Function and visual impairment in a population-based study of older adults. The SEE project. Salisbury Eye Evaluation.
Function and visual impairment in a population-based study of older adults. The SEE project. Salisbury Eye Evaluation.
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DOI：
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发表时间：
1997
影响因子：
4.4
通讯作者：
S. K. West;B. Muñoz;G. Rubin;O. Schein;K. BANDEEN-ROCHE;S. Žeger;S. German;L. Fried
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文献类型：
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作者：
S. K. West;B. Muñoz;G. Rubin;O. Schein;K. BANDEEN-ROCHE;S. Žeger;S. German;L. Fried
索尔兹伯里眼科评估（SEE）项目调查了以人群为基础的老年人样本中视力对功能状态的影响。自我报告的功能状态和视力丧失的关联的患病率进行了说明。方法随机抽取马里兰州索尔兹伯里市65 ~ 84岁的男性和女性进行家庭访谈和临床检查。在合格的样本中，78%回答了家庭问卷，65%回答了问卷和诊所检查。使用ETDRS图表和协议测量每个人的双眼视力。询问的问题涉及日常生活活动、日常生活工具活动、身体功能、社会互动和日常视觉活动。对视力低于20/40与功能指标的相关性进行了分析，并根据年龄、种族和性别进行了调整。结果：所有功能状态指标均随年龄增长而下降;女性和黑人更容易报告困难。经年龄调整的视力障碍比例在男性和女性之间没有显著差异（7.2%比6.7%; P = 0.60）。黑人的患病率（10.4%）几乎是白色人（5.6%; P < 0.001）的两倍。在多变量模型中，年龄、种族、性别和视力障碍都与功能状态的下降显著相关。结论：项目人群的功能状态数据与全国数据相似，并证实女性和黑人的残疾率较高。双眼视力低于20/40似乎对所有自我报告的功能状态指标都有影响。进一步分析的相互作用的视觉与其他共病条件的功能状态清楚地表明。
PURPOSE The Salisbury Eye Evaluation (SEE) project investigates the impact of vision on functional status in a population-based sample of elderly persons. The prevalence of self-reports of functional status and the association with visual acuity loss are described. METHODS A random sample of men and women 65 to 84 years of age from Salisbury, Maryland were recruited for home interviews and clinic examinations. Of the eligible sample, 78% responded to the home questionnaire and 65% responded to the questionnaire and the clinic examination. Binocular visual acuity of each person was measured using ETDRS charts and protocols. Questions were asked concerning activities of daily living, instrumental activities of daily living, physical function, social interaction, and activities of daily vision. Analyses of the association of presenting visual acuity worse than 20/40 with the measures of function were carried out and adjusted for age, race, and sex. RESULTS All measures of functional status showed a decline with age; women and blacks were more likely to report difficulties. The age-adjusted proportions of those with visual impairment were not significantly different between men and women (7.2% versus 6.7%; P = 0.60). Black persons had almost twice the rate (10.4%) of white persons (5.6%; P < 0.001). Age, race, gender, and visual impairment were all significantly related to declines in functional status in multivariate models. CONCLUSIONS Data on functional status in the project population were similar to national data and confirmed higher rates of disability in women and blacks. Binocular visual acuity worse than 20/40 appeared to have an impact on all the self-report measures of functional status. Further analyses on the interaction of vision with other comorbid conditions on function status clearly are indicated.