Prevalence of visual impairment in relation to the number of ophthalmologists in a given area: a nationwide approach
2006

Visual Impairment and Ophthalmologist Availability in France

Sample size: 356208 publication Evidence: moderate

Author Information

Author(s): Lafuma Antoine J, Brézin Antoine P, Fagnani Francis L, Mesbah Mounir, Berdeaux Gilles H

Primary Institution: Cemka

Hypothesis

Is there a relationship between the number of ophthalmologists per inhabitant and the prevalence of visual impairment in France?

Conclusion

There is an inverse correlation between the number of ophthalmologists and the prevalence of low vision in France, suggesting inequity in healthcare provision.

Supporting Evidence

  • Prevalence rates for low vision were estimated at 2.08% and blindness at 0.12%.
  • The prevalence of visual impairment increased exponentially with age.
  • Regions with fewer ophthalmologists had higher rates of low vision.
  • Injuries were reported as a common cause of both low vision and blindness.

Takeaway

The more eye doctors there are in an area, the fewer people have trouble seeing, which means some places might not have enough eye doctors.

Methodology

Data were collected from two national surveys, including a community survey and an institution survey, with a total of 356,208 citizens sampled.

Potential Biases

Self-reported data may introduce recall bias regarding the causes of visual impairment.

Limitations

The cross-sectional design does not allow for causal analysis, and visual acuity was self-reported without medical verification.

Participant Demographics

The study included a diverse sample of citizens from various regions in France, with a focus on age and socio-professional categories.

Statistical Information

Confidence Interval

95% confidence limits provided for odds ratios.

Digital Object Identifier (DOI)

10.1186/1477-7525-4-34

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