Self-reported vision impairment, vision correction, and depressive symptoms among middle-aged and older Chinese: Findings from the China health and retirement longitudinal study
Self-reported vision impairment, vision correction, and depressive symptoms among middle-aged and older Chinese: Findings from the China health and retirement longitudinal study
复制标题
中国中老年人自我报告的视力障碍、视力矫正和抑郁症状：中国健康与退休纵向研究的结果
DOI：
10.1002/gps.5398
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发表时间：
2020-10-13
影响因子：
4
通讯作者：
Xu，Beibei
中科院分区：
文献类型：
--
作者：
Zhang，Qin;Cao，Gui-Ying;Xu，Beibei
ObjectiveTo investigate associations between vision impairment (VI), vision correction (VC) and depressive symptoms among middle‐aged and older Chinese.Methods22 203 participants aged ≥45 years from China Health and Retirement Longitudinal Study 2011 to 2015 were divided into four self‐reported VI categories: no VI, distance VI (DVI) only, near VI (NVI) only, and both distance and near VI (DNVI); and four self‐reported VI/VC subgroups: VI(+)/VC(−), VI(+)/VC(+), VI(−)/VC(−) and VI(−)/VC(+). Depressive symptoms were evaluated by 10‐item Center for Epidemiological Studies Depression Scale (CESD‐10).ResultsCompared with no VI, DVI only (OR = 2.12, 95% CI: 1.95, 2.31), NVI only (OR = 1.51, 95% CI: 1.39, 1.63) and DNVI (OR = 2.75, 95% CI: 2.47, 3.07) were associated with higher odds of depressive symptoms. Compared with VI(+)/VC(−), VI(+)/VC(+) (OR = 0.91, 95% CI: 0.83, 0.98), VI (−)/VC(−) (OR = 0.50, 95% CI: 0.48, 0.53) and VI(−)/VC(+) (OR = 0.49, 95% CI: 0.47, 0.54) were associated with lower odds of depressive symptoms. Compared with no VI at baseline, baseline DNVI was significantly associated with higher odds of depressive symptoms after two (OR = 1.48, 95% CI: 1.16, 1.88) and four (OR = 1.32, 95% CI: 1.04, 1.68) years. Baseline depressive symptoms were significantly associated with higher odds of VI after two (OR = 1.53, 95% CI: 1.34, 1.74) and four (OR = 1.54, 95% CI: 1.34, 1.76) years.ConclusionAdults with DNVI were more likely to report depressive symptoms in the future and those with depressive symptoms were more likely to report VI in the future. VC might be a protective factor for preventing depressive symptoms among adults with VI.
