Sociocultural and psychological determinants in migrants for noncompliance with occlusion therapy for amblyopia
Tóm tắt
Compliance with occlusion therapy for amblyopia in children is low when their parents have a low level of education, speak Dutch poorly, or originate from another country. We determined how sociocultural and psychological determinants affect compliance. Included were amblyopic children between the ages of 3 and 6, living in low socio-economic status (SES) areas. Compliance with occlusion therapy was measured electronically. Their parents completed an oral questionnaire, based on the “Social Position & Use of Social Services by Migrants and Natives” questionnaire that included demographics and questions on issues like education, employment, religion and social contacts. Parental fluency in Dutch was rated on a five-point scale. Regression analysis was used to describe the relationship between the level of compliance and sociocultural and psychological determinants. Data from 45 children and their parents were analyzed. Mean electronically measured compliance was 56 ± 44 percent. Children whose parents had close contact with their neighbors or who were highly dependent on their family demonstrated low levels of compliance. Children of parents who were members of a club and who had positive conceptualizations of Dutch society showed high levels of compliance. Poor compliance was also associated with low income, depression, and when patching interfered with the child’s outdoor activity. Religion was not associated with compliance. Poor compliance with occlusion therapy seems correlated with indicators of social cohesion. High social cohesion at micro level, i.e., family, neighbors and friends, and low social cohesion on macro level, i.e., Dutch society, are associated with noncompliance. However, such parents tend to speak Dutch poorly, so it is difficult to determine its actual cause.
Tài liệu tham khảo
Attebo K, Mitchell P, Cumming R, Smith W, Jolly N, Sparkes R (1998) Prevalence and causes of amblyopia in an adult population. Ophthalmology 105:154–159
Groenewoud JH, Tjiam AM, Lantau VK, Hoogeveen WC, de Faber JT, Juttmann RE, de Koning HJ, Simonsz HJ (2010) Rotterdam Amblyopia Screening Effectiveness Study: detection and causes of amblyopia in a large birth cohort. Invest Ophthalmol Vis Sci 51:3476–3484
Holmes JM, Clarke MP (2006) Amblyopia. Lancet 367:1343–1351
Rahi J, Logan S, Timms C, Russell-Eggitt I, Taylor D (2002) Risk, causes, and outcomes of visual impairment after loss of vision in the non-amblyopic eye: a population-based study. Lancet 360:597–602
Smith LK, Thompson JR, Woodruff G, Hiscox F (1995) Factors affecting treatment compliance in amblyopia. J Pediatr Ophthalmol Strabismus 32:98–101
Loudon SE, Fronius M, Looman CW, Awan M, Simonsz B, van der Maas PJ, Simonsz HJ (2006) Predictors and a remedy for noncompliance with amblyopia therapy in children measured with the occlusion dose monitor. Invest Ophthalmol Vis Sci 47:4393–4400
Van Wieringen JC, Harmsen JA, Bruijnzeels MA (2002) Intercultural communication in general practice. Eur J Public Health 12:63–68
Schouten BC, Meeuwesen L (2006) Cultural differences in medical communication: a review of the literature. Patient Educ Couns 64:21–34
Harmsen H, Meeuwesen L, van Wieringen J, Bernsen R, Bruijnzeels M (2003) When cultures meet in general practice: intercultural differences between GPs and parents of child patients. Patient Educ Couns 51:99–106
Norredam M, Nielsen SS, Krasnik A (2009) Migrants' utilization of somatic healthcare services in Europe—a systematic review. Eur J Public Health 20:555–563
Seeleman C, Suurmond J, Stronks K (2005) Een arts van de wereld. Etnische diversiteit in de medische praktijk [A doctor of the world. Ethnical diversity in medical practice]. Bohn Stafleu van Loghum, Houten
Statistics/Netherlands [Population; generation, gender, age, ethnicity and area, 1 January 2010] www.cbs.nl (accessed on 25 January 2010)
Tjiam AM, Vukovic E, Asjes-Tydeman WL, Holtslag G, Loudon SE, Sinoo MM, Simonsz HJ (2010) How Dutch orthoptists deal with noncompliance with occlusion therapy for amblyopia. Strabismus 18:146–166
