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J Epidemiol Community Health. 1995 December; 49(6): 606–609.
PMCID: PMC1060177

Children's vision screening: impact on inequalities in central England.

Abstract

STUDY OBJECTIVE--To investigate the relationship between age at presentation of amblyopia and social deprivation before and after the introduction of changes to a vision screening service. DESIGN--Two cohorts of children treated for amblyopia in 1983 and 1992. SETTING--THe orthoptic department of Leicester Royal Infirmary. PARTICIPANTS--The 209 patients treated for amblyopia who first attended the orthoptic department in 1983, and 203 who first attended in 1992. MEASUREMENTS--Age at presentation to the orthoptic department was the main outcome measure. Social deprivation was measured by Townsend deprivation score for the electoral ward in which the child lived, using 1981 and 1991 census data. MAIN RESULTS--After the introduction of changes in the screening programme, the mean at presentation of amblyopia associated with microtropia or no strabismus was reduced from 6.6 years to 5.0 years. In 1983 there was a significant relationship between deprivation and age at presentation (p = 0.0001), with those from more deprived areas presenting later. No similar association was found in children referred in 1992 (p = 0.17). There was no change in mean age of presentation of amblyopia associated with a large angle of strabismus (3.3 years in 1983 and 1992) and no relationship between deprivation and age at presentation 1983 or 1992 (p = 0.24 and p = 0.39 respectively). CONCLUSION--Since the introduction of changes to vision screening, the relationship between social deprivation and the age of presentation of asymptomatic amblyopia seems to have disappeared. Children are now referred earlier and those from deprived areas are not being overlooked.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Thompson JR, Woodruff G, Hiscox FA, Strong N, Minshull C. The incidence and prevalence of amblyopia detected in childhood. Public Health. 1991 Nov;105(6):455–462. [PubMed]
  • Wang YD, Thompson JR, Goulstine DB, Rosenthal AR. A survey of the initial referral of children to an ophthalmology department. Br J Ophthalmol. 1990 Nov;74(11):650–653. [PMC free article] [PubMed]
  • Bolger PG, Stewart-Brown SL, Newcombe E, Starbuck A. Vision screening in preschool children: comparison of orthoptists and clinical medical officers as primary screeners. BMJ. 1991 Nov 23;303(6813):1291–1294. [PMC free article] [PubMed]
  • Smith LK, Thompson JR, Woodruff G, Hiscox F. Social deprivation and age at presentation in amblyopia. J Public Health Med. 1994 Sep;16(3):348–351. [PubMed]
  • Nicoll A, Bassett K, Ulijaszek SJ. What's in a name? Accuracy of using surnames and forenames in ascribing Asian ethnic identity in English populations. J Epidemiol Community Health. 1986 Dec;40(4):364–368. [PMC free article] [PubMed]

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