Severity of concurrent visual and hearing impairment and mortality -: The 1986-1994 National Health Interview Survey

Severity of concurrent visual and hearing impairment and mortality -: The 1986-1994 National Health Interview Survey
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DOI:
10.1177/0898264307300174
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发表时间:
2007-06-01
影响因子:
2.8
通讯作者:
Caban, Alberto J.
Caban, Alberto J.
中科院分区:
医学3区
文献类型:
--
作者:
Lee, David J.;Gomez-Marin, Orlando;Caban, Alberto J.

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目的:在选定的社区成年人研究中,视力障碍和听力障碍是生存下降的独立预测因素。到目前为止,尚未研究并发损害的严重程度与死亡率之间的关系。方法:国家健康观点间调查是一项对美国平民非住院人口进行的连续、多阶段、区域概率调查。从1986年到1994年,有完整的损伤数据的116,796名成年参与者的死亡率与国家死亡指数联系在一起,一直持续到1997年。结果:研究结果表明,女性中重度同时存在听力和视力障碍与死亡风险显著增加相关。对于男性和损伤不那么严重的成年人,无论性别如何,明显存在较温和的死亡率关联。讨论:预防严重的视力和听力障碍应该是国家公共卫生的优先事项,特别是在美国人口老龄化的情况下。
Purpose: Visual impairment and, to a lesser extent, hearing impairment are independent predictors of reduced survival in selected studies of communityresiding adults. To date, the association of severity of concurrent impairment and mortality has not been examined. Method: The National Health Inter-view Survey is a continuous, multistage, area probability survey of the U.S. civilian noninstitutionalized population. Mortality linkage with the National Death Index of 116,796 adult participants from 1986 to 1994 with complete impairment data was performed through 1997. Results: Findings indicate that moderate to severe concurrent hearing and visual impairment in women is associated with significantly increased risk of mortality. More modest mortality associations are evident for men and for adults with less severe impairments, irrespective of gender. Discussion: Prevention of severe visual and hearing impairment should be a national public health priority, especially given the aging of the U.S. population.