Burden of vision loss in the Eastern Mediterranean region, 1990-2015: findings from the Global Burden of Disease 2015 study

Int J Public Health. 2018 May;63(Suppl 1):199-210. doi: 10.1007/s00038-017-1000-7. Epub 2017 Aug 3.

Abstract

Objectives: To report the estimated trend in prevalence and years lived with disability (YLDs) due to vision loss (VL) in the Eastern Mediterranean region (EMR) from 1990 to 2015.

Methods: The estimated trends in age-standardized prevalence and the YLDs rate due to VL in 22 EMR countries were extracted from the Global Burden of Disease (GBD) 2015 study. The association of Socio-demographic Index (SDI) with changes in prevalence and YLDs of VL was evaluated using a multilevel mixed model.

Results: The age-standardized prevalence of VL in the EMR was 18.2% in 1990 and 15.5% in 2015. The total age-standardized YLDs rate attributed to all-cause VL in EMR was 536.9 per 100,000 population in 1990 and 482.3 per 100,000 population in 2015. For each 0.1 unit increase in SDI, the age-standardized prevalence and YLDs rate of VL showed a reduction of 1.5% (p < 0.001) and 23.9 per 100,000 population (p < 0.001), respectively.

Conclusions: The burden of VL is high in the EMR; however, it shows a descending trend over the past 25 years. EMR countries need to establish comprehensive eye care programs in their health care systems.

Keywords: Eastern Mediterranean region; Global burden of disease; Vision disorder; Vision impairment.

MeSH terms

  • Blindness / economics
  • Blindness / epidemiology*
  • Global Burden of Disease / statistics & numerical data*
  • Global Health
  • Humans
  • Mediterranean Region / epidemiology
  • Middle East / epidemiology
  • Prevalence
  • Socioeconomic Factors