Visual Impairment and Blindness in Adults in the United States: Demographic and Geographic Variations From 2015 to 2050.
Visual Impairment and Blindness in Adults in the United States: Demographic and Geographic Variations From 2015 to 2050.
复制标题
DOI：
10.1001/jamaophthalmol.2016.1284
复制
发表时间：
2016-07-01
影响因子：
8.1
通讯作者：
McKean-Cowdin, Roberta
中科院分区：
文献类型：
--
作者：
Varma, Rohit;Vajaranant, Thasarat S.;Burkemper, Bruce;Wu, Shuang;Torres, Mina;Hsu, Chunyi;Choudhury, Farzana;McKean-Cowdin, Roberta
本文描述了美国目前和预计的视力损害（VI）（视力低于20/40，但高于20/200）和失明（视力20/200或更差）的患病率。确定2015年美国人群中成人VI和失明的人口统计学和地理差异，并估计2050年的预测患病率。来自美国VI和失明的6项主要基于人群的研究的40岁及以上成人的描述性人群横断面汇总数据。根据美国人口普查预测（2015 - 2050年），按年龄、性别、种族/民族和各州人均患病率报告了VI和失明的患病率。VI和失明的患病率2015年，有102万人失明，美国约有322万人患有VI（视力较好的眼睛中的最佳矫正视力），而高达820万人因未矫正的屈光不正而患有VI。到2050年，这些疾病的数量预计将增加一倍，约有201万人失明，695万人患有VI，1640万人因未矫正的屈光不正而患有VI。这些疾病的最高数量预测在非西班牙裔白人，妇女和老年人中，然而，非洲裔美国人预计将经历最高的失明患病率。到2050年，少数民族中VI的最高患病率将从非洲裔美国人转移到西班牙裔。从2015-2050年，预计VI人均患病率最高的州是佛罗里达和夏威夷，预计失明人均患病率最高的州是密西西比州、路易斯安那州和佛罗里达。这些数据表明，屈光不正和早期眼病的视力筛查可以减少或防止高比例的人经历不必要的视力丧失和失明，降低美国经济的医疗服务和生产力损失的相关成本，并有助于提高生活质量。针对非西班牙裔白色妇女和少数民族的有针对性的教育和筛查计划应该变得越来越重要，因为这些人口的预计增长及其对这些疾病总数的相对贡献。
This paper describes the current and projected prevalence of visual impairment (VI) (visual acuity worse than 20/40, but better than 20/200) and blindness (visual acuity 20/200 or worse) in the United States. To determine the demographic and geographic variations in VI and blindness in adults in the US population in 2015 and to estimate the projected prevalence through 2050 Descriptive Population-based cross-sectional Pooled data from adults, 40 years and older, from six major population-based studies on VI and blindness in the US. Prevalence of VI and blindness were reported by age, sex, race/ethnicity, and per capita prevalence by state, using the US census projections (2015 – 2050). Prevalence of VI and blindness In 2015, 1.02 million people were blind, and approximately 3.22 million people in the US had VI (best-corrected VA in the better-seeing eye), while up to 8.2 million people had VI due to uncorrected refractive error. By 2050, the number of these conditions are projected to double to approximately 2.01 million people with blindness, 6.95 million people with VI, and 16.4 million with VI due to uncorrected refractive error. The highest numbers of these conditions are predicted among non-Hispanic whites, women, and older adults, however African Americans are projected to experience the highest prevalence of blindness. By 2050, the highest prevalence of VI among minorities will shift from African Americans to Hispanics. From 2015-2050, the states projected to have the highest per-capita prevalence of VI are Florida and Hawaii and highest projected per-capita prevalence of blindness are Mississippi, Louisiana, and Florida. These data suggest that vision screening for refractive error and early eye disease may reduce or prevent a high proportion of individuals from experiencing unnecessary vision loss and blindness, decrease associated costs to the US economy for medical services and lost productivity, and contribute to better quality of life. Targeted education and screening programs for non-Hispanic white women and minorities should become increasingly important due to the projected growth of these populations and their relative contribution to the overall numbers of these conditions.
登录
查看更多内容
影响因子：
13.7
作者：
Rodriguez, J;Sanchez, R;Quigley, H
通讯作者：
Quigley, H
影响因子：
158.5
作者：
SOMMER, A;TIELSCH, JM;EZRINE, S
通讯作者：
EZRINE, S
影响因子：
3.7
作者：
Vajaranant, Thasarat S.;Nayak, Sushma;Joslin, Charlotte E.
通讯作者：
Joslin, Charlotte E.
影响因子：
120.7
作者：
Congdon, NG;Friedman, DS;Lietman, T
通讯作者：
Lietman, T
影响因子：
1.8
作者：
Abou-Gareeb, I;Lewallen, S;Courtright, P
通讯作者：
Courtright, P