Visual Impairment in White, Chinese, Black, and Hispanic Participants from the Multi-Ethnic Study of Atherosclerosis Cohort.
Visual Impairment in White, Chinese, Black, and Hispanic Participants from the Multi-Ethnic Study of Atherosclerosis Cohort.
复制标题
DOI：
10.3109/09286586.2015.1066395
复制
发表时间：
2015
影响因子：
1.8
通讯作者：
Cotch MF
中科院分区：
文献类型：
--
作者：
Fisher DE;Shrager S;Shea SJ;Burke GL;Klein R;Wong TY;Klein BE;Cotch MF
描述多种族动脉粥样硬化研究（梅萨）队列中视力损害的患病率，并检查其与人口统计学、社会经济学和健康特征的相关性。从2002年至2004年检查时年龄为46至87岁的6134名参与者（平均年龄64岁，47.6%为男性）中获得了视力数据，这些参与者来自美国的六个社区。视力损害定义为视力较好的眼睛的视力为20/50或更差。风险因素被纳入多变量逻辑回归模型，以确定其对每个种族/民族中男性和女性视力损害的影响。在所有参与者中，6.6%（N=421）有视力障碍，包括5.6%（N=178）的男性和7.5%（N=243）的女性。损害的患病率范围为白色男性和女性分别为4.2%（N=52）和6.0%（N=77），中国男性和女性分别为7.6%（N=37）和11.6%（N=44）。老年与男性和女性的视力障碍显著相关，特别是在社会经济地位较低的人群中，但年龄增长的影响在男性中更为明显。三分之二的参与者已经佩戴了远距矫正器，这并不意外，该组中视力障碍的患病率较低;然而，2.4%的男性和3.5%的女性在目前的远距矫正器中有可矫正的视力障碍，尤其是老年人。即使在屈光矫正流行率很高的美国，视力障碍和未矫正的屈光不正也代表了当前的公共卫生挑战。
To describe the prevalence of visual impairment and examine its association with demographic, socioeconomic, and health characteristics in the Multi-Ethnic Study of Atherosclerosis (MESA) cohort. Visual acuity data was obtained from 6134 participants, aged 46 to 87 years old at time of examination between 2002 and 2004 (mean age 64 years, 47.6% male), from six communities in the United States (U.S.). Visual impairment was defined as a presenting visual acuity of 20/50 or worse in the better-seeing eye. Risk factors were included in multivariable logistic regression models to determine their impact on visual impairment for men and women in each racial/ethnic group. Among all participants, 6.6% (N=421) had visual impairment, including 5.6% (N=178) of men and 7.5% (N=243) of women. Prevalence of impairment ranged from 4.2% (N=52) and 6.0% (N=77) in White men and women, respectively, to 7.6% (N=37) and 11.6% (N=44) in Chinese men and women, respectively. Older age was significantly associated with visual impairment in both men and women, particularly in those with lower socioeconomic status, but the effects of increasing age were more pronounced in men. Two-thirds of participants already wore distance correction and not unexpectedly, lower prevalence of visual impairment was seen in this group; however, 2.4% of men and 3.5% of women with current distance correction had correctable visual impairment, most notably among seniors. Even in the United States where prevalence of refractive correction is high, both visual impairment and uncorrected refractive error represent current public health challenges.