Disparities in Adult Vision Health in the United States
Disparities in Adult Vision Health in the United States
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DOI：
10.1016/j.ajo.2012.03.018
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发表时间：
2012-12-01
影响因子：
4.2
通讯作者：
Friedman, David S.
中科院分区：
文献类型：
--
作者：
Zambelli-Weiner, April;Crews, John E.;Friedman, David S.
目的：回顾主要成人视力健康结果（年龄相关性黄斑变性、糖尿病视网膜病变、青光眼、白内障、屈光不正）和视力障碍中视力健康差异的现有知识，并确定与美国加强视力健康监测发展相关的知识差距。设计：文献综述。方法：对同行评审文献中的相关出版物进行分析。结果：关于视力健康结果的患病率数据仅限于几个关键的发现基于人群的研究。研究人群并不代表居住在美国的所有人。随着年龄的增长，视力丧失和视力障碍更加常见，并且视力丧失的具体原因（潜在的健康状况）存在种族差异。女性比男性面临更大的视力丧失风险（即使在调整年龄后）。目前，与视力相关的残疾和视力结果差异的监测很差。结论：目前尚未以系统的方式收集用于评估和监测美国视力健康差异趋势的数据。数据的缺乏限制了公共卫生部门克服眼保健使用障碍和改善视力结果的努力。 （美国眼科杂志 2012 年；154：S23-S30。2012 年，Elsevier Inc. 保留所有权利。）
PURPOSE: To review the existing knowledge on vision health disparities in major adult vision health outcomes (age-related macular degeneration, diabetic retinopathy, glaucoma, cataract, refractive errors) and visual impairment and to identify knowledge gaps as related to the development of enhanced vision health surveillance in the United States.DESIGN: Literature review.METHODS: Analysis of relevant publications in the peer-reviewed literature.RESULTS: Prevalence data on vision health outcomes is limited to findings from a few key population-based studies. Study populations are not representative of all persons living in the United States. Vision loss and visual impairment are more common with age, and there is racial variation in the specific causes of vision loss (underlying health conditions). Women are at greater risk of vision loss than men (even after adjusting for age). Vision-related disability and disparities in visual outcomes are monitored poorly at present.CONCLUSIONS: Data to assess and monitor trends in vision health disparities in the United States are not collected presently in a systematic fashion. This lack of data limits public health efforts to overcome barriers to eye care use and to improve vision outcomes. (Am J Ophthalmol 2012;154:S23-S30. 2012 by Elsevier Inc. All rights reserved.)