The Prevalence of Chronic Conditions and Poor Health Among People With and Without Vision Impairment, Aged ≥65 Years, 2010-2014
The Prevalence of Chronic Conditions and Poor Health Among People With and Without Vision Impairment, Aged ≥65 Years, 2010-2014
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DOI：
10.1016/j.ajo.2017.06.038
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发表时间：
2017-10-01
影响因子：
4.2
通讯作者：
Saaddine, Jinan B.
中科院分区：
文献类型：
--
作者：
Crews, John E.;Chou, Chiu-Fang;Saaddine, Jinan B.
目的：调查美国 65 岁以上、有或没有视力障碍的人群中 13 种慢性病的患病率以及健康状况一般/较差。设计：来自 2010-2014 年全国健康访谈调查的横断面研究。方法：我们检查了高血压、心脏病、高胆固醇、中风、关节炎、哮喘、慢性阻塞性肺病、癌症、肾脏衰弱/衰竭、糖尿病、肝炎、抑郁症和听力障碍。我们使用逻辑回归来显示视力障碍与慢性病之间的关联，以及视力障碍与慢性病患者健康状况不佳之间的关联。结果：与没有视力障碍的人相比，年龄 >= 65 岁的视力障碍患者报告慢性病患病率更高。在控制协变量（年龄、性别、教育程度、种族、吸烟、体力活动和肥胖）后，有视力障碍的人比没有视力障碍的人更有可能报告慢性疾病（高血压：OR [比值比] 1.43；心脏病：OR 1.68；高胆固醇：OR 1.26；中风：OR 1.99；关节炎；OR 1.71；哮喘：OR 1.56；慢性阻塞性肺病：OR 1.65；高血压：OR [比值比] 1.68；高胆固醇：OR 1.26；中风：OR 1.99；关节炎；OR 1.71；哮喘：OR 1.56；慢性阻塞性肺疾病：OR 1.65。癌症：OR 1.23；肾脏衰弱/衰竭：OR 2.29；糖尿病：OR 1.30；抑郁症：OR 1.47；听力障碍：OR 1.91）（全部 P < 0.05）。在患有慢性病的老年人中，患有视力障碍和慢性病的人与没有视力障碍和慢性病的人相比，健康状况一般/较差的可能性是没有视力障碍的人的 1.66-2.98 倍（均 P < .05）。结论：老年人中慢性病患病率较高与视力障碍密切相关，健康状况不佳与视力障碍和慢性病密切相关。由爱思唯尔公司出版
PURPOSE: To examine the prevalence of 13 chronic conditions and fair/poor health among people aged >= 65 years in the United States with and without vision impairment.DESIGN: Cross-sectional study from the 2010-2014 National Health Interview Survey.METHODS: We examined hypertension, heart disease, high cholesterol, stroke, arthritis, asthma, chronic obstructive pulmonary disease, cancer, weak/failing kidneys, diabetes, hepatitis, depression, and hearing impairment. We used logistic regression to show the association between vision impairment and chronic conditions and the association between vision impairment and poor health for those with chronic conditions.RESULTS: People aged >= 65 years with vision impairment reported greater prevalence of chronic conditions compared to people without vision impairment. After controlling for covariates (age, sex, education, race, smoking, physical activity, and obesity), people with vision impairment were more likely than those without to report chronic conditions (hypertension: OR [odds ratio] 1.43; heart disease: OR 1.68; high cholesterol: OR 1.26; stroke: OR 1.99; arthritis; OR 1.71; asthma: OR 1.56; chronic obstructive pulmonary disease: OR 1.65; cancer: OR 1.23; weak/failing kidneys: OR 2.29; diabetes: OR 1.56; hepatitis: OR 1.30; depression: OR 1.47; hearing impairment: OR 1.91) (all P < .05). Among older people with chronic conditions, those with vision impairment and chronic conditions compared to people without vision impairment and chronic conditions were 1.66-2.98 times more likely to have fair/poor health than those without vision impairment (all P < .05).CONCLUSION: Higher prevalence of chronic conditions is strongly associated with vision impairment among the older people and poor health is strongly associated with vision impairment and chronic conditions. Published by Elsevier Inc.