Ethnic Variations in Pterygium in a Rural Population in Southwestern China: The Yunnan Minority Eye Studies
Ethnic Variations in Pterygium in a Rural Population in Southwestern China: The Yunnan Minority Eye Studies
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中国西南部农村人口翼状胬肉的种族差异：云南少数民族眼科研究
DOI：
10.3109/09286586.2015.1099685
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发表时间：
2016-03
期刊：
影响因子：
--
通讯作者：
Yuan Yuansheng
中科院分区：
文献类型：
--
作者：
zhong hua;chen Qin;Li Jun;Shen Wei;Sheng Xun;Niu Zhiqiang;Zhou Hua;Hua Wei;Yuan Yuansheng
摘要：目的：了解中国农村多民族成年人翼状胬肉的患病率及其相关性，并探讨潜在的民族差异。方法：共有6418名50岁及以上的成年人（白族2133人，彝族2130人，汉族2155人）参与了这项研究。使用裂隙灯进行前节检查，无瞳孔扩张。翼状胬肉被定义为结膜上生长的凸起的肉质三角形纤维血管组织，侵犯透明角膜。结果：彝族成人翼状胬肉患病率最低（29.5%），白族（39.0%,p < 0.001）、汉族（39.5%,p < 0.001）；白族以严重翼状胬肉发生率最高（7.5%），彝族最低（3.8%）。多因素分析显示，年龄增加（比值比OR 1.017）、女性（比值比OR 1.53）、受教育程度降低（比值比OR 1.25）、血压升高（比值比OR 1.002）和每天户外活动时间增加（比值比OR 1.09）与翼状胬肉患病率升高有显著相关性，而彝族（比值比OR 0.65，彝族与汉族比较）和户外戴帽檐帽（比值比OR 0.82）是翼状胬肉患病率升高的保护因素。结论：种族与翼状胬肉患病率显著相关。我们的研究结果可能适用于位于“翼状胬肉带”内的许多其他国家的不同族群之间的卫生资源分配。
ABSTRACT Purpose: To determine the prevalence and associations of pterygium in a multiethnic adult population in rural China and to examine potential ethnic differences Methods: A total of 6418 adults (2133 ethnic Bai, 2130 ethnic Yi, and 2155 ethnic Han) aged 50 years or older participated in the study. Anterior segment examination was performed without pupil dilation using a slit lamp. Pterygium was defined as a raised fleshy triangular fibrovascular tissue growth of the conjunctiva encroaching onto a clear cornea. Results: Pterygium was least prevalent among adults of Yi ethnicity (29.5%) compared with Bai (39.0%, p < 0.001) or Han (39.5%, p < 0.001) ethnicities. Those of Bai ethnicity were most likely to be affected by severe pterygium (7.5%), while Yi were least likely to be affected (3.8%). Multivariate analysis revealed that increasing age (odds ratio, OR, 1.017), female sex (OR 1.53), lower educational level (OR 1.25), higher blood pressure levels (OR 1.002), and greater time spent outdoors per day (OR 1.09) were significantly associated with a higher prevalence of pterygium, while Yi ethnicity (OR 0.65, comparing Yi with Han) and wearing brimmed hats outdoors (OR 0.82) were protective factors. Conclusion: Ethnicity was significantly associated with prevalence of pterygium. Our findings may be applicable to many other countries located within the “pterygium belt” for health resource allocation among different ethnic groups.
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影响因子：
4
作者：
F. Hecht;Mark G Shoptaugh;M. G. S. Correspondence;Dr Hecht
通讯作者：
F. Hecht;Mark G Shoptaugh;M. G. S. Correspondence;Dr Hecht
影响因子：
13.7
作者：
Ang, Marcus;Li, Xiang;Wong, Tien Yin
通讯作者：
Wong, Tien Yin
影响因子：
4.1
作者：
McCarty, CA;Fu, CL;Taylor, HR
通讯作者：
Taylor, HR
影响因子：
3.9
作者：
Lu, J.;Wang, Z.;Chen, R.
通讯作者：
Chen, R.
影响因子：
--
作者：
Luthra, R;Nemesure, BB;Leske, MC
通讯作者：
Leske, MC