Vision In Nhanes

2006年，我们使用NHANES全国调查数据来估计美国因未矫正屈光不正而导致的视力损害的程度（JAMA 2006;295：2158-2163）。 我们随后对美国屈光矫正的成本进行了分析，发现许多人已经进行了屈光矫正（例如眼镜或隐形眼镜），而其他人需要新的或更好的屈光矫正（例如一副新的眼镜或新的隐形透镜处方），以使他们看得更清楚。 保守地说，矫正视力障碍的每年直接成本为40亿美元，其中10亿美元是为有需要的人提供一副初始眼镜所需的成本。 2008年，我们使用NHANES数据调查了12岁及以上美国人屈光不正的影响。 作为这些论文的补充，分析了国家健康访谈调查的数据，以确定美国成年人报告的与年龄相关的眼病的程度和视力损害的程度。 此外，我们采用焦点小组讨论，调查影响个人寻求预防性眼科保健服务的因素。 我们的研究结果表明，患者和他们的初级卫生保健提供者之间的沟通可以促进改善获得眼科护理。 NHANES视网膜数据（在疾病控制和预防中心的支持下于2005-2008年收集）也可供公众使用。 在2010年NHANES对40岁以上糖尿病患者的数据分析中，估计近32%的男性和26%的女性患有糖尿病视网膜病变。 印刷中的手册将于2012年晚些时候出版。 其他分析正在进行中。

In 2006 we used the NHANES national survey data to estimate the extent of visual impairment in the United States due to uncorrected refractive error (JAMA 2006;295:2158-2163). We subsequently followed up with an analysis of the cost of refractive correction in the United States realizing that many people already have refractive correction (e.g. eyeglasses or contacts lenses) and others need new or better refractive correction (e.g. a new pair of eyeglasses or a new contact lens prescription) to allow them to see well. Conservatively, the annual direct cost of correcting visual impairment is $4 billion per year, of which $1 billion represents the cost required to provide an initial set of glasses to those in need. In 2008 we investigated, using the NHANES data, the impact of refractive error in Americans ages 12 and older. As an adjunct to these papers, data from the National Health Interview Survey were analyzed to determine the extent of age-related eye diseases and degree of visual impairment reported by American adults. In addition, using focus group discussions, we investigated the factors which influence individuals to seek out preventive eye care services. Our findings indicate that communication between patients and their primary health care providers could facilitate improved access to eye care. NHANES retinal data (collected in 2005-2008 with the support of the Centers for Disease Control and Prevention) are also available to the public. In a 2010 analysis of NHANES data on adults over age 40 with diabetes, almost 32% of men and 26% of women, were estimated to have diabetic retinopathy. Manuscripts in press wll be published later in 2012. Additional analyses are underway.