Female Gender Remains a Significant Barrier to Access Cataract Surgery in South Asia: A Systematic Review and Meta-Analysis
Joint Authors
Wang, Wei
Ye, Qunru
Chen, Yanxian
Yan, William
Zhong, Jingxian
Tang, Cong
Müller, Andreas
Qiu, Bo
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-11
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Purpose.
To determine whether the female gender is a barrier for the access to cataract surgery services in South Asia in the last two decades.
Methods.
Eligible cross-sectional studies were identified via computer searches and reviewing the reference lists of the obtained articles.
The cataract surgical coverage (CSC) by sex based on person and eyes at visual acuity <3/60 and 6/18 is extracted.
Pooled odds ratios (ORs) for males receiving cataract surgery in comparison with females were calculated by a random effect model.
Results.
Sixteen studies with 135972 subjects were included in the final analysis.
The pooled ORs of CSC by sex on a person basis at visual acuity <3/60 and at visual acuity <6/18 were 1.46 (95% CI: 1.23–1.75) and 1.14 (95% CI: 1.05–1.24), respectively.
For CSC on a per-eye basis at visual acuity <3/60, the associations were statistically significant, with a pooled OR of 1.40 (95% CI: 1.16–1.70).
The values of population attributable risk percentage at a per-person and per-eye basis at visual acuity <3/60 were 6.28% and 7.48%, respectively.
Subgroup analyses by design and location types attained similar results as the primary analyses.
There was no evidence of publication bias.
Conclusions.
The female gender remains a significant barrier for the access to cataract surgery in South Asia.
Visual impairment, including blindness, from unoperated cataract, could be reduced by approximately 6.28% with the elimination of gender disparities to access.
More efforts are needed to increase eye care service utilization by female population.
American Psychological Association (APA)
Ye, Qunru& Chen, Yanxian& Yan, William& Wang, Wei& Zhong, Jingxian& Tang, Cong…[et al.]. 2020. Female Gender Remains a Significant Barrier to Access Cataract Surgery in South Asia: A Systematic Review and Meta-Analysis. Journal of Ophthalmology،Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1189318
Modern Language Association (MLA)
Ye, Qunru…[et al.]. Female Gender Remains a Significant Barrier to Access Cataract Surgery in South Asia: A Systematic Review and Meta-Analysis. Journal of Ophthalmology No. 2020 (2020), pp.1-14.
https://search.emarefa.net/detail/BIM-1189318
American Medical Association (AMA)
Ye, Qunru& Chen, Yanxian& Yan, William& Wang, Wei& Zhong, Jingxian& Tang, Cong…[et al.]. Female Gender Remains a Significant Barrier to Access Cataract Surgery in South Asia: A Systematic Review and Meta-Analysis. Journal of Ophthalmology. 2020. Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1189318
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1189318