Visual Impairment and Its Associated Factors among Hypertensive Patients in South West Ethiopia Peoples Region Hospitals, Ethiopia, 2023
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Date
2023-05-13
Authors
Daniel Assefa
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Publisher
Addis Ababa University
Abstract
Background: WHO report shows that at least 2.2 billion people have near or distance vision impairment globally. It is more prevalent in low and middle-income countries. Little attention has been given to the prevalence of visual impairment (VI) among hypertensive patients in these countries, particularly in Ethiopia.
Objectives: To assess the prevalence of VI and its associated factors among hypertensive patients in South West Ethiopia Peoples Region hospitals, Ethiopia, 2023.
Materials and Method: An institution based cross - sectional study design was conducted on 423 study participants.Questionnaire, Visual acuity test, color vision test, slit lamp examination,retinoscopy, fundus examination, IOP measurement, perimetry examination, anthropometric and blood pressure measurements were used to collect data. Data was entered in to Epi data version 4.6 and then exported to SPSS version 26 for analysis. Bivariate and multivariate binary logistic regressions were used to determine theassociation between the independent and outcomevariables. P-value <0.05 at 95% confidence interval was considered as statistically significantdifference. Those variables which were found to have an association with the outcome variable at P<0.25 were entered to a multivariate binary logistic regression model. Statistical significance was interpreted using the adjusted odds ratio.
Results: The overall prevalence of VI among hypertensive patients was 39.72% (n=168; 95%CI: 35-44.4).Cataract (36.3%), Glaucoma (25%) and uncorrected refractive error (16.7%) werethe leading causes of VI among hypertensive patients. History of ocular trauma (AOR = 3.84,95%CI: 1.7-8.71,P=0.001), duration of hypertension (HTN) (AOR: 3.73, 95% CI:2.32-5.99,P=0.001), alcohol drinking (AOR = 2.27, 95%CI: 1.12-4.59,P=0.023) were significantly associated with visual impairment.
Conclusion and recommendations: More than one third of hypertensive patients in this study were visually impaired. The major cause of VI was attributed to cataract. Duration of HTN,history of ocular trauma and alcohol drinking were factors significantly associated with visualimpairment. All concerned bodies should work together and focus on the identified factors for early prevention of VI among hypertensive patients.
Keywords: Hypertension, Visual impairment, Glaucoma, Cataract, Ethiopia.
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Keywords
Hypertension Visual impairment Glaucoma Cataract Ethiopia, , , ,