1 Hôpital Maisonneuve-Rosemont, Montreal, Québec, Canada.
2 Université de Montréal, Québec, Canada.
J Aging Health. 2018 Oct;30(9):1369-1388. doi: 10.1177/0898264317716360. Epub 2017 Jun 23.
To examine factors associated with visual impairment (VI) and eye care in the International Mobility in Aging Study (IMIAS).
IMIAS data were analyzed ( N = 1,995 with ages 65-74). Outcomes were VI defined as presenting visual acuity worse than 6/18 in the better eye and eye care utilization assessed by annual visits to eye care professionals. The Hurt-Insult-Threaten-Scream (HITS) questionnaire requested information on domestic violence.
Among men, VI varied from 24% in Manizales (Colombia) to 0.5% in Kingston (Canada); among women, VI ranged from 20% in Manizales to 1% in Kingston; lifetime exposure to domestic violence was associated with VI (odds ratio [OR] = 1.87; 95% confidence interval [CI] = [1.17, 3.00]). Eye care utilization varied from 72% in Kingston's men to 25% in Tirana's men; it was associated with domestic violence (prevalence ratio [PR] = 1.3; 95% CI = [1.1, 1.6]).
VI is more frequent where eye care utilization is low. Domestic violence may be a risk factor for VI.
在国际老龄化迁移研究（IMIAS）中，研究与视力障碍（VI）和眼部护理相关的因素。
对 IMIAS 数据进行了分析（N=1995 人，年龄 65-74 岁）。结果是 VI 定义为在较好的眼睛中视力低于 6/18，以及通过每年访问眼科专业人员来评估眼部护理的利用情况。Hurt-Insult-Threaten-Scream（HITS）问卷要求提供有关家庭暴力的信息。
在男性中，VI 的发生率从哥伦比亚马拉开雷斯的 24%到加拿大金斯敦的 0.5%不等；在女性中，VI 的发生率从马拉开雷斯的 20%到金斯敦的 1%不等；一生遭受家庭暴力与 VI 相关（比值比[OR] = 1.87；95%置信区间[CI] = [1.17, 3.00]）。眼部护理的利用率从金斯敦男性的 72%到地拉那男性的 25%不等；它与家庭暴力相关（患病率比[PR] = 1.3；95%CI = [1.1, 1.6]）。
VI 在眼部护理利用率较低的地方更为常见。家庭暴力可能是 VI 的一个风险因素。
