Education, socioeconomic status, and ocular dimensions in Chinese adults: the Tanjong Pagar Survey
Education, socioeconomic status, and ocular dimensions in Chinese adults: the Tanjong Pagar Survey
复制标题
DOI：
10.1136/bjo.86.9.963
复制
发表时间：
2002-09-01
影响因子：
4.1
通讯作者：
Seah, SKL
中科院分区：
文献类型：
--
作者：
Wong, TY;Foster, PJ;Seah, SKL
目的：探讨成年人的文化程度、职业和社会经济状况与眼球大小和屈光度的关系。方法：对居住在新加坡丹容巴加区的40-81岁的中国成年人进行横断面调查。使用A型超声仪测量眼轴长度、前房深度、晶状体厚度和玻璃体深度。用自动验光仪测量角膜曲率半径和屈光度，主观上进一步细化屈光度，用改良的Lens Lens分级系统III评分对晶状体核混浊程度进行临床分级。从标准化访谈中获得关于教育、职业、收入和住房类型的数据。结果：951名有晶状体受试者获得了生物统计学数据。在控制了年龄、性别、职业、收入和住房类型后，高学历与眼轴较长(0.60 mm；95%可信区间：0.34、0.85，每10年教育)、玻璃体房长(0.53 mm；95%可信区间：0.30、0.77)和近视屈光度较多(-1.50屈光度，95%可信区间：-2.08、-0.92)相关。眼轴长度的调整减弱了教育的屈光度(-0.68屈光度，95%可信区间：-1.14，-0.21)。同样，与工作相关的职业(经理、专业人员和冰外工作者)和较高的收入与眼轴较长、玻璃体腔较长和近视屈光度独立相关，调整眼轴长度会减弱屈光关联。结论：受教育程度较高、与工作相关的职业和较高收入的成年人更有可能有更长的眼轴和玻璃体腔，以及更近的近视屈光度。教育、职业和收入之间的屈光联系主要是由轴向长度的变化来解释的。
Aim: To relate indices of education, occupation, and socioeconomic status to ocular dimensions and refraction in an adult population.Methods: A population based, cross sectional survey of adult Chinese aged 40-81 years residing in the Tanjong Pagar district in Singapore. Ocular dimensions, including axial length, anterior chamber depth, lens thickness, and vitreous chamber depth, were measured using an A-mode ultrasound device. Corneal radius of curvature and refraction were determined with an autorefractor, with refraction further refined subjectively, and lens nuclear opacity was graded clinically using the modified Lens Opacity Classification System III score. Data on education, occupation, income, and housing type were obtained from a standardised interview.Results: Biometric data were available on 951 phakic subjects. After controlling for age, sex, occupation, income and housing type, higher education was associated with longer axial lengths (0.60 mm; 95% confidence interval (CI): 0.34, 0.85, for every 10 years of education), longer vitreous chambers (0.53 mm; 95% CI: 0.30, 0.77), and more myopic refractions (-1.50 dioptres, 95% CI: -2.08, -0.92). Adjustment for axial length attenuated the refractive association of education (-0.68 dioptre, 95% CI: -1.14, -0.21). Similarly, near work related occupations (managers, professionals, and off ice workers) and higher income were independently associated with longer axial lengths, longer vitreous chambers, and more myopic refractions, and adjustment for axial length attenuated the refractive associations.Conclusions: Adults with greater education, near work related occupations, and higher income are more likely to have longer axial lengths and vitreous chambers, and more myopic refractions. The refractive associations of education, occupation, and income are largely explained by variations in axial length.