mắt Tiền Giang. Mã số: ĐTCSYD 01/19. Google Scholar
[10]
Trần Tất Thắng, Nguyễn Sa Huỳnh, NguyễnThị Giang An và các cộng sự. (2022), "Thực trạng cận thị học đường và các yếu tố liên quan ở học sinh tiểu học tại quận 1 Thành phố Hồ Chí Minh", Tạp chí Y học Việt Nam, 515(2), tr.60-63. Google Scholar
[11]
D. Pascolini and S. P. Mariotti (2012), "Global estimates of visual impairment: 2010", Br J Ophthalmol, 96(5), p. 614-8. Google Scholar
[12]
S. R. Flaxman, R. R. A. Bourne, S. Resnikoff. (2017), "Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis", Lancet Glob Health, 5(12), p. e1221-e1234. Google Scholar
[13]
X. Ma, Z. Zhou, H. Yi. (2014), "Effect of providing free glasses on children's educational outcomes in China: cluster randomized controlled trial", Bmj, Google Scholar
[14]
Shroff Uma Kavin, Gajiwala Uday, Shroff Kavin Nishith. (2024), "A study of spectacle compliance in school going children of rural areas of south Gujarat", Global journal of cataract surgery and research in ophthalmology, p. 1-6. Google Scholar
[15]
Tefera Alemayehu Woldeyes, Temesgen Firehiwot and Tefera Alemayehu Woldeyes (2023), "Spectacle Wear Compliance in Primary School Children with Refractive Error in Addis Ababa", Journal of ophthalmology & clinical research, 7(3), p. 185-193. Google Scholar
[16]
K. Yadav Rakesh, A. Jamuna Rani and Chander Ashish (2023), "Spectacle adherence and barriers towards spectacle wear among primary school going children", International Journal of Research in Medical Sciences, 11(3), p. 967-970. Google Scholar
[17]
Bakare PN, Gogate P, Magdum R. (2022), "Estimation of the prevalence of uncorrected refractive error and other ocular morbid conditions in school children of industrial area in a non metro city in India", Cureus, p.14,. e27972. Google Scholar
[18]
Pirindhavellie Govender-Poonsamy, Yong Ai Chee, P. Mashige Khathutshelo (2023), "The impact of spectacle correction on the well-being of children with vision impairment due to uncorrected refractive error: a systematic review", BMC Public Health, p.23. Google Scholar