Visual impairment and morbidity in community-residing adults:: The National Health Interview Survey 1986-1996
Visual impairment and morbidity in community-residing adults:: The National Health Interview Survey 1986-1996
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DOI：
10.1080/09286580490907751
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发表时间：
2005-02-01
影响因子：
1.8
通讯作者：
Caban, A
中科院分区：
文献类型：
--
作者：
Lee, DJ;Gómez-Marín, O;Caban, A
目的：探讨视力损害(VI)与发病率之间的关系。方法：利用1986-1996年国民健康访谈调查的年度人口家庭访谈调查数据(n=140,366)，采用协变量调整、性别和年龄组特定的Logistic回归分析，检验VI与限制活动天数、卧床休息日、看医生、住院和自评健康这五个发病率指标之间的关系。结果：在控制了教育状况、种族和报告的非眼部健康状况的数量后，健康状况一般或较差(与优秀、非常好或良好的健康状况相比)与严重、双边VI(优势比范围[OR]：2.14-7.24)与部分VI(OR：1.45-2.21)相比。严重的双侧VI也与18-年龄的成年人更频繁地去看医生和住院(OR范围为1.69-3.34)，以及45岁以上男性限制活动和卧床休息日(OR范围：1.95-3.69)有关。结论：本研究结果与其他关于VI对发病率结果的影响的研究表明，为了应对老龄化社会VI日益加重的负担，有必要加强对眼科保健服务的提供的关注。
Purpose: To examine the association between visual impairment (VI) and morbidity.Methods: Using pooled, annual population-based household interview survey data (n = 140,366) from the 1986-1996 National Health Interview Survey, covariate-adjusted, gender and age group specific logistic regression analyses were used to examine associations between VI and five morbidity indicators: restricted activity days, bed rest days, doctor visits, hospitalizations, and self-rated health.Results: After controlling for educational status, race and the number of reported non-ocular health conditions, fair or poor health status (compared to excellent, very good, or good health status) was generally more strongly associated with severe, bilateral VI (range of odds ratios [OR's]: 2.14-7.24) than with some VI (OR's: 1.45-2.21). Severe, bilateral VI was also associated with more frequent doctor and hospital visits among adults 18-64 years of age (range of OR's: 1.69-3.34), and restricted activity and bed rest days among males 45 years and older (range of OR's: 1.95-3.69).Conclusions: The present findings, in conjunction with other studies documenting the impact of VI on morbidity outcomes, indicate that an increased focus on the provision of eye care services will be necessary to address the growing burden of VI in aging societies.