Self-reported cataracts in older adults in Ghana: sociodemographic and health related factors.
Self-reported cataracts in older adults in Ghana: sociodemographic and health related factors.
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DOI：
10.1186/1471-2458-14-949
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发表时间：
2014-09-12
影响因子：
4.5
通讯作者：
Biritwum RB
中科院分区：
文献类型：
--
作者：
Yawson AE;Ackuaku-Dogbe EM;Seneadza NA;Mensah G;Minicuci N;Naidoo N;Chatterji S;Kowal P;Biritwum RB
随着年龄的增长，感觉器官的功能发生变化，对老年人的健康和福祉产生重大影响。本文介绍了白内障，一种慢性眼病，自我报告的老年人在加纳和需要改善获得眼科保健服务。这项工作的基础是世界卫生组织在包括加纳在内的六个国家进行的全球老龄化和成人健康多国研究。2007-2008年在加纳对4278名≥ 50岁老年人的全国代表性样本进行了SAGE第1波。获得了与加纳老年人自我报告的白内障有关的社会人口和健康因素的数据。使用描述性指标（频率和比例）、分类结局指标相关性的卡方检验和SPSS 21版白内障预测因子的logistic回归分析数据。在加纳的4278名老年人中，自我报告的白内障的总体患病率为5.4%。妇女的患病率（5.9%）高于男子（4.7%）。报告的白内障随着年龄的增长而增加，在城市居民中，没有伴侣的老年人和生活满意度指数较差的人中。低收入群体、教育程度低或独居的老年人难以寻求视力保健服务。糖尿病患者患病率为8.4%，高血压患者为10.4%，既往有卒中史者为11.4%。在曾经使用酒精或烟草的老年人中，报告的白内障患病率分别为5.7%和4.9%。Logistic回归分析表明，年龄增长，低收入状况和自我报告的高血压与加纳老年人白内障显著相关。白内障在加纳的老年人中很普遍，大约每20名50岁或50岁以上的人中就有1人报告先前诊断为白内障。由于白内障手术是恢复性的，因此建议采取一种公共卫生办法，即行为矫正、结构良好的国家外展眼科保健服务（针对农村居民）、在分区一级纳入基本眼科保健服务、增加家庭支助和为老年人提供国家健康保险。
Changes in function of sensory organs with increasing age have significant impact on health and wellbeing of older persons. This paper describes cataract, a chronic eye condition, self-reported among older adults in Ghana and the need for improving access to eye care services. This work was based on the World Health Organization’s multi-country Study on global AGEing and adult health (SAGE), conducted in six countries including Ghana. SAGE Wave 1 in Ghana was conducted in 2007–2008 in a nationally representative sample of 4278 older adults, ≥ 50 years. Data were obtained on sociodemographic and health factors related to self-reported cataracts in older persons in Ghana. Data were analysed using descriptive measures (frequencies and proportions), chi-square test for associations in categorical outcome measures, and logistic regression for predictors of cataracts with SPSS version 21. Overall prevalence of self-reported cataracts among 4278 older adults in Ghana was 5.4%. Prevalence was proportionately higher for women (5.9%) than men (4.7%). Reported cataracts increased with age, among urban residents, in older adults living without partners and among those with the worse life satisfaction index. Older adults in lower income groups, poorly educated or living alone had difficulty seeking vision care services. Prevalence was 8.4% among persons with diabetes, 10.4% among hypertensives and 11.4% in persons with previous history of stroke. Among older persons who had ever used alcohol or tobacco, prevalence rates of reported cataracts were 5.7% and 4.9%, respectively. Logistic regression analysis indicated that increasing age, lower income status and self-reported hypertension were significantly associated with cataract among older adults in Ghana. Cataract is prevalent in older people in Ghana with approximately 1 in 20 people aged 50 years or older reporting a previous diagnosis of cataract. As cataract surgery is restorative, a public health approach on behavioural modification, well structured national outreach eye care services (for rural residents), inclusion of basic eye health services at sub-district levels, increased family support and national health insurance for older persons is indicated.
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影响因子：
--
作者：
Hennis, A;Wu, SY;Leske, C
通讯作者：
Leske, C
影响因子：
6.7
作者：
Adamson, J;Lawlor, DA;Ebrahim, S
通讯作者：
Ebrahim, S
影响因子：
3.9
作者：
Taylor, HR
通讯作者：
Taylor, HR
影响因子：
--
作者：
GLYNN, RJ;CHRISTEN, WG;HENNEKENS, CH
通讯作者：
HENNEKENS, CH
影响因子：
4.4
作者：
Nirmalan, PK;Tielsch, JM;Robin, AL
通讯作者：
Robin, AL