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Table 2 Associations between participant characteristics and dry eye symptoms and signs

From: Prolonged facemask wearing among hospital workers and dry eye – a mixed-methods study

 

5-Item Dry Eye Questionnaire

Ocular Surface Disease Index

Corneal Staining

Conjunctival Staining

TBUT (worse eye)

LLT (worse eye)

 

Not severe

Severe

P-value

Normal/Mild

Moderate/Severe

P-value

No

Yes

P-value

No

Yes

P-value

Median (IQR)

P-value

Median (IQR)

P-value

Job type

  

0.35

  

0.76

  

0.16

  

1.00

 

0.43

 

0.68

 Clinical

11 (55%)

9 (45%)

 

10 (50%)

10 (50%)

 

7 (35%)

13 (65%)

 

6 (30%)

14 (70%)

 

3.65 (2.29–5.19)

 

69 (59–83)

 

 Non-clinical

8 (38%)

13 (62%)

 

9 (43%)

12 (57%)

 

3 (14%)

18 (86%)

 

7 (33%)

14 (67%)

 

2.56 (1.85–4.64)

 

68 (51–80)

 

Age group

  

0.07

  

0.20

  

0.14

  

1.00

 

0.01

 

0.55

 < 30

8 (50%)

8 (50%)

 

5 (31%)

11 (69%)

 

3 (19%)

13 (81%)

 

5 (31%)

11 (69%)

 

2.90 (2.20–6.93)

 

68 (54–86)

 

 30–39

9 (64%)

5 (36%)

 

9 (64%)

5 (36%)

 

6 (43%)

8 (57%)

 

4 (29%)

10 (71%)

 

4.82 (3.32–5.48)

 

64 (56–72)

 

 ≥ 40

2 (18%)

9 (82%)

 

5 (45%)

6 (55%)

 

1 (9%)

10 (91%)

 

4 (36%)

7 (64%)

 

2.33 (1.40–2.67)

 

74 (48–94)

 

Sex

  

0.03

  

0.03

  

0.40

  

0.70

 

0.30

 

0.01

 Female

11 (35%)

20 (65%)

 

11 (35%)

20 (65%)

 

9 (29%)

22 (71%)

 

9 (29%)

22 (71%)

 

2.56 (2.10–4.89)

 

72 (57–90)

 

 Male

8 (80%)

2 (20%)

 

8 (80%)

2 (20%)

 

1 (10%)

9 (90%)

 

4 (40%)

6 (60%)

 

4.69 (1.83–6.17)

 

57 (48–64)

 

Race

  

0.73

  

0.73

  

0.22

  

0.27

 

0.15

 

0.13

 White

13 (50%)

13 (50%)

 

13 (50%)

13 (50%)

 

8 (31%)

18 (69%)

 

10 (38%)

16 (62%)

 

3.46 (2.34–5.48)

 

71 (64–82)

 

 Non-white

5 (42%)

7 (58%)

 

5 (42%)

7 (58%)

 

1 (8%)

11 (92%)

 

2 (17%)

10 (83%)

 

2.38 (1.84–4.17)

 

60 (50–75)

 

Ethnicity

  

1.00

  

0.70

  

0.65

  

1.00

 

0.58

 

0.74

 Non-Hispanic

15 (45%)

18 (55%)

 

16 (48%)

17 (52%)

 

9 (27%)

24 (73%)

 

11 (33%)

22 (67%)

 

3.32 (2.29–4.98)

 

68 (57–81)

 

 Hispanic

4 (50%)

4 (50%)

 

3 (38%)

5 (63%)

 

1 (13%)

7 (88%)

 

2 (25%)

6 (75%)

 

2.48 (1.81–5.06)

 

61 (49–90)

 

Household income

  

0.71

  

0.34

  

0.44

  

0.53

 

0.06

 

0.41

 <$50,000

7 (54%)

6 (46%)

 

5 (38%)

8 (62%)

 

4 (31%)

9 (69%)

 

6 (46%)

7 (54%)

 

4.64 (2.34–7.09)

 

64 (51–80)

 

 $50,000-$99,999

6 (38%)

10 (63%)

 

7 (44%)

9 (56%)

 

2 (13%)

14 (88%)

 

