Wong T Y, Klein B E, Klein R
Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, USA.
Ophthalmology. 2000 Dec;107(12):2196-202. doi: 10.1016/s0161-6420(00)00390-0.
To describe the cumulative lifetime prevalence and 5-year incidence of ocular trauma and their relation to risk factors in a defined white adult population living in a small town.
Population-based cross-sectional and follow-up study.
Participants aged 43 to 86 years from the baseline Beaver Dam Eye Study that took place from 1988 through 1990 (n = 4926) and the follow-up study that took place from 1993 through 1995 (n = 3684).
Standardized interview at baseline and follow-up study.
Cumulative lifetime prevalence and 5-year incidence of self-reported history of ocular trauma.
The cumulative lifetime prevalence and 5-year incidence of ocular trauma was 19.8% (n = 972) and 1.6% (n = 57), respectively. A history of trauma in both eyes was reported in 15% of the prevalent cases and 8% of the incident cases. Sharp objects caused more than half of all injuries. Persons aged 43 through 54 years were 2.5 times more likely to have a lifetime history of ocular trauma than persons aged 75 and older (odds ratios [OR], 2.57; 95% confidence interval [CI], 2.0, 3.29). Males had four times the prevalence of females (OR, 4. 42; 95% CI, 3.79, 5.16). Almost one third of all males aged 43 through 54 years reported a history of ocular trauma in their lifetime. The higher risks in the 43 through 54 age group (OR, 1.60) and male gender (OR, 1.42) were not significant among incident cases. In multivariate analysis, blue collar (adjusted OR, 1.58; 95% CI, 1. 32, 1.89) and farm-related workers (adjusted OR, 1.32; 95% CI, 0.93, 1.87) had higher lifetime risks of ocular trauma compared with white collar workers. People with a history of fractures also had increased lifetime risks (adjusted OR, 1.30; 95% CI, 1.13, 1.52). A history of ocular trauma reported in the baseline examination was significantly associated with a higher risk of ocular trauma occurring again in the next 5 years (adjusted OR, 3.27; 95% CI, 1.76, 5.82), especially if both eyes had previous trauma (adjusted OR, 5.15; 95% CI, 2.03, 13.0).
One fifth of white adult Americans more than 42 years of age residing in a small town reported ocular trauma in their lifetime. This group had a three times higher risk of experiencing ocular trauma again within 5 years.
描述一个生活在小镇的特定白人成年人群体中眼外伤的累积终生患病率和5年发病率及其与危险因素的关系。
基于人群的横断面和随访研究。
来自1988年至1990年进行的基线比弗迪尔姆眼研究（n = 4926）以及1993年至1995年进行的随访研究（n = 3684）中年龄在43至86岁的参与者。
在基线和随访研究时进行标准化访谈。
自我报告的眼外伤病史的累积终生患病率和5年发病率。
眼外伤的累积终生患病率和5年发病率分别为19.8%（n = 972）和1.6%（n = 57）。在所有现患病例中，15%报告双眼有外伤史，在新发病例中这一比例为8%。尖锐物体导致了超过一半的所有损伤。43至54岁的人有眼外伤终生病史的可能性是75岁及以上人群的2.5倍（比值比[OR]，2.57；95%置信区间[CI]，2.0，3.29）。男性患病率是女性的4倍（OR，4.42；95%CI，3.79，5.16）。在43至54岁的所有男性中，近三分之一报告有眼外伤终生病史。在新发病例中，43至54岁年龄组（OR，1.60）和男性性别（OR，1.42）的较高风险并不显著。在多变量分析中，与白领工人相比，蓝领工人（调整后OR，1.58；95%CI，1.32，1.89）和与农业相关的工人（调整后OR，1.32；95%CI，0.93，1.87）有更高的眼外伤终生风险。有骨折病史的人也有增加的终生风险（调整后OR，1.30；95%CI，1.13，1.52）。在基线检查中报告的眼外伤病史与未来5年内再次发生眼外伤的较高风险显著相关（调整后OR，3.27；95%CI，1.76，5.82），尤其是如果双眼既往有外伤（调整后OR，5.15；95%CI，2.03，13.0）。
居住在小镇的42岁以上美国白人成年人中有五分之一报告有眼外伤终生病史。该群体在5年内再次发生眼外伤的风险高出3倍。
