Crews John E, Chou Chiu-Fang, Sekar Swathi, Saaddine Jinan B
Vision Health Initiative, Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Vision Health Initiative, Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Ophthalmol. 2017 Oct;182:18-30. doi: 10.1016/j.ajo.2017.06.038. Epub 2017 Jul 19.
To examine the prevalence of 13 chronic conditions and fair/poor health among people aged ≥65 years in the United States with and without vision impairment.
Cross-sectional study from the 2010-2014 National Health Interview Survey.
We examined hypertension, heart disease, high cholesterol, stroke, arthritis, asthma, chronic obstructive pulmonary disease, cancer, weak/failing kidneys, diabetes, hepatitis, depression, and hearing impairment. We used logistic regression to show the association between vision impairment and chronic conditions and the association between vision impairment and poor health for those with chronic conditions.
People aged ≥65 years with vision impairment reported greater prevalence of chronic conditions compared to people without vision impairment. After controlling for covariates (age, sex, education, race, smoking, physical activity, and obesity), people with vision impairment were more likely than those without to report chronic conditions (hypertension: OR [odds ratio] 1.43; heart disease: OR 1.68; high cholesterol: OR 1.26; stroke: OR 1.99; arthritis; OR 1.71; asthma: OR 1.56; chronic obstructive pulmonary disease: OR 1.65; cancer: OR 1.23; weak/failing kidneys: OR 2.29; diabetes: OR 1.56; hepatitis: OR 1.30; depression: OR 1.47; hearing impairment: OR 1.91) (all P < .05). Among older people with chronic conditions, those with vision impairment and chronic conditions compared to people without vision impairment and chronic conditions were 1.66-2.98 times more likely to have fair/poor health than those without vision impairment (all P < .05).
Higher prevalence of chronic conditions is strongly associated with vision impairment among the older people and poor health is strongly associated with vision impairment and chronic conditions.
研究美国65岁及以上有视力障碍和无视力障碍人群中13种慢性病的患病率以及健康状况为一般/较差的情况。
基于2010 - 2014年国家健康访谈调查的横断面研究。
我们研究了高血压、心脏病、高胆固醇、中风、关节炎、哮喘、慢性阻塞性肺疾病、癌症、肾脏虚弱/衰竭、糖尿病、肝炎、抑郁症和听力障碍。我们使用逻辑回归来显示视力障碍与慢性病之间的关联，以及视力障碍与患有慢性病者健康状况较差之间的关联。
与无视力障碍的人相比，65岁及以上有视力障碍的人报告的慢性病患病率更高。在控制协变量（年龄、性别、教育程度、种族、吸烟、身体活动和肥胖）后，有视力障碍的人比无视力障碍的人更有可能报告患有慢性病（高血压：比值比[OR]1.43；心脏病：OR 1.68；高胆固醇：OR 1.26；中风：OR 1.99；关节炎：OR 1.71；哮喘：OR 1.56；慢性阻塞性肺疾病：OR 1.65；癌症：OR 1.23；肾脏虚弱/衰竭：OR 2.29；糖尿病：OR 1.56；肝炎：OR 1.30；抑郁症：OR 1.47；听力障碍：OR 1.91）（所有P < 0.05）。在患有慢性病的老年人中，与无视力障碍且无慢性病的人相比，有视力障碍且患有慢性病的人健康状况为一般/较差的可能性是其1.66 - 2.98倍（所有P < 0.05）。
老年人中慢性病的较高患病率与视力障碍密切相关，健康状况较差与视力障碍和慢性病密切相关。
