229046 To compare the prevalence of seven eye diseases between 2001 NHIS and NHI dataset among children in Taiwan

Monday, November 8, 2010 : 9:27 AM - 9:45 AM

Yi Ting Fang, MD , Institute of Health and Welfare Policy,school of medicine, National Yang-Ming University, Taipei, Taiwan
Christy Pu , Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei, Taiwan
Hsiao-Yun Hu , Department of Senior Citizen Service Management, Ching Kuo Institute of Management and Health, Keelung, Taiwan
Nicole Huang, PhD , Institute of Hospital and Health Care Administration, National Yang Ming University, Taipei, Taiwan
Yiing-Jenq Chou, MD, PhD , Institute of Public Health, National Yang-Ming University, Taipei, Taiwan
Pesus Chou Chou , Institute of Public Health, National Yang-Ming University, Taipei, Taiwan
Objectives: To demonstrate the prevalence of seven eye conditions (myopia, squint, amblyopia, color blindness, hyperopia, astigmatism, hyperopia, and blindness)among 3-12 years old children in 2001 NHIS (self reported) and NHI claimed data(by using ICD-9 CM code) To calculate the sensitivity, specificity, PPV and NPV of NHI claim to predict self reported eye conditions. To find the factors associated with the diagnosis of myopia. Study design: We linked 2001 National Health Interview Survey (NHIS) to 2000-2004 National Health Insurance (NHI) claim data to conduct this study. 2892 children between 3-12 years old were chosen. Principal findings: The prevalence of seven eye conditions in 2001 NHIS and NHI were identified. The sensitivity was highest in amblyopia (31.2%), the PPV was highest in squint (63.6%). The specificity was over 95% in seven eye conditions. The NPV were over 95% in 5 eye conditions except myopia (88.7%) and astigmatism (93.8%) Residential area was a significant factor associated with the diagnosis of myopia, others (age, sex, socioeconomic status) were not. Conclusions: There is large discrepancy between two datasets for the diagnosis of 7 eye conditions. Children's vision status and pattern of glasses usage might be good reference for researchers to judge the children's eye condition. Residential area was a significant factor determine the diagnosis of myopia.

Learning Areas:
Provision of health care to the public

Learning Objectives:
To demonstrate the discrepancy between self reported (NHIS) and diagnosed (NHI claimed) eye conditions. To identify the factors associated with the diagnosis of myopia, which is the most common eye condition in children.

Keywords: Vision Care, Children

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an ophthalmologist and participat in the design and analysis of this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3068.0: Evaluating and Addressing Children's Vision Needs