Spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in Tehran

Abstract Near-vision is important for employees to reach better performance. The prevalence of uncorrected presbyopia ranges from less than 10–90% according to various sociodemographic factors including age, sex, educational level, affordability, and awareness. Current study aims to determine the pr...

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Main Authors: Fateme Alipour, Ramin Mehrdad, Parya Abdolalizadeh, Hamidreza Pouragha, Mehrdad Esmaili
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-02873-4
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author Fateme Alipour
Ramin Mehrdad
Parya Abdolalizadeh
Hamidreza Pouragha
Mehrdad Esmaili
author_facet Fateme Alipour
Ramin Mehrdad
Parya Abdolalizadeh
Hamidreza Pouragha
Mehrdad Esmaili
author_sort Fateme Alipour
collection DOAJ
description Abstract Near-vision is important for employees to reach better performance. The prevalence of uncorrected presbyopia ranges from less than 10–90% according to various sociodemographic factors including age, sex, educational level, affordability, and awareness. Current study aims to determine the prevalence of spectacle coverage for presbyopia correction and its associated factors among adult employees of a university. A cross-sectional study was conducted on Tehran University of Medical Sciences’ staffs aged ≥ 30 years in 2018–2019. All participants were assessed for distance and near visual acuities. Presbyopia was defined as inability to read 20/50 (N8) at 35 cm despite of corrected distance VA of at least 20/50 in the better eye. Total spectacle coverage for presbyopia was calculated as the number of participants with current near vision spectacle ⁄ number of participants with presbyopia. If persons with presbyopia had spectacles that allowed near vision to improve to 20/50 (N8) or better, it was true near spectacle coverage. Included was 4022 participants with mean (standard deviation) age of years 43.61 (7.92) years (range: 30–75 years). The prevalence of presbyopia was found to be 12.6% (507/4022). The total and true spectacle coverage for presbyopia correction were 35.9% (182/507) and 22.7% (115/507), respectively. Female (OR = 4.89, 95%CI = 1.82–13.18, P = 0.002), age ≥ 45 years (OR = 18.69, 95%CI = 1.69-206.18, P = 0.02), hyperopic refractive error (OR = 5.61, 95%CI = 1.75–17.93, P = 0.004), and poor to fair level of general health (OR = 2.94, 95%CI = 1.16–7.69, P = 0.02) were factors significantly associated with the total spectacle coverage. Academic educational level (OR = 2.76, 95%CI = 1.03–7.45, P = 0.04) and poor to fair general health (OR = 3.45, 95%CI = 1.41–8.33, P = 0.007) affected the true spectacle coverage. Nearly one-third of employees with presbyopia used spectacle for near vision, among whom 63% had true near spectacle. Near spectacle use was higher in elderly females with hyperopia and poor to fair general health. People with academic educational level and poor-fair general health wore true near spectacle.
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spelling doaj-art-ab77ceec18b14405bd0a33bbfaed937a2025-08-20T03:45:23ZengNature PortfolioScientific Reports2045-23222025-05-011511810.1038/s41598-025-02873-4Spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in TehranFateme Alipour0Ramin Mehrdad1Parya Abdolalizadeh2Hamidreza Pouragha3Mehrdad Esmaili4Eye Research Center, Farabi Eye Hospital, Tehran University of Medical SciencesDepartment of Environmental Engineering, MehrAlborz University (MAU)Department of Ophthalmology, School of Medicine, Urmia University of Medical SciencesDepartment of Environmental Engineering, MehrAlborz University (MAU)Optometry Department, School of Paramedical Sciences, Shahid Beheshti University of Medical SciencesAbstract Near-vision is important for employees to reach better performance. The prevalence of uncorrected presbyopia ranges from less than 10–90% according to various sociodemographic factors including age, sex, educational level, affordability, and awareness. Current study aims to determine the prevalence of spectacle coverage for presbyopia correction and its associated factors among adult employees of a university. A cross-sectional study was conducted on Tehran University of Medical Sciences’ staffs aged ≥ 30 years in 2018–2019. All participants were assessed for distance and near visual acuities. Presbyopia was defined as inability to read 20/50 (N8) at 35 cm despite of corrected distance VA of at least 20/50 in the better eye. Total spectacle coverage for presbyopia was calculated as the number of participants with current near vision spectacle ⁄ number of participants with presbyopia. If persons with presbyopia had spectacles that allowed near vision to improve to 20/50 (N8) or better, it was true near spectacle coverage. Included was 4022 participants with mean (standard deviation) age of years 43.61 (7.92) years (range: 30–75 years). The prevalence of presbyopia was found to be 12.6% (507/4022). The total and true spectacle coverage for presbyopia correction were 35.9% (182/507) and 22.7% (115/507), respectively. Female (OR = 4.89, 95%CI = 1.82–13.18, P = 0.002), age ≥ 45 years (OR = 18.69, 95%CI = 1.69-206.18, P = 0.02), hyperopic refractive error (OR = 5.61, 95%CI = 1.75–17.93, P = 0.004), and poor to fair level of general health (OR = 2.94, 95%CI = 1.16–7.69, P = 0.02) were factors significantly associated with the total spectacle coverage. Academic educational level (OR = 2.76, 95%CI = 1.03–7.45, P = 0.04) and poor to fair general health (OR = 3.45, 95%CI = 1.41–8.33, P = 0.007) affected the true spectacle coverage. Nearly one-third of employees with presbyopia used spectacle for near vision, among whom 63% had true near spectacle. Near spectacle use was higher in elderly females with hyperopia and poor to fair general health. People with academic educational level and poor-fair general health wore true near spectacle.https://doi.org/10.1038/s41598-025-02873-4Uncorrected presbyopiaEmployeeAdultNear spectacleAssociated factors
spellingShingle Fateme Alipour
Ramin Mehrdad
Parya Abdolalizadeh
Hamidreza Pouragha
Mehrdad Esmaili
Spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in Tehran
Scientific Reports
Uncorrected presbyopia
Employee
Adult
Near spectacle
Associated factors
title Spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in Tehran
title_full Spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in Tehran
title_fullStr Spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in Tehran
title_full_unstemmed Spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in Tehran
title_short Spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in Tehran
title_sort spectacle coverage for presbyopia correction and its associated factors among employees of an academic centre in tehran
topic Uncorrected presbyopia
Employee
Adult
Near spectacle
Associated factors
url https://doi.org/10.1038/s41598-025-02873-4
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