Crews John E, Chou Chiu-Fang, Zack Matthew M, Zhang Xinzhi, Bullard Kai McKeever, Morse Alan R, Saaddine Jinan B
a National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta , GA , USA.
b University of Alabama at Birmingham , Birmingham , AL , USA.
Ophthalmic Epidemiol. 2016 Jun;23(3):145-53. doi: 10.3109/09286586.2016.1168851. Epub 2016 May 9.
To examine the association of health-related quality of life (HRQoL) with severity of visual impairment among people aged 40-64 years.
We used cross-sectional data from the 2006-2010 Behavioral Risk Factor Surveillance System to examine six measures of HRQoL: self-reported health, physically unhealthy days, mentally unhealthy days, activity limitation days, life satisfaction, and disability. Visual impairment was categorized as no, a little, or moderate/severe. We examined the association between visual impairment and HRQoL using logistic regression accounting for the survey's complex design.
Overall, 23.0% of the participants reported a little difficult seeing, while 16.8% reported moderate/severe difficulty seeing. People aged 40-64 years with moderate/severe visual impairment had more frequent (≥14) physically unhealthy days, mentally unhealthy days, and activity limitation days in the last 30 days, as well as greater life dissatisfaction, greater disability, and poorer health compared to people reporting no or a little visual impairment. After controlling for covariates (age, sex, marital status, race/ethnicity, education, income, state, year, health insurance, heart disease, stroke, heart attack, body mass index, leisure-time activity, smoking, and medical care costs), and compared to people with no visual impairment, those with moderate/severe visual impairment were more likely to have fair/poor health (odds ratio, OR, 2.01, 95% confidence interval, CI, 1.82-2.23), life dissatisfaction (OR 2.06, 95% CI 1.80-2.35), disability (OR 1.95, 95% CI 1.80-2.13), and frequent physically unhealthy days (OR 1.69, 95% CI 1.52-1.88), mentally unhealthy days (OR 1.84, 95% CI 1.66-2.05), and activity limitation days (OR 1.94, 95% CI 1.71-2.20; all p < 0.0001).
Poor HRQoL was strongly associated with moderate/severe visual impairment among people aged 40-64 years.
研究40 - 64岁人群中与健康相关的生活质量（HRQoL）与视力损害严重程度之间的关联。
我们使用了2006 - 2010年行为危险因素监测系统的横断面数据，以检验HRQoL的六项指标：自我报告的健康状况、身体不健康天数、精神不健康天数、活动受限天数、生活满意度和残疾情况。视力损害分为无、轻度或中度/重度。我们使用逻辑回归分析，并考虑调查的复杂设计，来检验视力损害与HRQoL之间的关联。
总体而言，23.0%的参与者报告视力有轻度困难，而16.8%报告有中度/重度困难。与报告无或轻度视力损害的人相比，40 - 64岁有中度/重度视力损害的人在过去30天内身体不健康天数、精神不健康天数和活动受限天数更频繁（≥14天），生活满意度更低，残疾程度更高，健康状况更差。在控制协变量（年龄、性别、婚姻状况、种族/族裔、教育程度、收入、州、年份、医疗保险、心脏病、中风、心脏病发作、体重指数、休闲活动、吸烟和医疗费用）后，与无视力损害的人相比，中度/重度视力损害的人更有可能健康状况一般/较差（优势比，OR，2.01，95%置信区间，CI，1.82 - 2.23）、生活不满意（OR 2.06，95% CI 1.80 - 2.35）、残疾（OR 1.95，95% CI 1.80 - 2.13），以及身体不健康天数频繁（OR 1.69，95% CI 1.52 - 1.88）、精神不健康天数频繁（OR 1.84，95% CI 1.66 - 2.05）和活动受限天数频繁（OR 1.94，95% CI 1.71 - 2.20；所有p < 0.0001）。
在40 - 64岁人群中，较差的HRQoL与中度/重度视力损害密切相关。
