Vision health disparities in the United States by race/ethnicity, education, and economic status: findings from two nationally representative surveys.
Vision health disparities in the United States by race/ethnicity, education, and economic status: findings from two nationally representative surveys.
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DOI：
10.1016/j.ajo.2011.08.045
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发表时间：
2012-12
影响因子：
4.2
通讯作者：
Saaddine, Jinan B.
中科院分区：
文献类型：
--
作者：
Zhang, Xinzhi;Cotch, Mary Frances;Ryskulova, Asel;Primo, Susan A.;Nair, Parvathy;Chou, Chiu-Fang;Geiss, Linda S.;Barker, Lawrence E.;Elliott, Amanda F.;Crews, John E.;Saaddine, Jinan B.
评估美国不同种族/民族、教育和经济状况的视力健康差异。具有全国代表性的横断面样本我们使用了来自国家健康与营养检查调查（NHANES）和国家健康访谈调查（NHIS）的全国调查数据。NHANES的主要结果指标包括年龄相关性眼病（即，年龄相关性黄斑变性[AMD]、白内障、糖尿病性视网膜病变[DR]、青光眼）和来自NHIS的眼睛护理使用（即，眼科医生就诊，需要时买不起眼镜）。这些估计是根据2000年美国人口普查的年龄和性别标准化的。通过加权最小二乘回归评估估计值的线性趋势。非西班牙裔白人的AMD和白内障手术的患病率高于非西班牙裔黑人，但DR和青光眼的患病率较低（2005-2008年NHANES中所有P < 0.001）。从1999年到2008年，受教育程度较低的人（即，< high school vs. >高中）和低收入者（贫困收入比[PIR] < 1.00 vs. ≥4.00）在过去12个月内进行眼保健的可能性始终低于他们的同行（均P < 0.05）。在此期间，无法负担所需眼镜的非西班牙裔白人和西班牙裔（趋势P = 0.004和P = 0.007;分别），那些高中教育（趋势P = 0.036），和那些PIR 1.00-1.99（趋势P < 0.001）。观察到的视力健康差异表明，需要在社会经济弱势群体中进行教育和创新干预。
To assess vision health disparities in the United States by race/ethnicity, education, and economic status. Cross-sectional, nationally representative samples We used national survey data from the National Health and Nutrition Examination Survey (NHANES) and the National Health Interview Survey (NHIS). Main outcome measures included, from NHANES, age-related eye diseases (i.e., age-related macular degeneration [AMD], cataract, diabetic retinopathy [DR], glaucoma) and from NHIS, eye care use (i.e., eye doctor visits and cannot afford eyeglasses when needed) among those with self-reported visual impairment. The estimates were age- and sex-standardized to the 2000 US census population. Linear trends in the estimates were assessed by weighted least squares regression. Non-Hispanic whites had a higher prevalence of AMD and cataract surgery than non-Hispanic blacks, but a lower prevalence of DR and glaucoma (all P < 0.001 in NHANES 2005–2008). From 1999 to 2008, individuals with less education (i.e., < high school vs. > high school) and lower income (poverty income ratio [PIR] < 1.00 vs. ≥4.00) were consistently less likely to have had an eye care visit in the past 12 months compared with their counterparts (all P < 0.05). During this period, inability to afford needed eyeglasses increased among non-Hispanic whites and Hispanics (trend P = 0.004 and P = 0.007; respectively), those with high school education (trend P = 0.036), and those with PIR 1.00–1.99 (trend P < 0.001). Observed vision health disparities suggest a need for educational and innovative interventions among socioeconomically disadvantaged groups.
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影响因子：
1.8
作者：
Lee, DJ;Gómez-Marín, O;Caban, A
通讯作者：
Caban, A
DOI：
10.1111/j.1532-5415.1998.tb01080.x
发表时间：
1998-05-01
影响因子：
6.3
作者：
Rovner, BW;Ganguli, M
通讯作者：
Ganguli, M
DOI：
10.1093/geronb/50b.2.s119
发表时间：
1995-03-01
影响因子：
6.2
作者：
BAZARGAN, M;HAMMBAUGH, VP
通讯作者：
HAMMBAUGH, VP
影响因子：
13.7
作者：
Orr, P;Barrón, Y;West, SK
通讯作者：
West, SK
影响因子：
11.4
作者：
Mitchell, P;Hayes, P;Wang, JJ
通讯作者：
Wang, JJ