Activity of daily living and its associated factors in war survivors with no visual acuity

Reza Amini, Hamid Haghani, Mehdi Masoomi, Shervin Assari


  • BACKGROUND: War is a known cause of tremendous physical injuries to different body organs, and eyes are not exceptions. War-related no visual acuity (NVA) affects both the victim and the family. Activity of daily living (ADL) can display personal life independency and is considered as a morbidity index. This study was designed to investigate the ADL profile of war survivors with NVA.
  • METHODS: This cross-sectional study was conducted in 2007 in Iran. In this study, 500 Iranian people with war related NVA were invited to take part in a camp in Mashhad city.  ADL was evaluated using Barthel Index and demographic data were collected using a data sheet. Stepwise linear regression was used to determine the associates of ADL.
  • RESULTS: The overall response rate to the invitation was 50%. From the total 250 participants 96.5% were male with a mean age of 43 ± 8 years. Only 8.3% had no dependency in ADL and other 91.7% had some ranges of dependency in at least one of the daily living activities. ADL score was higher in highly educated participants, those younger than 50 years old, those with less co-morbid physical problems (hearing loss) and those with regular physical exercises. According to regression analysis, age and duration of war related NVA were significant predictors of ADL.
  • CONCLUSIONS: According to the results, both age and the time passed from war related NVA increase the dependency of people with war related NVA.
  • KEYWORDS: War, No Visual Acuity, Activity of Daily Living.


War- blindness - Activity of Daily Living (ADL)

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