Research Article

New Keratoconus Risk Factors: A Cross-Sectional Case—Control Study

Table 4

Risk factors of keratoconus in the eye rubbing population and multivariate logistic regression.

CharacteristicCases N = 164Controls N = 66Univariate analysisMultivariate analysis
OR95% CI valueOR95% CI value

Rubbing frequency
 Once/day maximum97 (59)17 (26)
 Often, 1–10 times/day32 (20)48 (73)8.124.13–16.6<0.0019.484.62–20.6<0.001
 Very often, >10 times/day35 (21)1 (1.5)52.110.4–951<0.00157.311.0–1,059<0.001

Rubbing duration
 <15 sec34 (22)6 (9.2)
 ≥15 sec121 (78)59 (91)2.741.16–7.570.032

Intensity of rubbing
 Superficial59 (36)32 (48)
 Moderate62 (38)27 (41)1.150.61–2.180.67
 Hard43 (26)7 (11)3.061.28–8.200.017

Rubbing noise
 No92 (56)48 (73)
 Yes71 (44)18 (27)1.971.06–3.770.036

Type of rubbing

Index fingertips
 No103 (63)24 (36)
 Yes61 (37)41 (63)0.340.18–0.62<0.0010.270.13–0.55<0.001

The palm of the hand
 No138 (84)54 (82)
 Yes26 (16)11 (17)0.890.41–2.010.77

Knuckles
 No73 (45)44 (67)
 Yes91 (55)21 (32)2.461.35–4.590.004

Thumb and index clamp
 No141 (86)56 (85)
 Yes23 (14)9 (14)0.910.40–2.220.83

Back of the hand
 No132 (80)59 (89)
 Yes32 (20)6 (9)2.971.19–9.050.032

OR = odds ratio and CI = confidence interval. Data are n (%) or odds ratio (OR) and 95% confidence interval (CI). Odds ratios were calculated by univariate and multivariate logistic regression. The multivariate model was created with the variables with in the univariate analysis with a method of eliminating variables by using the corrected Akaike information criterion. A generalized variance inflation factor was used to check for multicollinearity.