4 (25%)

12 (75%)

 

2.31 (1.84–3.19)

 

71 (64–87)

 

 ≥$100,000

5 (50%)

5 (50%)

 

7 (70%)

3 (30%)

 

3 (30%)

7 (70%)

 

3 (30%)

7 (70%)

 

3.82 (2.56–5.40)

 

65 (46–76)

 

Current smoker

  

0.24

  

1.00

  

0.14

  

0.23

 

0.34

 

0.92

 No

19 (50%)

19 (50%)

 

18 (47%)

20 (53%)

 

8 (21%)

30 (79%)

 

11 (29%)

27 (71%)

 

3.19 (2.29–4.98)

 

68 (54–81)

 

 Yes

0 (0%)

3 (100%)

 

1 (33%)

2 (67%)

 

2 (67%)

1 (33%)

 

2 (67%)

1 (33%)

 

1.51 (1.35–9.16)

 

74 (37–82)

 

Average screen time

  

0.003

  

0.12

  

0.90

  

0.52

 

0.17

 

0.03

 0–4 h

6 (75%)

2 (25%)

 

5 (63%)

3 (38%)

 

2 (25%)

6 (75%)

 

3 (38%)

5 (63%)

 

4.27 (3.65–6.04)

 

60 (51–92)

 

 5–7 h

10 (67%)

5 (33%)

 

9 (60%)

6 (40%)

 

3 (20%)

12 (80%)

 

3 (20%)

12 (80%)

 

3.32 (2.29–4.98)

 

64 (49–70)

 

 8 + hours

3 (17%)

15 (83%)

 

5 (28%)

13 (72%)

 

5 (28%)

13 (72%)

 

7 (39%)

11 (61%)

 

2.44 (1.85–5.40)

 

75 (68–91)

 

Screen time most recent shift

  

0.0003

  

0.18

  

1.00

  

0.61

 

0.15

 

0.02

 0–4 h

5 (63%)

3 (38%)

 

5 (63%)

3 (38%)

 

2 (25%)

6 (75%)

 

3 (38%)

5 (63%)

 

4.27 (2.61–6.04)

 

59 (43–92)

 

 5–7 h

13 (72%)

5 (28%)

 

10 (56%)

8 (44%)

 

4 (22%)

14 (78%)

 

4 (22%)

14 (78%)

 

3.34 (2.44–4.98)

 

64 (51–70)

 

 8 + hours

1 (7%)

14 (93%)

 

4 (27%)

11 (73%)

 

4 (27%)

11 (73%)

 

6 (40%)

9 (60%)

 

2.33 (1.40–5.40)

 

76 (70–94)

 

Dry eye diagnosis

  

0.75

  

0.75

  

1.00

  

0.04

 

0.64

 

0.40

 No

12 (50%)

12 (50%)

 

12 (50%)

12 (50%)

 

6 (25%)

18 (75%)

 

11 (46%)

13 (54%)

 

2.94 (2.08–6.12)

 

67 (53–77)

 

 Yes

7 (41%)

10 (59%)

 

7 (41%)

10 (59%)

 

4 (24%)

13 (76%)

 

2 (12%)

15 (88%)

 

3.05 (2.10–4.64)

 

72 (56–82)

 

Dry eye treatment

  

1.00

  

0.28

  

0.26

  

0.91

 

0.91

 

0.30

 OTC only

6 (50%)

6 (50%)

 

8 (67%)

4 (33%)

 

4 (33%)

8 (67%)

 

3 (25%)

9 (75%)

 

3.55 (2.01–5.58)

 

62 (50–70)

 

 OTC plus other

7 (44%)

9 (56%)

 

6 (38%)

10 (63%)

 

5 (31%)

11 (69%)

 

6 (38%)

10 (63%)

 

2.86 (2.08–4.62)

 

73 (53–87)

 

 None

6 (46%)

7 (54%)

 

5 (38%)

8 (62%)

 

1 (8%)

12 (92%)

 

4 (31%)

9 (69%)

 

2.44 (2.10–4.74)

 

71 (63–80)

 

Treatment success

  

0.16

  

0.68

  

0.08

  

1.00

 

0.40

 

0.48

 Successful

10 (63%)

6 (38%)

 

