{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:55:16Z","timestamp":1760147716644,"version":"build-2065373602"},"reference-count":40,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T00:00:00Z","timestamp":1676592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Implementation of eye care behaviors may reduce the risk of eye symptoms and diseases. This study aimed to assess eye care behaviors and identify factors associated with eye care practices among adults in Poland. This cross-sectional survey was carried out between 9 and 12 December 2022 on a nationwide random quota sample of adults in Poland. The study questionnaire included a set of questions on 10 different eye care behaviors. The study population included 1076 participants with a mean age of 45.7 \u00b1 16.2 years, and 54.2% of participants were females. The most common (30.2%) eye care behavior was the use of good lighting indoors, and 27.3% used sunglasses with a UV filter. More than one-fifth of participants declared taking regular screen breaks and limiting screen time. Less than one-tenth of participants used dietary supplements with lutein, beta-carotene, or zinc. Out of 12 factors assessed in this study, self-reported knowledge of eye diseases was the most important factor associated (p &lt; 0.05) with eye care behaviors. There were no economic or educational gaps (p &gt; 0.05) in the implementation of most of the eye care behaviors among adults in Poland. This study revealed a low level of implementation of eye care behaviors among adults in Poland.<\/jats:p>","DOI":"10.3390\/ijerph20043590","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T03:29:06Z","timestamp":1676863746000},"page":"3590","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Eye Care Behaviors among Adults in Poland: A Nationwide Cross-Sectional Survey"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6977-6411","authenticated-orcid":false,"given":"Agnieszka","family":"Kami\u0144ska","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, 01-938 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1015-9643","authenticated-orcid":false,"given":"Jaros\u0142aw","family":"Pinkas","sequence":"additional","affiliation":[{"name":"School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3793-7214","authenticated-orcid":false,"given":"Piotr","family":"Tyszko","sequence":"additional","affiliation":[{"name":"Department of Social Medicine and Public Health, Medical University of Warsaw, 02-007 Warsaw, Poland"},{"name":"Institute of Rural Health in Lublin, 20-090 Lublin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8892-5985","authenticated-orcid":false,"given":"Iwona","family":"Wrze\u015bniewska-Wal","sequence":"additional","affiliation":[{"name":"School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7142-5167","authenticated-orcid":false,"given":"Mateusz","family":"Jankowski","sequence":"additional","affiliation":[{"name":"School of Public Health, Centre of Postgraduate Medical Education, 01-826 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,17]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2019). World Report on Vision, World Health Organization."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1038\/s41433-021-01684-x","article-title":"Eye disease and mortality, cognition, disease, and modifiable risk factors: An umbrella review of meta-analyses of observational studies","volume":"36","author":"Trott","year":"2022","journal-title":"Eye"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e1221","DOI":"10.1016\/S2214-109X(17)30393-5","article-title":"Vision Loss Expert Group of the Global Burden of Disease Study. Global causes of blindness and distance vision impairment 1990\u20132020: A systematic review and meta-analysis","volume":"5","author":"Flaxman","year":"2017","journal-title":"Lancet Glob. Health"},{"key":"ref_4","first-page":"117","article-title":"Genes and genetics in eye diseases: A genomic medicine approach for investigating hereditary and inflammatory ocular disorders","volume":"11","author":"Singh","year":"2018","journal-title":"Int. J. Ophthalmol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1093\/nutrit\/nuaa100","article-title":"Diet and risk of visual impairment: A review of dietary factors and risk of common causes of visual impairment","volume":"79","author":"Broadhead","year":"2021","journal-title":"Nutr. