Title of article :
Relationship of socioeconomic factors with vision-related quality of life on severe low vision and blind population in Indonesia
Author/Authors :
Habsyiyah, Habsyiyah Department of Ophthalmology - Faculty of Medicine - Universitas Indonesia - Cipto Mangunkusumo Hospital , Lestari, Yeni D Department of Ophthalmology - Faculty of Medicine - Universitas Indonesia - Cipto Mangunkusumo Hospital , Ariawan, Iwan Department of Biostatistics and Population - Faculty of Public Health - Universitas Indonesia
Abstract :
Background: Socioeconomic factors are known to be associated with visual impairment. Being someone who is visually impaired could affect his quality of life. The aim of this study is to evaluate the quality of life (QOL) in severe low vision and blind population in Indonesia in relation to their socioeconomic status. Methods: A cross sectional population-based study was performed in 5 provinces, in Indonesia. Respondents of validation study on blindness data of national basic health survey 2013 (RISKESDAS 2013), who were above 18 years old with severe low vision (BCVA≥3/60 to 6/60) and blind (BCVA<3/60), were included in this study. Questionnaires for socioeconomic status and a questionnaire from the national eye institute visual function questionnaire 25 (NEI VFQ 25) for visual function were administered. Total scores of NEI-VFQ25 were compared based on severity of visual impairment, educational level, occupation, literacy adequacy, income level, and residency. Data analysis was using independent T-test or Mann-Whitney test, and Chi square test. Results: A total of 134 subjects were enrolled in this study, most of them are women (68.2%), aged >64 years old (64.9%) with low education (65.7%), illiterate (52.2%), low income (71.6%), non working (63.4%) and living in urban areas (58.2%). The blind population has lower VFQ scores than severe low vision (p=0.001). Different status of educational level, literacy adequacy, income level and residency did not show significant difference in VFQ scores, but those who have an occupation had better VFQ scores than those who do not (p=0.041). Conclusion: Visual related quality of life (VRQOL) of severe low vision and blind population was associated significantly with occupational status. Because of culture and characteristics of Indonesian people, VRQOL of severe low vision and blind population in Indonesia was not affected by educational level, literacy, income level, and residency.
Other languages abstract :
Latar belakang: Faktor sosioekonomi diketahui memiliki
hubungan dengan terjadinya gangguan penglihatan, dan
gangguan penglihatan dapat mempengaruhi kualitas hidup
seseorang. Penelitian ini bertujuan untuk menilai adanya
hubungan faktor sosioekonomi terhadap kualitas hidup pada
populasi gangguan penglihatan berat dan buta di Indonesia.
Metode: Penelitian potong lintang berbasis populasi
ini dilakukan di 5 provinsi di Indonesia. Wawancara
menggunakan kuesioner sosioekonomi dan national eye
institute visual function questionnaire 25 (NEI VFQ 25)
dilakukan pada responden RISKESDAS 2013 yang berusia
di atas 18 tahun dan memiliki gangguan penglihatan berat
(Visus≥3/60 hingga 6/60) dan buta (visus<3/60). Skor total
NEI VFQ 25 dibandingkan berdasarkan derajat gangguan
penglihatan, tingkat pendidikan, status bekerja, status buta
huruf, tingkat pendapatan dan tempat tinggal. Hasil dianalisis
menggunakan uji T tidak berpasangan atau Mann-Whitney
dan uji kai kuadrat.
Hasil: Sebanyak 134 subyek masuk dalam kriteria inklusi
penelitian ini. Sebaran subyek paling banyak berjenis kelamin
perempuan (68,2%), usia >64 tahun (64,9%), berpendidikan
rendah (65,7%), buta huruf (52,2%), berpenghasilan rendah
(71,6%), tidak bekerja (63,4%) dan tinggal di daerah urban
(58,2%). Kelompok buta memiliki skor kualitas hidup yang
lebih rendah dibandingkan dengan kelompok gangguan
penglihatan berat (p=0,001). Responden yang bekerja
memiliki kualitas hidup yang lebih tinggi daripada yang
tidak bekerja (p=0,041) sementara tingkat pendidikan,
penghasilan, kemampuan baca tulis, dan tempat tinggal tidak
menunjukkan perbedaan bermakna pada kualitas hidup.
Kesimpulan: Kualitas hidup terkait penglihatan pada
populasi dengan gangguan penglihatan berat dan buta
berhubungan dengan status bekerja. Karena pengaruh budaya
dan karakter masyarakat Indonesia, kualitas hidup pada
populasi tersebut tidak dipengaruhi oleh tingkat pendidikan,
tingkat penghasilan, status buta huruf, dan tempat tinggal.
Keywords :
NEI VFQ 25 , severe low vision and blind , socioeconomic , vision-related quality of life
Journal title :
Astroparticle Physics