Gendered disparities in quality of cataract surgery in a marginalised population in Pakistan: the Karachi marine fishing communities eye and general health survey

Background: Marine fishing communities are among the most marginalised and hard-to-reach groups and have been largely neglected in health research. We examined the quality of cataract surgery and its determinants, with an emphasis on gender, in marine fishing communities in Karachi, Pakistan, using multiple indicators of performance. Methods and Findings: The Karachi Marine Fishing Communities Eye and General Health Survey was a door-to-door, cross-sectional study conducted between March 2009 and April 2010 in fishing communities living on 7 islands and in coastal areas in Keamari, Karachi, located on the Arabian Sea. A population-based sample of 638 adults, aged ≥ 50 years, was studied. A total of 145 eyes (of 97 persons) had undergone cataract surgery in this sample. Cataract surgical outcomes assessed included vision (presenting and best-corrected with a reduced logMAR chart), satisfaction with surgery, astigmatism, and pupil shape. Overall, 65.5% of the operated eyes had some form o...研究背景：海洋捕捞社区是最弱势且最难触达的群体之一，在健康研究领域长期被大幅忽视。本研究以巴基斯坦阿拉伯海沿岸卡拉奇市的海洋捕捞社区为研究对象，采用多项手术效果评估指标，探讨了白内障手术的质量及其影响因素，重点关注性别差异。 研究方法与结果：本次研究为「卡拉奇海洋捕捞社区眼部与总体健康调查」，于2009年3月至2010年4月在卡拉奇凯马里区7个岛屿及沿海区域的捕捞社区中开展入户横断面研究。本研究纳入638名年龄≥50岁的成人作为基于人群的抽样样本。该样本中共有97名受试者的145只眼接受过白内障手术。本次评估的白内障手术结局指标包括视力（裸眼视力与使用简化logMAR视力表（reduced logMAR chart）检测的最佳矫正视力）、手术满意度、散光及瞳孔形态。总体而言，65.5%的手术眼存在某种形式的……