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1111\/j.1442-9071.2011.02514.x","article-title":"Eye health promotion in Western Pacific island countries","volume":"39","author":"Hobday","year":"2011","journal-title":"Clin. Exp. Ophthalmol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"629","DOI":"10.2174\/1381612822666161129152041","article-title":"Smoking and Eye Pathologies. A Systemic Review. Part I. Anterior Eye Segment Pathologies","volume":"23","author":"Nita","year":"2017","journal-title":"Curr. Pharm. Des."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Lawrenson, J.G., and Downie, L.E. (2019). Nutrition and Eye Health. Nutrients, 11.","DOI":"10.3390\/nu11092123"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"6569","DOI":"10.1038\/s41598-018-24822-0","article-title":"Unhealthy behaviours and risk of visual impairment: The CONSTANCES population-based cohort","volume":"8","author":"Merle","year":"2018","journal-title":"Sci. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"63","DOI":"10.5603\/OJ.2018.0033","article-title":"Adverse effect of UV radiation on eyes\u2014A review","volume":"3","author":"Nowakowska","year":"2018","journal-title":"Ophthalmol. J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1007\/s10792-013-9791-x","article-title":"Ultraviolet light and ocular diseases","volume":"34","author":"Yam","year":"2014","journal-title":"Int. Ophthalmol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1038\/s41370-018-0087-0","article-title":"Sun exposure to the eyes: Predicted UV protection effectiveness of various sunglasses","volume":"29","author":"Backes","year":"2019","journal-title":"J. Expo. Sci. Environ. Epidemiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1016\/j.ophtha.2016.01.006","article-title":"Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050","volume":"123","author":"Holden","year":"2016","journal-title":"Ophthalmology"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"6901","DOI":"10.1038\/s41598-019-43408-y","article-title":"Continuous Objective Assessment of Near Work","volume":"9","author":"Williams","year":"2019","journal-title":"Sci. Rep."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bjophthalmol-2018-313295","article-title":"From reading books to increased smart device screen time","volume":"103","author":"Dirani","year":"2019","journal-title":"Br. J. Ophthalmol."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Huang, H.M., Chang, D.S., and Wu, P.C. (2015). The Association between Near Work Activities and Myopia in Children\u2014A Systematic Review and Meta-Analysis. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0140419"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"37","DOI":"10.4103\/jehp.jehp_67_17","article-title":"The effect of an eye health promotion program on the health protective behaviors of primary school students","volume":"7","author":"Kirag","year":"2018","journal-title":"J. Educ. Health Promot."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1136\/bjo.2005.078451","article-title":"Eye health promotion and the prevention of blindness in developing countries: Critical issues","volume":"90","author":"Hubley","year":"2006","journal-title":"Br. J. Ophthalmol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"5110","DOI":"10.4103\/jfmpc.jfmpc_1627_21","article-title":"Computer vision syndrome: Symptoms, risk factors, and practices","volume":"11","author":"Alamri","year":"2022","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_20","first-page":"131","article-title":"Causes, occupational risk and socio-economic deter-minants of eye injuries: A literature review","volume":"94","author":"Kyriakaki","year":"2021","journal-title":"Med. Pharm. Rep."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Yang, Y.J., Lee, W.Y., Kim, Y.J., and Hong, Y.P. (2021). A Meta-Analysis of the Efficacy of Hyaluronic Acid Eye Drops for the Treatment of Dry Eye Syndrome. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18052383"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e000476","DOI":"10.1136\/bmjophth-2020-000476","article-title":"Personal hygiene risk factors for contact lens-related microbial keratitis","volume":"5","author":"Stellwagen","year":"2020","journal-title":"BMJ Open Ophthalmol."},{"key":"ref_23","unstructured":"Nationwide Research Panel Ariadna (2022, December 25). about Us. Available online: https:\/\/panelariadna.com\/."},{"key":"ref_24","unstructured":"Statistics Poland (2022, December 25). Demographic Yearbook of Poland 2022, Available online: https:\/\/stat.gov.pl\/en\/topics\/statistical-yearbooks\/statistical-yearbooks\/demographic-yearbook-of-poland-2022,3,16.html."