April 2010
Volume 51, Issue 13
ARVO Annual Meeting Abstract  |   April 2010
Predictors of Acceptance of Free Spectacles Provided to Junior High School Students in China
Author Affiliations & Notes
  • L. J. Keay
    Injury Division, The George Inst for International Health, Missendon Road, Australia
  • Y. Zeng
    Zhongshan Ophthalmic Centre, Sun Yat-Sen University, Guangzhou, China
  • B. E. Munoz
    Ophthalmology, Johns Hopkins Wilmer Eye Inst, Baltimore, Maryland
  • M. He
    Preventive Ophthalmology, Zhongshan Ophthalmic Center, Guangzhou, China
  • D. S. Friedman
    Ophthalmology, Johns Hopkins Wilmer Eye Inst, Baltimore, Maryland
  • Footnotes
    Commercial Relationships  L.J. Keay, None; Y. Zeng, None; B.E. Munoz, None; M. He, None; D.S. Friedman, None.
  • Footnotes
    Support  Susan and Michael Dell Foundation, Helen Keller International and Knights Templar Eye Foundation Pediatric Ophthalmology Grant
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 1714. doi:
  • Views
  • Share
  • Tools
    • Alerts
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      L. J. Keay, Y. Zeng, B. E. Munoz, M. He, D. S. Friedman; Predictors of Acceptance of Free Spectacles Provided to Junior High School Students in China. Invest. Ophthalmol. Vis. Sci. 2010;51(13):1714.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

  • Supplements

Purpose: : To examine the factors influencing compliance to spectacle wear and perceived value of spectacles within a prospective 1-month trial of ready-made and custom spectacles in school-aged children with uncorrected refractive error (URE) in urban China.

Methods: : 428 students aged 12-15 years with ≤-1 diopter of URE were given free spectacles and evaluated 1-month later at an unannounced visit. Demographic factors, vision, optical effects and perceptions were modeled as predictors of observed use and perceived value using logistic regression adjusting for spectacle allocation.

Results: : Of the 428 enrolled, 13 (3%) were lost-to-follow-up. The majority (388/415, 93.5%) planned to use their spectacles. After 1 month of wear, 227/415 (54.7%) valued their spectacles highly and 204/415 (49.1%) had spectacles on-hand at the unannounced visit. Females were 1.7x (1.1-2.7, 95% confidence interval), students from lower income households 1.8x (1.3-2.4) and those not concerned about appearance 2.0x (1.2-3.4) more likely to have spectacles on-hand. Students with pupil size 4+mm were 2.5x (1.6-4.0) and spectacle vision worse than 20/20 2.0x (1.2-3.5) more likely to have spectacles on hand. Self report of high perceived value was 2.2x (1.3-3.8) more likely with 20/20 spectacle vision, 1.6x (1.1-2.5) with ≥0.5Δ base-in prismatic effects, 3.5x (2.0-6.1) with disbelief spectacles would make vision worse and 2.2x (1.2-3.8) when students stated that they would not tolerate blur to avoid wearing spectacles.

Conclusions: : While the majority of students planned to use their spectacles, only half were observed in use. The day-to-day use might be increased if students were less concerned over cosmetic acceptability. Spectacle acceptability was related to optical factors and beliefs surrounding spectacles. These findings provide further understanding of spectacle uptake in teenagers.

Clinical Trial: : www.clinicaltrials.gov NCT00657670

Keywords: clinical (human) or epidemiologic studies: health care delivery/economics/manpower • spectacle lens • refraction 

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.