Vision In Nhanes

纳内斯的愿景

• 批准号: 9362376
• 负责人: Mary Frances Cotch
• 金额: $ 4.99万
• 依托单位: NATIONAL EYE INSTITUTE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9362376
• 关键词: 12 year old; 19 year old; Activities of Daily Living; Address; Adult; Age; Age-Years; American; Blindness; Caring; Centers for Disease Control and Prevention (U.S.); Communication; Contact Lenses; Cornea; Cost Analysis; Data; Data Collection; Data Set; Diabetes Mellitus; Diabetic Retinopathy; Direct Costs; Disease; Documentation; Evaluation; Eye; Eye diseases; Eyeglasses; Focus Groups; Glass; Health; Health Personnel; Health Surveys; Healthy People 2010; Improve Access; Individual; Interview; Measures; National Health Interview Survey; National Health and Nutrition Examination Survey; Paper; Patients; Peer Review; Persons; Population; Prevalence; Preventive; Primary Health Care; Publications; Quality Control; Refractive Errors; Reporting; Retinal; Sampling; Services; Surveys; Testing; Time; United States; United States National Center for Health Statistics; Vision; Visual Acuity; Visual impairment; Woman; Work; age related; cost; disorder prevention; follow-up; functional disability; interest; men; multiple chronic conditions; web site

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. Numerous scientific papers have resulted from analyses of the NHANES data, including deriving estimates on the magnitude and describing the impact of visual impairment due to refractive errors and to eye disease. NHANES data have also been used for surveillance of disparities in vision and eye health. Given the wide array of NHANES data, the eye data has been analyzed in conjunction with non-ocular indicators of health, disease, and functional impairment. Analyses from NHANES have also inspired interest among others to address the global challenge to reduce eye disease and visual impairment and to optimize health for people with multiple chronic conditions. This publicly available dataset continues to be used in peer-reviewed scientific publications. NHANES data are available for public access. See http://www.cdc.gov/nchs/nhanes.htm.

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导致的视力障碍程度（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），而其他人则需要新的或更好的屈光矫正（例如一副新眼镜或新的隐形眼镜处方）才能看得清楚。 保守地说，每年矫正视力障碍的直接成本为 40 亿美元，其中 10 亿美元是为有需要的人提供初始一副眼镜所需的成本。 2008 年，我们利用 NHANES 数据调查了屈光不正对 12 岁及以上美国人的影响。 作为这些论文的补充，我们对国家健康访谈调查的数据进行了分析，以确定美国成年人报告的与年龄相关的眼部疾病的程度和视力障碍的程度。 此外，通过焦点小组讨论，我们调查了影响个人寻求预防性眼保健服务的因素。 我们的研究结果表明，患者与其初级卫生保健提供者之间的沟通可以促进改善获得眼保健的机会。 NHANES 视网膜数据（2005-2008 年在疾病控制和预防中心的支持下收集）也向公众开放。 2010 年，NHANES 对 40 岁以上患有糖尿病的成年人的数据进行了分析，估计近 32% 的男性和 26% 的女性患有糖尿病视网膜病变。 对 NHANES 数据进行分析后，发表了许多科学论文，包括对屈光不正和眼部疾病引起的视力障碍的严重程度进行估计并描述其影响。 NHANES 数据还被用于监测视力和眼睛健康方面的差异。鉴于 NHANES 数据范围广泛，我们将眼部数据与健康、疾病和功能损伤的非眼部指标结合起来进行分析。 NHANES 的分析也激发了其他人的兴趣，以应对减少眼部疾病和视力障碍以及优化患有多种慢性病的人的健康的全球挑战。这个公开的数据集继续在同行评审的科学出版物中使用。 NHANES 数据可供公众访问。 请参阅http://www.cdc.gov/nchs/nhanes.htm。