The effect of visual impairment on vision-related quality of life in American Indian/Alaska Natives.
The effect of visual impairment on vision-related quality of life in American Indian/Alaska Natives.
复制标题
视力障碍对美洲印第安人/阿拉斯加原住民视力相关生活质量的影响。
DOI：
10.1080/09286580902745428
复制
发表时间：
2009
影响因子：
1.8
通讯作者：
Mansberger,StevenL
中科院分区：
文献类型：
--
作者：
McClure,TinaM;Choi,Dongseok;Becker,Thomas;Cioffi,GeorgeA;Mansberger,StevenL
目的：为了确定如果国家眼科研究所视觉功能问卷（NEI-VFQ-25）评分下降，恶化的视力（VA）在美国印第安人/阿拉斯加原住民（Al/AN），以及确定其他相关的解释因素的视觉相关的生活quality of life.Methods：该研究包括414随机选择的AI/AN部落成员，年龄在40岁或以上的太平洋西北地区。我们排除了死亡、重病、痴呆或无法进行主观测试（如视野测试）的候选人。参与者完成了NEI-VFQ-25以及详细的眼部检查。我们将视力障碍定义为视力较好的眼睛的远视力为20/40或更差。主要的结局指标是NEI-VFQ-25综合评分和子量表评分。我们比较了中位NEI-VFQ-25复合和子量表得分在那些有视力损害，那些没有visualimpairs.Results：视力损害发生在53（12.8%，CI：9.6-16.0）参与者。与无视力损害的患者相比，视力损害患者的NEI-VFQ-25中位综合评分显著较低（77.5 vs. 90.1，p = 0.001）。单变量分析显示VA与除眼痛外的所有分量表均显著相关（p <0.05）。当控制年龄，性别，收入水平，教育，百分之AIAN遗产，和婚姻状况，多变量比例优势模型分析表明VA是最好的预测NEI-VFQ 25综合scores.Conclusion：视力障碍是常见的西北AI/AN。NEI-VFQ-25对VA的差异敏感，这表明它是AI/AN中视觉相关生活质量的有效测量。
Purpose: To determine if National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) scores decrease with worsening visual acuity (VA) in American Indian/Alaska Natives (Al/AN), as well as determine the other associated explanatory factors for vision-related quality of life.Methods: The study included 414 randomly selected AI/AN tribal members aged 40 years or older from the Pacific Northwest. We excluded candidates who were deceased, seriously ill, had dementia, or otherwise were unable to perform subjective testing such as visual field testing. The participants completed the NEI-VFQ-25, as well as a detailed eye examination. We defined visual impairment as presenting distance VA 20/40 or worse in the better-seeing eye. The main outcome measures were NEI-VFQ-25 composite and subscale scores. We compared median NEI-VFQ-25 composite and subscale scores in those with visual impairment to those without visual impairment.Results: Visual impairment occurred in 53 (12.8%, Cl: 9.6–16.0) participants. The NEI-VFQ-25 median composite score was significantly lower in those with visual impairment as compared to those without visual impairment (77.5 vs. 90.1, p = .001). A univariate analysis showed VA to be significantly (p < .05) associated with all subscales except ocular pain. When controlling for age, gender, income level, education, percent AIAN heritage, and marital status, a multivariate proportional odds model analysis showed VA to be the best predictor of NEI-VFQ 25 composite scores.Conclusion: Visual impairment is common in Northwest AI/AN. The NEI-VFQ-25 was sensitive to differences in VA, suggesting it is a valid measure of vision-related quality of life in AI/AN.