RT Journal Article
SR Electronic
T1 Glaucoma in rural China (the Rural Epidemiology for Glaucoma in China (REG-China)): a national cross-sectional study
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 1458
OP 1466
DO 10.1136/bjo-2021-320754
VO 107
IS 10
A1 Liu, Yuanyuan
A1 Yao, Baoqun
A1 Chen, Xi
A1 Yang, Xueli
A1 Liu, Yong
A1 Xie, Zhenggao
A1 Chen, Xiaofeng
A1 Yuan, Zhigang
A1 Wang, Xingrong
A1 Hu, Dan
A1 Ma, Xiang
A1 Gao, Weiqi
A1 Wang, Ruifeng
A1 Yang, Yuzhong
A1 Chen, Song
A1 Zhang, Jingkai
A1 Song, Zuoqing
A1 Wang, Junsu
A1 Wang, Jing
A1 Pei, Jinyun
A1 Wang, Weijuan
A1 Wang, Meiyan
A1 Gao, Jun
A1 Zhang, Hongwen
A1 Tan, Lian
A1 Du, Wei
A1 Pan, Xuehui
A1 Liu, Gang
A1 Du, Xiujuan
A1 Hou, Xu
A1 Gao, Xin
A1 Zhang, Zhen
A1 Shen, Zhansheng
A1 Wu, Changfu
A1 Yan, Xiaochang
A1 Bo, Shaoye
A1 Sun, Xinghuai
A1 Tang, Nai-jun
A1 Zhang, Chun
A1 Yan, Hua
YR 2023
UL http://bjo.bmj.com/content/107/10/1458.abstract
AB Objective This study aimed to investigate the prevalence of glaucoma with associated factors in the rural populations of 10 provinces in China.Design A population-based cross-sectional study.Methods All participants aged 6 years or older from 10 provinces completed visual acuity testing, slit-lamp examination, ophthalmoscopy and non-contact tonometry. Glaucoma suspects underwent fundus photography, Goldmann applanation tonometry, visual field testing and gonioscopy. Glaucoma was determined according to the International Society of Geographical and Epidemiological Ophthalmology classification scheme. Associations of demographics and medical factors with glaucoma were assessed using multiple logistic regression models.Results From June 2017 to October 2018, 48 398 of 52 041 participants were included in the final analyses. The age-standardised prevalence of glaucoma was 1.7% (95% CI 1.55% to 1.78%) among the participants older than 6 years, which was 2.1% (95% CI 1.93% to 2.23%) in participants aged over 40 years. The constituent ratios of glaucoma were: 44.4% primary angle-closure glaucoma (PACG), 34.7% primary open-angle glaucoma, 2.6% congenital glaucoma and 18.3% other types of glaucoma. Increasing age, smoking, cerebral stroke, type 2 diabetes, higher education (college or more) and higher personal income were significant risk factors for PACG. The unilateral and bilateral blindness rates in the entire study population were 4.692% and 1.068%, respectively. A family history of glaucoma was a significant risk factor for the prevalence of glaucoma and blindness in at least one eye.Conclusions Rural populations have a high prevalence of glaucoma, which should be included in chronic disease management programmes in China for long-term care.Data are available on reasonable request.