JOURNAL OF PUBLIC HEALTH AND DISEASES
Integrity Research Journals

ISSN: 2705-2214
Model: Open Access/Peer Reviewed
DOI: 10.31248/JPHD
Start Year: 2018
Email: jphd@integrityresjournals.org


Self-reported history of ocular conditions and knowledge of glaucoma among faith-based leaders in Anambra State, Nigeria: A population-based cross-sectional survey

https://doi.org/10.31248/JPHD2025.166   |   Article Number: C6CA302E2   |   Vol.8 (1) - April 2026

Received Date: 15 July 2025   |   Accepted Date: 26 February 2026  |   Published Date: 30 April 2026

Authors:  Arinze A Onwuegbuna , Ugochukwu A Eze* , Akunne I Apakama , Ogugua N Okonkwo , Chidiebele M Ezeude , Chigozie I Echieh , Emeka A Chianakwalam and George U Eleje

Keywords: Anambra State, faith-based leaders, glaucoma, ocular conditions.

Faith-based leaders are highly respected and influential members of society, shaping the values and habits of their followers. This study explored self-reported ocular conditions and glaucoma knowledge among faith-based leaders in Anambra State. A cross-sectional survey was conducted among 167 faith-based leaders selected through multistage sampling. An interviewer-administered, pretested, and validated questionnaire was used to collect information on sociodemographic variables, ocular condition history, and glaucoma knowledge. A structured scoring system was used to assess glaucoma knowledge. A 70% (7/10) cutoff was set for adequate knowledge, while scores below the cutoff were considered inadequate. Data was analysed using IBM SPSS software version 23. The results show that the study population was predominantly male (73.7%), with a mean age of 47.02 ± 13.84 years, and the majority (79.6%) attained at least a tertiary level of education. The predominant ocular symptoms were blurred vision, difficulty reading, itching, and ocular pain. Glaucoma awareness was poor as only 27.5% of respondents showed a good (adequate) knowledge of the condition, and a higher level of education was significantly associated with an adequate knowledge of glaucoma (p=0.022). Inability to read was the most common symptom reported, followed by allergies and blurred vision. In conclusion, knowledge of glaucoma among faith-based leaders was generally low in this survey. Given their high level of influence within communities, the importance of integrating faith-based leaders into glaucoma awareness and primary eye care education initiatives cannot be overemphasised, as this may improve community-based eye health education and significantly reduce the burden of glaucoma-related blindness.

Balo, P. K., Serouis, G. A., Banla, M., Agla, K., Djagnikpo, P. A., & Gué, K. K. (2004). Knowledge, attitudes and practices regarding glaucoma in the urban and suburban population of Lome (Togo). Cahiers d'études et de recherches francophones/Santé, 14(3), 187-191.
 
Bodunde, O. T., Daneil, O. J., Onobolu, O. O., Ajibode, H. A., Awodein, O. G., Jagun, O. O., & Fafiolu, V. O. (2006). Knowledge, attitude, and health Believes of glaucoma patients in a Nigerian Hospital. Nigerian Medical Practitioner, 50(3), 62-64.
https://doi.org/10.4314/nmp.v50i3.28871
 
Budenz, D. L., & Singh, K. (2001). Glaucoma care in West Africa. Journal of Glaucoma, 10(4), 348-353.
https://doi.org/10.1097/00061198-200108000-00016
 
Budenz, D. L., Barton, K., Whiteside-de Vos, J., Schiffman, J., Bandi, J., Nolan, W., Herndon, L., Kim, H., Hay-Smith, G., Tielsch, J. M., & Tema Eye Survey Study Group, F. T. (2013). Prevalence of glaucoma in an urban West African population: the Tema Eye Survey. JAMA ophthalmology, 131(5), 651-658.
https://doi.org/10.1001/jamaophthalmol.2013.1686
 
Celebi, A. R. C. (2018). Knowledge and awareness of glaucoma in subjects with glaucoma and their normal first-degree relatives. Medical Hypothesis, Discovery and Innovation in Ophthalmology, 7(1), 40.
 
Durowade, K. A., Babatunde, O. A., Salaudeen, A. G., Musa, O. I., Bolarinwa, O. A., & Anyaike, C. (2014). Knowledge and Risk Factors for Glaucoma among Adults in a Rural Community of Kwara State, North-Central Nigeria. TAF Preventive Medicine Bulletin, 13(5), 375-380.
https://doi.org/10.5455/pmb.1-1379622282
 
Eze, U. A., Ndife, T. I., Umar, M. M., Bello, S. U., Obi-Mgbam, C. G., Bako, S. S., & Babalola, O. E. (2021). Prevalence and magnitude of presbyopia in a cosmopolitan Nigerian population. Jos Journal of Medicine, 15(10), 12-21.
 
