Relationship of socioeconomic factors with vision-related quality of life on severe low vision and blind population in Indonesia

  • Habsyiyah Habsyiyah Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Yeni D. Lestari Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
  • Iwan Ariawan Department of Biostatistics and Population, Faculty of Public Health, Universitas Indonesia, Depok
  • Tjahjono D. Gondhowiardjo Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
DOI: https://doi.org/10.13181/mji.v24i4.1245
Keywords: NEI VFQ 25, severe low vision and blind, socioeconomic, vision-related quality of life
Abstract viewed: 2268 times
PDF downloaded: 979 times

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.

References

  1. www.who.int [Internet]. Visual impairment and blindness [cited July 2014]. Available from: http://www.who.int/mediacentre/factsheets/fs282/en/

  2. Departemen Kesehatan Republik Indonesia. Survey Kesehatan Indera Penglihatan Tahun 1993–1996. Jakarta: Departemen Kesehatan RI; 1998. Indonesian.

  3. Zheng Y, Lamoureux E, Finkelstein E, Wu R, Lavanya R, Chua D. et al. Independent impact of area-level socioeconomic measures on visual impairment. Invest Ophthalmology Vis Sci. 2011;52(12):8799–805. http://dx.doi.org/10.1167/iovs.11-7700

  4. Dandona L, Dandona R, Srinivas M, Giridhar P, Vilas K, Prasad MN, et al. Blindness in the Indian state of Andhra Pradesh. Invest Ophthalmology Vis Sci. 2001;42(5):908–16.

  5. Chong EW, Lamoureux EL, Jenkins MA, Aung T, Saw SM, Wong TY. Sociodemographic, lifestyle, and medical risk factors for visual impairment in an urban asian population: the singapore malay eye study. Arch Ophthalmol. 2009;127(12):1640–7. http://dx.doi.org/10.1001/archophthalmol.2009.298

  6. Zheng Y, Lavanya R, Wu R, Wong WL, Wang JJ, Mitchell P, et al. Prevalence and causes of visual impairment and blindness in an urban Indian population: the Singapore Indian Eye Study. Ophthalmology. 2011;118(9):1798–804. http://dx.doi.org/10.1016/j.ophtha.2011.02.014

  7. Chiang PP, Zheng Y, Wong TY, Lamoureux EL. Vision impairment and major causes of vision loss impacts on vision-specific functioning independent of socioeconomic factors. Ophthalmology. 2013;120(2):415–22. http://dx.doi.org/10.1016/j.ophtha.2012.07.077

  8. Livingston P, McCarty C, Taylor HR. Visual impairment and socioeconomic factors. Br J Ophthalmol. 1997;81(7):574–7. http://dx.doi.org/10.1136/bjo.81.7.574

  9. Pesudovs K. Patient-centred measurement in ophthalmolog--a paradigm shift. BMC Ophthalmol. 2006;6:25. http://dx.doi.org/10.1186/1471-2415-6-25

  10. Kementerian Kesehatan Republik Indonesia. Riset kesehatan dasar 2013. Jakarta: Badan Litbangkes; 2013. Indonesian.

  11. Mangione CM, Lee PP, Gutierrez PR, Spitzer K, Berry S, Hays RD, et al. Development of the 25-list-item national eye institute visual function questionnaire. Arch Ophthalmol. 2001;119(7):1050–8. http://dx.doi.org/10.1001/archopht.119.7.1050

  12. Massof RW, Fletcher DC. Evaluation of the NEI visual functioning questionnaire as an interval measure of visual ability in low vision. Vision Res. 2001;41(3):397–413. http://dx.doi.org/10.1016/S0042-6989(00)00249-2

  13. Lamoureux EL, Pesudovs K, Thumboo J, Saw SM, Wong, TY. An evaluation of the reliability and validity of the visual functioning questionnaire (VF-11) using Rasch analysis in an Asian population. Invest Ophthalmol Vis Sci. 2009;50(6):2607–13. http://dx.doi.org/10.1167/iovs.08-2359

  14. Nutheti R, Shamanna BR, Nirmalan PK, Keeffe JE, Krishnainah S, Rao GN, et al. Impact of impaired vision and eye disease on quality of life in Andhra Pradesh. Invest Ophthalmol Vis Sci. 2006;47(11):4742–8. http://dx.doi.org/10.1167/iovs.06-0020

  15. www.who.int [Internet]. Gender and Blindness, Gender and health information sheet. [update Aug 2014, cited Sept 2014]. Available from: http://www.who.int/gender-equity-rights/knowledge/a85574/en/

