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Can a public health package on glaucoma reach its target population? | Eye
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There was a difference between male and females: in Southall more males than females reported having heard of glaucoma. In both areas there was a small tendency for the younger age groups to report having heard of glaucoma more frequently. The sources of knowledge for having heard of glaucoma differed between areas. Most on the IOW either could not remember where they had heard of the disease or had a friend or relative with the disease.
There was more of a spread of information sources in Southall, TV or general knowledge being given as the most common source of knowledge. In both areas there was an effect in the proportion reporting having recently been exposed to knowledge of the disease following the intervention. This was, however, very large in Southall and small on the IOW. There was no pattern to those who reported having heard of glaucoma by occupation in Southall, either before or after the intervention.
On the IOW all grades of occupation had similar proportions who reported having heard of glaucoma. In Southall, males were more likely to have heard of glaucoma OR 1. In a complete model adjusting for age, gender, and intervention the only important factor was the intervention IOW predicts perfectly, Southall OR 1. In Southall, there was a significant impact with a higher proportion of individuals reporting seeing the advert, hearing the interview and having heard of glaucoma after the intervention.
On the IOW the same findings occurred for the advert and having heard of glaucoma but there was no clear effect in terms of those reporting hearing the radio interview. There were striking differences between the two populations. This could be due to social deprivation. Fraser et al 11 carried out a case-control study into risk factors for late presentation in chronic glaucoma and found social deprivation to be a major risk factor.
This may be influenced by level of education. The variation could also be a result of ethnic differences. Patel and Murdoch have shown that Indians do not see health as the highest priority.
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More females on the IOW reported having heard of glaucoma. This result could be due to females accessing health care more than males. This is in keeping with previous work. This would allow for a smaller effect in the IOW than in Southall but for it to have no effect there must have been other contributing factors. The interview could have been placed at the wrong time of day for our target population although we did try to get around this by having the adverts leading up to the interview throughout the day.
This, however, was not mentioned by any of the interviewees. The above findings indicate that further research is required to determine the best method of reaching our target population through radio. Other media may need to be considered.
There were two main strengths to this study. The first strength being that as far as we are aware, this is the first study to actually assess the impact of two different media sources aimed at raising awareness for glaucoma. Secondly, the two different populations highlighted patterns that were population-specific as were the strengths of responses. The sampling method used is limited.