Ophthalmology Department, Royal Gwent Hospital, Cardiff Road, Newport NP20 2UB, UK.
Br J Ophthalmol. 2010 Jan;94(1):85-7. doi: 10.1136/bjo.2008.153312. Epub 2009 Jul 23.
To evaluate the influence of socio-economic factors on severity of glaucoma at presentation
All newly diagnosed glaucoma patients at the University Hospitals-NHS, Aberdeen and South Glasgow University Hospitals-NHS, in 2006, were included. Glaucoma was severe at presentation if there was a repeatable visual-field loss with a mean deviation index greater than 12 dB in the Humphreys visual fields test or an absolute paracentral scotoma within the central 5 degrees of the visual fields. Home address was used to determine the Scottish Index of Multiple Deprivation (SIMD) rank. The SIMD rank, demographics and severity of glaucoma at presentation were investigated using general linear modelling.
There were 48 patients with severe glaucoma and 74 patients with non-severe glaucoma. In four, the severity could not be determined. Severity of glaucoma at presentation was significantly associated with SIMD rank, being most severe in patients from areas with the lowest ranks (p = 0.026). Age was a significant factor (p = 0.024), with severe glaucoma being more common in elderly patients.
Age and socio-economic deprivation were associated with severity of glaucoma at presentation, with patients from areas of higher socio-economic deprivation presenting with more advanced glaucoma.
评估社会经济因素对就诊时青光眼严重程度的影响。
纳入 2006 年在阿伯丁大学医院-NHS 和南格拉斯哥大学医院-NHS 新诊断的青光眼患者。如果在 Humphreys 视野测试中存在可重复的视野损失，平均偏差指数大于 12dB，或者在视野中央 5 度内存在绝对旁中心暗点，则认为就诊时青光眼严重。家庭住址用于确定苏格兰多重剥夺指数（SIMD）等级。使用一般线性模型研究 SIMD 等级、人口统计学特征和就诊时青光眼严重程度。
48 例患者为严重青光眼，74 例患者为非严重青光眼。有 4 例患者的严重程度无法确定。就诊时青光眼严重程度与 SIMD 等级显著相关，在等级最低的患者中最为严重（p = 0.026）。年龄是一个显著因素（p = 0.024），老年患者更常见严重青光眼。
年龄和社会经济剥夺与就诊时青光眼的严重程度相关，社会经济地位较高地区的患者就诊时青光眼更为严重。