  16. Wong TY, Chong EW, Wong WL, Rosman M, Aung T, Loo JL, et al. Prevalence and causes of low vision and blindness in an urban Malay population: the Singapore Malay Eye Study. Arch Ophthalmol. http://dx.doi.org/10.1001/archopht.126.8.1091

  17. Xu L, Wang Y, Li Y, Wang Y, Cui T, Li J, et al. Causes of blindness and visual impairment in urban and rural areas in Beijing: the Beijing Eye Study. Ophthalmology. 2006;113(7):1124.e1–11. http://dx.doi.org/10.1016/j.ophtha.2006.01.035

  18. Jadoon MZ, Dineen B, Bourne RR, Shah SP, Khan MA, Johnson GJ, et al. Prevalence of blindness and visual impairment in Pakistan: the Pakistan National Blindness and Visual Impairment Survey. Invest Ophthalmol Vis Sci. 2006;47(11):4749–55. http://dx.doi.org/10.1167/iovs.06-0374

  19. Zheng Y, Lamoureux EL, Chiang PP, Cheng CY, Anuar AR, Saw SM, et al. Literacy is an independent risk factor for vision impairment and poor visual functioning. Invest Ophthalmol Vis Sci. 2011;52(10):7634–9. http://dx.doi.org/10.1167/iovs.11-7725

  20. Nirmalan PK, Thulasiraj RD, Maneksha V, Rahmathullah R, Ramakrishnan R, Padmawathi A, et al. A population based eye survey of older adults in Tirunelveli district of south India: blindness, cataract surgery, and visual outcomes. Br J Ophthalmol. 2002;86(5):505–12. http://dx.doi.org/10.1136/bjo.86.5.505

  21. Vijaya L, George R, Arvind H, Baskaran M, Raju P, Ramesh SV, et al. Prevalence and causes of blindness in the rural population of the Chennai Glaucoma Study. Br J Ophthalmol. 2006;90(4):407–10. http://dx.doi.org/10.1136/bjo.2005.081406

  22. Murthy GVS, Gupta SK, Bachani D, Jose R, John N. Current estimates of blindness in India. Br J Ophthalmol. 2005;89(3):257–60. http://dx.doi.org/10.1136/bjo.2004.056937

  23. Sapkota YD, Pokharel GP, Nirmalan PK, Dulal S, Maharjan IM, Prakash K. Prevalence of blindness and cataract surgery in Gandaki Zone, Nepal. Br J Ophthalmol. 2006;90(4):411–6. http://dx.doi.org/10.1136/bjo.2005.082503

  24. Dineen BP, Bourne RRA, Ali SM, Huq DMN, Johnson GJ. Prevalence and causes of blindness and visual impairment in Bangladeshi adults: results of the National Blindness and Low Vision Survey of Bangladesh. Br J Ophthalmol. 2003;87(7):820–8. http://dx.doi.org/10.1136/bjo.87.7.820

  25. Saw SM, Husain R, Gazzard GM, Koh D, Widjaja D, Tan DTH. Causes of low vision and blindness in rural Indonesia. Br J Ophthalmol. 2003;87(9):1075–8. http://dx.doi.org/10.1136/bjo.87.9.1075

  26. Nirmalan PK, Tielsch JM, Katz J, Thulasiraj RD, Krishnadas R, Ramakrishnan R, et al. Relationship between vision impairment and eye disease to vision-specific quality of life and function in rural India: the Aravind Comprehensive Eye Survey. Invest Ophthalmol Vis Sci. 2005;46(7):2308–12. http://dx.doi.org/10.1167/iovs.04-0830

  27. McClure TM, Choi D, Becker T, Cioffi GA, Mansberger SL. The effect of visual impairment on vision-related quality of life in American Indian/Alaska Natives. Ophthalmic Epidemiol. 2009;16(2):128–35. http://dx.doi.org/10.1080/09286580902745428

  28. Wagner LD, Rein DB. Attributes associated with eye care use in the United States: a meta-analysis. Ophthalmology. 2013;120(7):1497–501. http://dx.doi.org/10.1016/j.ophtha.2012.12.030

Published
2015-12-31
How to Cite
1.
Habsyiyah H, Lestari YD, Ariawan I, Gondhowiardjo TD. Relationship of socioeconomic factors with vision-related quality of life on severe low vision and blind population in Indonesia. Med J Indones [Internet]. 2015Dec.31 [cited 2024Apr.24];24(4):245-51. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1245
Issue
Vol. 24 No. 4 (2015): December
Section
Community Research

Copyright (c) 2015 Habsyiyah Habsyiyah, Yeni D. Lestari, Iwan Ariawan, Tjahjono D. Gondhowiardjo

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with Medical Journal of Indonesia agree to the following terms:

  1. Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
  2. Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.

Most read articles by the same author(s)