Utility values and myopia in teenage school students.
OBJECTIVE
To ascertain the utility values of myopic teenage students in Singapore.


METHODS
Children (n=699) aged 15-18 years with myopia (spherical equivalent (SE) at least -0.5 dioptres (D)) in two high schools in Singapore were recruited. Information on time trade-off (years of life willing to sacrifice for treatment of myopia) and standard gamble for blindness (risk of blindness from therapy willing to sacrifice for treatment of myopia) utility values, demographic, and socioeconomic status data were obtained.


RESULTS
The time trade-off and standard gamble for blindness utility values were 0.93 (95% confidence interval (CI) 0.93 to 0.94) and 0.85 (95% CI 0.84 to 0.86), respectively. Children with presenting better eye logMAR visual acuity >0.3 had lower time trade-off utility values (mean 0.92 versus mean 0.94), after adjusting for race and sex. There were dose-response relations between standard gamble for blindness values and total family income, as well as both utility values and educational stream (all p values for trend <0.01), after controlling for the same factors.


CONCLUSIONS
The utility values in myopic students were higher for teenagers with better presenting visual acuity, children who wore spectacles or contact lenses, higher total family income, more "academic" schooling stream, and who were non-Muslims.
Saw
S-M
SM
Department of Community, Occupational and Family Medicine, National University of Singapore, 16 Medical Drive, Singapore 117597, Republic of Singapore. cofsawsm@nus.edu.sg
Gazzard
G
G
Au Eong
K-G
KG
Koh
D
D
D000293:Adolescent; D001766:Blindness / Q000523:psychology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009216:Myopia / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012044:Regression Analysis; D012846:Singapore; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D014792:Visual Acuity / Q000502:physiology