Ibanga, A. A., Essien, E. A., Etim, B. A., & Udofia, O. (2021). Attitudes to eye health: A focus group discussion among Christian religious leaders in Calabar, Nigeria. Nigerian Journal of Ophthalmology, 29(2), 126-132.
https://doi.org/10.4103/njo.njo_11_21
 
Idowu, O. O., Aribaba, O. T., Onakoya, A. O., Rotimi-Samuel, A., Musa, K. O., & Akinsola, F. B. (2016). Presbyopia and near spectacle correction coverage among public school teachers in Ifo Township, South-West Nigeria. Nigerian Postgraduate Medical Journal, 23(3), 132-136.
https://doi.org/10.4103/1117-1936.190342
 
Kyari, F., Abdull, M. M., Bastawrous, A., Gilbert, C. E., & Faal, H. (2013). Epidemiology of glaucoma in sub-saharan Africa: prevalence, incidence and risk factors. Middle East African Journal of Ophthalmology, 20(2), 111-125.
https://doi.org/10.4103/0974-9233.110605
 
Kyari, F., Entekume, G., Rabiu, M., Spry, P., Wormald, R., Nolan, W., Murthy, G. V., Gilbert, C. E., & Nigeria National Blindness and Visual Impairment Study Group. (2015). A Population-based survey of the prevalence and types of glaucoma in Nigeria: results from the Nigeria National Blindness and Visual Impairment Survey. BMC Ophthalmology, 15, 176.
https://doi.org/10.1186/s12886-015-0160-6
 
Mbadugha, C. A., & Onakoya, A. O. (2014). The awareness, perceptions and experiences of primary open angle glaucoma patients in Lagos Nigeria. Scientific Reports, 4, 7585.
https://doi.org/10.1038/srep07585
 
Murdoch, C., Opoku, K., & Murdoch, I. (2016). Awareness of glaucoma and eye health services among faith-based communities in Kumasi, Ghana. Journal of Glaucoma, 25(10), e850-e854.
https://doi.org/10.1097/IJG.0000000000000462
 
Ntim-Amponsah, C. T., Winfried, M. A., & Ofosu-Amaah, S. (2004). Awareness and knowledge of glaucoma and other diseases associated with blindness in a Ghanian community. Nigerian Journal of Ophthalmology, 12(2), 50-54.
https://doi.org/10.4314/njo.v12i2.11947
 
Nwosu, S. N. (1998). Ocular problems of young adults in rural Nigeria. International Ophthalmology, 22(5), 259-263.
https://doi.org/10.1023/A:1006338013075
 
Nwosu, S. N. N. (2010). Patients′ knowledge of glaucoma and treatment options. Nigerian Journal of Clinical Practice, 13(1), 74-77.
 
Onwuegbuna, A. A., Eze, U., Apakama, A. I., Akujuobi-Chianakwalam, E., Ezeude, C. M., Ochiogu, B. C., Udeaja, A., Ubaka, C. O., Okonkwo, O. N., Eleje, G. U., & Uzozie, C. C. (2024). Engaging faith based leaders in the fight against glaucoma related blindness. Journal of Advanced Medical and Pharmaceutical Sciences, 26(10), 52-61.
https://doi.org/10.9734/jamps/2024/v26i10720
 
Onwuegbuna, A. A., Eze, U. A., Akpakama, A. A., Ezeude, M. C., Chukwunonyerem, O. B., & Chinyelu, U. A. (2024). Glaucoma screening among relatives of glaucoma patients in Anambra State, Nigeria. Advances in Research, 25(3), 175-185.
https://doi.org/10.9734/air/2024/v25i31063
 
Opoku, K., & Murdoch, I. E. (2013). Bridging the language barrier in health awareness. JAMA Ophthalmology, 131(10).
https://doi.org/10.1001/jamaophthalmol.2013.4285
 
Peng, Y., Han, L., Jiang, Q., Liu, J., Liu, X., Jiang, G., Li, Z., Qin, S., Zhuo, Y., & Su, W. (2026). Global, regional and national burden of glaucoma from 1990 to 2021 and projections to 2050: a retrospective cross-sectional study. BMJ open, 16, e108975.
https://doi.org/10.1136/bmjopen-2025-108975
 
Quigley, H. A., & Broman, A. T. (2006). The number of people with glaucoma worldwide in 2010 and 2020. British journal of Ophthalmology, 90(3), 262-267.
https://doi.org/10.1136/bjo.2005.081224
 
Seidu, M. A., Bekibele, C. O., & Ayorinde, O. O. (2016). Prevalence of presbyopia in a semi-urban population of southwest, Nigeria: a community-based survey. International Ophthalmology, 36(6), 767-773.
https://doi.org/10.1007/s10792-016-0198-3
 
Swihart, D. L., Yarrarapu, S. N. S., & Martin, R. L. (2018). Cultural religious competence in clinical practice. StatPearls Publishing, Treasure Island
 
Tham, Y. C., Li, X., Wong, T. Y., Quigley, H. A., Aung, T., & Cheng, C. Y. (2014). Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology, 121(11), 2081-2090.
https://doi.org/10.1016/j.ophtha.2014.05.013
 
The Johns Hopkins Health Communication Capacity Collaborative (2024). The roles of religious leaders and faith communities. Retrieved October 26, 2024 from https://www.healthcomcapacity.org/assessed.
 
Wang, Z., Xue, C. C., Li, Y., Wu, Y., Pan, Z., Li, F., Cheung, C. Y., Ohno-Matsui, K., Friedman, D. S., Garway-Heath, D., & Wang, Y. X. (2025). Global glaucoma prevalence: Burden and projection to 2060. American Journal of Ophthalmology, 283, 324-335.
https://doi.org/10.1016/j.ajo.2025.12.013