Chou Chiu-Fang, Beckles Gloria L A, Zhang Xinzhi, Saaddine Jinan B
The authors are with the Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA.
Am J Public Health. 2015 Jun;105(6):1262-8. doi: 10.2105/AJPH.2014.302475. Epub 2015 Apr 16.
We examined the relationship between socioeconomic position (SEP) and sensory impairment.
We used data from the 2007 to 2010 National Health Interview Surveys (n = 69 845 adults). Multivariable logistic regressions estimated odds ratios (ORs) for associations of educational attainment, occupational class, and poverty-income ratio with impaired vision or hearing.
Nearly 20% of respondents reported sensory impairment. Each SEP indicator was negatively associated with sensory impairment. Adjusted odds of vision impairment were significantly higher for farm workers (OR = 1.41; 95% confidence interval [CI] = 1.01, 2.02), people with some college (OR = 1.29; 95% CI = 1.16, 1.44) or less than a high school diploma (OR = 1.36; 95% CI = 1.19, 1.55), and people from poor (OR = 1.35; 95% CI = 1.20, 1.52), low-income (OR = 1.28; 95% CI = 1.14, 1.43), or middle-income (OR = 1.19; 95% CI = 1.07, 1.31) families than for the highest-SEP group. Odds of hearing impairment were significantly higher for people with some college or less education than for those with a college degree or more; for service groups, farmers, and blue-collar workers than for white-collar workers; and for people in poor families.
More research is needed to understand the SEP-sensory impairment association.
我们研究了社会经济地位(SEP)与感官障碍之间的关系。
我们使用了2007年至2010年全国健康访谈调查的数据(n = 69845名成年人)。多变量逻辑回归估计了教育程度、职业类别和贫困收入比与视力或听力受损之间关联的优势比(OR)。
近20%的受访者报告有感官障碍。每个SEP指标都与感官障碍呈负相关。农场工人(OR = 1.41;95%置信区间[CI] = 1.01,2.02)、有一些大学学历的人(OR = 1.29;95% CI = 1.16,1.44)或高中文凭以下的人(OR = 1.36;95% CI = 1.19,1.55),以及来自贫困家庭(OR = 1.35;95% CI = 1.20,1.52)、低收入家庭(OR = 1.28;95% CI = 1.14,1.43)或中等收入家庭(OR = 1.19;95% CI = 1.07,1.31)的人的视力受损调整优势比显著高于SEP最高组。有一些大学学历或以下学历的人的听力受损几率显著高于有大学学位或以上学历的人;服务行业人员、农民和蓝领工人的听力受损几率显著高于白领工人;贫困家庭的人的听力受损几率也较高。
需要更多研究来了解SEP与感官障碍之间的关联。