{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T09:25:44Z","timestamp":1765704344624,"version":"3.48.0"},"reference-count":36,"publisher":"BMJ","issue":"12","funder":[{"DOI":"10.13039\/100007458","name":"Qatar Foundation","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100007458","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Orbis","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Ophthalmol"],"accepted":{"date-parts":[[2025,4,23]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/aims<\/jats:title>\n                    <jats:p>To assess adherence to spectacle wear among children attending public and private schools in urban and rural locations in Kerala, Maharashtra, Madhya Pradesh, Tamil Nadu and West Bengal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All schools within a district served by one of six partner hospitals were invited to participate. Vision screening occurred in children aged 5 to 18 years using a pocket vision screener. Children unable to read 0.2 logMar letters (Snellen equivalent approximately 6\/9) monocularly, able to read them through a +1.50\u2009DS lens, already wearing spectacles or with ocular complaints or abnormalities were examined on-site by a vision professional. Glasses were provided according to age-specific guidelines and subjective improvement. Adherence was assessed by direct observation at an unannounced follow-up visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 31\u2009991 children prescribed glasses at 2145 schools, 29\u2009667 (92.7%) were available at follow-up median of 5.6 months instead of a planned 3-month follow-up. Of these, 19\u2009679 (66.3%) were adherent. Adherence was higher in children with poorer presenting vision, younger age, attending rural or government-supported schools, in areas with lower human development index or wearing spectacles for the first time (all p&lt;0.001) but did not differ by sex (p=0.414). Adherence was higher in children with astigmatism than myopia (p&lt;0.001) but not hyperopia (p=0.455), was similar in the latter two conditions (p=0.903) and decreased with longer follow-up intervals (p&lt;0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This large study covering a wide geographic area and variety of schools reveals higher wear among children in greatest need of free service: those living in rural, poorer areas, attending government schools and not previously owning glasses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjo-2024-326662","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T08:59:16Z","timestamp":1753088356000},"page":"1418-1424","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and associations of spectacle 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