9 (56%)

7 (44%)

 

7 (44%)

9 (56%)

 

5 (31%)

11 (69%)

 

3.82 (2.43–5.79)

 

64 (53–73)

 

 Not successful

3 (25%)

9 (75%)

 

5 (42%)

7 (58%)

 

2 (17%)

10 (83%)

 

4 (33%)

8 (67%)

 

2.55 (1.85–3.38)

 

73 (48–96)

 

 No treatment

6 (46%)

7 (54%)

 

5 (38%)

8 (62%)

 

1 (8%)

12 (92%)

 

4 (31%)

9 (69%)

 

2.44 (2.10–4.74)

 

71 (63–80)

 

Facemask type

  

0.65

  

0.05

  

1.00

  

1.00

 

0.65

 

0.21

 N95

3 (60%)

2 (40%)

 

0 (0%)

5 (100%)

 

1 (20%)

4 (80%)

 

1 (20%)

4 (80%)

 

2.56 (2.34–3.37)

 

56 (49–68)

 

 Surgical or cloth

16 (44%)

20 (56%)

 

19 (53%)

17 (47%)

 

9 (25%)

27 (75%)

 

12 (33%)

24 (67%)

 

3.19 (1.86–5.44)

 

70 (56–83)

 

Facemask worn properly

  

1.00

  

0.68

  

1.00

  

0.40

 

0.63

 

0.46

 No

3 (43%)

4 (57%)

 

4 (57%)

3 (43%)

 

2 (29%)

5 (71%)

 

1 (14%)

6 (86%)

 

2.67 (1.51–3.85)

 

54 (46–94)

 

 Yes

16 (47%)

18 (53%)

 

15 (44%)

19 (56%)

 

8 (24%)

26 (76%)

 

12 (35%)

22 (65%)

 

3.19 (2.10–5.40)

 

69 (57–81)

 

Facemask wearing duration at the most recently concluded shift*

                
  

0.37

  

0.45

  

0.60

  

0.21

 

0.74

 

0.24

 < 8 h

10 (63%)

6 (38%)

 

8 (50%)

8 (50%)

 

4 (25%)

12 (75%)

 

4 (25%)

12 (75%)

 

3.34 (2.50–4.24)

 

64 (49–79)

 

 8 h

5 (42%)

7 (58%)

 

7 (58%)

5 (42%)

 

2 (17%)

10 (83%)

 

2 (17%)

10 (83%)

 

2.31 (1.98–6.08)

 

66 (53–72)

 

> 8 h

4 (33%)

8 (67%)

 

4 (33%)

8 (67%)

 

4 (33%)

8 (67%)

 

6 (50%)

6 (50%)

 

2.60 (1.54–5.79)

 

75 (63–96)

 

Periocular humidity

                

 Masked

  

1.00

  

0.12

  

0.28

  

0.74

 

0.62

 

0.07

 ≤Median

10 (48%)

11 (52%)

 

7 (33%)

14 (67%)

 

7 (33%)

14 (67%)

 

6 (29%)

15 (71%)

 

2.56 (2.10–3.85)

 

64 (49–71)

 

 >Median

9 (45%)

11 (55%)

 

12 (60%)

8 (40%)

 

3 (15%)

17 (85%)

 

7 (35%)

13 (65%)

 

3.51 (2.07–5.83)

 

73 (62–91)

 

 Maskless

  

0.76

  

0.12

  

0.72

  

0.51

 

0.51

 

0.22

 ≤Median

9 (43%)

12 (57%)

 

7 (33%)

14 (67%)

 

6 (29%)

15 (71%)

 

8 (38%)

13 (62%)

 

3.37 (2.33–5.40)

 

65 (49–77)

 

 >Median

10 (50%)

10 (50%)

 

12 (60%)

8 (40%)

 

4 (20%)

16 (80%)

 

5 (25%)

15 (75%)

 

2.81 (1.84–4.94)

 

71 (62–87)

 
  1. P-values come from Fisher’s exact tests for categorical characteristics and from Kruskall-Wallis tests for comparison of medians
  2. OTC: Over the counter
  3. TBUT: tear breakup time; unit second
  4. LLT: lipid layer thickness; unit nm
  5. *Data missing from one participant