Vukovic E, Tjiam A, Asjes-Tydeman W, Loudon S, Sinoo M, Van Agt H, De Koning H, Simonsz H (2008) Non-compliance in occlusion therapy for amblyopia can be improved, but can such measures be implemented nationwide? The Association for Research in Vision and Ophthalmology Conference, Fort Lauderdale (USA). Meet Abstr 49:E-2584
Moseley MJ, Fielder AR (1995) Measurement of compliances with occlusion therapy. J Pediatr Ophthalmol Strabismus 32:399–400
Chopovska Y, Loudon SE, Cirina L, Zubcov A, Simonsz HJ, Luchtenberg M, Fronius M (2005) Electronic recording of occlusion treatment for amblyopia: potential of the new technology. Graefes Arch Clin Exp Ophthalmol 243:539–544
Fielder AR, Irwin M, Auld R, Cocker KD, Jones HS, Moseley MJ (1995) Compliance in amblyopia therapy: objective monitoring of occlusion. Br J Ophthalmol 79:585–589
The Netherlands Institute for Social Research SCP [Social Position & Use of Social Services by Migrants and Natives] www.scp.nl/content.jsp?objectid=default:18718 (accessed on 21 December 2007)
Weijters G, Scheepers P (2003) Verschillen in sociale integratie tussen etnische groepen: beschrijving en verklaring [Differences in social integration among ethnic groups: description and explanation]. Mens & Maatschappij [Human & Society] 78:144–157
Groeneveld S, Weijers-Martens Y (2003) Minderheden in Beeld SPVA-02 [Minorities in the Picture SPVA-02]. ISEO, Rotterdam
Van de Graaf ES, Van der Sterre GW, Polling JR, Van Kempen H, Simonsz B, Simonsz HJ (2004) Amblyopia & Strabismus Questionnaire: design and initial validation. Strabismus 12:181–193
Felius J, Stager DR Sr, Berry PM, Fawcett SL, Stager DR Jr, Salomao SR, Berezovsky A, Birch EE (2004) Development of an instrument to assess vision-related quality of life in young children. Am J Ophthalmol 138:362–372
Cole SR, Beck RW, Moke PS, Celano MP, Drews CD, Repka MX, Holmes JM, Birch EE, Kraker RT, Kip KE (2001) The amblyopia treatment index. J AAPOS 5:250–254
Veenman J, Roelandt T (1994) Onzeker bestaan: De maatschappelijke positie van Turken, Marokkanen, Surinamers en Antillianen in Nederland [An insecure existence, The social position of Turks, Moroccans, Surinamese and Antilleans in The Netherlands]. Boom, Amsterdam
Economic Policy Analysis/Netherlands CPB [Central Economic Plan] www.cpb.nl (accessed on 11 August 2009)
Fassaert T, Hesselink AE, Verhoeff AP (2009) Acculturation and use of health care services by Turkish and Moroccan migrants: a cross-sectional population-based study. BMC Public Health 9:332
Uiters E, Deville WL, Foets M, Groenewegen PP (2006) Use of health care services by ethnic minorities in The Netherlands: do patterns differ? Eur J Public Health 16:388–393
Kunst A, Meerding W, Varenik N, Polder J, Mackenbach JP (2007) Sociale verschillen in zorggebruik en zorgkosten in Nederland 2003 [Social inequalities in care consumption and health care costs in the Netherlands 2003]. Rijksinstituut voor Volksgezonheid en Milieu, Bildhoven
O'Malley AS, Kerner J, Johnson AE, Mandelblatt J (1999) Acculturation and breast cancer screening among Hispanic women in New York City. Am J Public Health 89:219–227
Schnabel P, Bijl R, De Hart J (2008) Betrekkelijke betrokkenheid. Studies in sociale cohesie [Relative commitment. Studies about social cohesion]. Sociaal en Cultureel Planbureau [The Netherlands Insitute for Social Research], Den Haag
Gonzalez-Castro JL, Ubillos S (2011) Determinants of psychological distress among migrants from Ecuador and Romania in a Spanish city. Int J Soc Psychiatry 57:30–44
Fassaert T, De Wit MA, Tuinebreijer WC, Knipscheer JW, Verhoeff AP, Beekman AT, Dekker J (2011) Acculturation and psychological distress among non-Western Muslim migrants - a population-based survey. Int J Soc Psychiatry 57:132–143
Parsons SK, Cruise PL, Davenport WM, Jones V (2006) Religious beliefs, practices and treatment adherence among individuals with HIV in the southern United States. AIDS Patient Care STDs 20:97–111
Hjelm K, Bard K, Nyberg P, Apelqvist J (2003) Religious and cultural distance in beliefs about health and illness in women with diabetes mellitus of different origin living in Sweden. Int J Nurs Stud 40:627–643