},{"key":"ref_25","first-page":"e937948","article-title":"Use of Mobile Apps and Wearables to Monitor Diet, Weight, and Physical Activity: A Cross-Sectional Survey of Adults in Poland","volume":"28","author":"Jankowski","year":"2022","journal-title":"Med. Sci. Monit."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Furman, F.M., Zgliczy\u0144ski, W.S., Jankowski, M., Baran, T., Szumowski, \u0141., and Pinkas, J. (2020). The State of Vaccine Confidence in Poland: A 2019 Nationwide Cross-Sectional Survey. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17124565"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e138","DOI":"10.1111\/aos.14198","article-title":"Socio-economic disparity in global burden of near vision loss: An analysis for 2017 with time trends since 1990","volume":"98","author":"Wang","year":"2020","journal-title":"Acta Ophthalmol."},{"key":"ref_28","first-page":"3","article-title":"Health Literacy and Its Impact on Health and Healthcare Outcomes","volume":"269","author":"Moore","year":"2020","journal-title":"Stud. Health Technol. Inform."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"335","DOI":"10.3233\/WOR-210704","article-title":"Ergonomic lighting considerations for the home office workplace","volume":"71","author":"McKee","year":"2022","journal-title":"Work"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1111\/apps.12290","article-title":"Achieving Effective Remote Working during the COVID-19 Pandemic: A Work Design Perspective","volume":"70","author":"Wang","year":"2021","journal-title":"Appl. Psychol."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Palacios, J., Eichholtz, P., and Kok, N. (2020). Moving to productivity: The benefits of healthy buildings. PLoS ONE, 15.","DOI":"10.2139\/ssrn.3710946"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.pmedr.2018.10.003","article-title":"Associations between screen time and lower psychological well-being among children and adolescents: Evidence from a population-based study","volume":"12","author":"Twenge","year":"2018","journal-title":"Prev. Med. Rep."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"82","DOI":"10.3928\/01913913-20050301-02","article-title":"A systematic review of the applicability and efficacy of eye exercises","volume":"42","author":"Rawstron","year":"2005","journal-title":"J. Pediatr. Ophthalmol. Strabismus"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Labetoulle, M., Benitez-Del-Castillo, J.M., Barabino, S., Herrero Vanrell, R., Daull, P., Garrigue, J.S., and Rolando, M. (2022). Artificial Tears: Biological Role of Their Ingredients in the Management of Dry Eye Disease. Int. J. Mol. Sci., 23.","DOI":"10.3390\/ijms23052434"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.nwh.2018.11.001","article-title":"Menopause and Dry Eye Syndrome","volume":"23","author":"Lurati","year":"2019","journal-title":"Nurs. Womens Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/IIO.0000000000000170","article-title":"Effects of Aging in Dry Eye","volume":"57","year":"2017","journal-title":"Int. Ophthalmol. Clin."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Francisco, S.G., Smith, K.M., Aragon\u00e8s, G., Whitcomb, E.A., Weinberg, J., Wang, X., Bejarano, E., Taylor, A., and Rowan, S. (2020). Dietary Patterns, Carbohydrates, and Age-Related Eye Diseases. Nutrients, 12.","DOI":"10.3390\/nu12092862"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Johra, F.T., Bepari, A.K., Bristy, A.T., and Reza, H.M. (2020). A Mechanistic Review of \u03b2-Carotene, Lutein, and Zeaxanthin in Eye Health and Disease. Antioxidants, 9.","DOI":"10.3390\/antiox9111046"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Li, L.H., Lee, J.C., Leung, H.H., Lam, W.C., Fu, Z., and Lo, A.C.Y. (2020). Lutein Supplementation for Eye Diseases. Nutrients, 12.","DOI":"10.3390\/nu12061721"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e1801049","DOI":"10.1002\/mnfr.201801049","article-title":"Zinc Nutrition and Inflammation in the Aging Retina","volume":"63","author":"Gilbert","year":"2019","journal-title":"Mol. Nutr. Food Res."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/4\/3590\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:39:44Z","timestamp":1760121584000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/4\/3590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,17]]},"references-count":40,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["ijerph20043590"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20043590","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2023,2,17]]}}}