德黑兰老年人的视力相关生活质量及其眼保健服务的可及性与利用情况
Vision-Related Quality of Life of Older People in Tehran and their Access and Utilization of Eye Care Services.
作者信息
Bigdeli Sara, Arab Mohammad, Hadian Moeen, Tajvar Maryam
机构信息
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Iran J Public Health. 2022 Aug;51(8):1857-1865. doi: 10.18502/ijph.v51i8.10272.
BACKGROUND
Access to and utilization of eye care services may improve vision-related quality of life (VRQoL) of older people. This study aimed to evaluate the VRQoL of older adults and its associations with access to and utilization of eye care services.
METHODS
This is a community-based cross-sectional survey conducted in Tehran, Iran, on 566 older people in 2018. The NEI-25 VFQ was used to measure the VRQoL. Multilevel Linear Regression analysis used to test the study hypotheses.
RESULTS
The average score of the VRQoL was 80 out of 100. About 61% of the participants did not utilize the annual routine eye examination and the mean score of overall access to eye care was 85 out of 115. Having a higher physical, socio-cultural and overall access were significantly associated with higher VRQoL, but those with regular utilization had no better VRQoL status compared to non-users.
CONCLUSION
Access to eye care services showed to be very important in improvement of the VRQoL, whereas higher utilization was not found to be associated with better VRQoL statue of older people, as there might have a reverse causality with using more eye services with higher Visual impairment.
背景
获得和利用眼部护理服务可能会改善老年人与视力相关的生活质量（VRQoL）。本研究旨在评估老年人的VRQoL及其与获得和利用眼部护理服务之间的关联。
方法
这是一项于2018年在伊朗德黑兰对566名老年人进行的基于社区的横断面调查。使用NEI-25 VFQ来测量VRQoL。采用多水平线性回归分析来检验研究假设。
结果
VRQoL的平均得分为80分（满分100分）。约61%的参与者未进行年度常规眼部检查，获得眼部护理的总体平均得分为115分中的85分。身体状况、社会文化状况和总体获得情况较好与较高的VRQoL显著相关，但与未使用者相比，定期使用者的VRQoL状况并无更好。
结论
获得眼部护理服务对改善VRQoL非常重要，而较高的利用率与老年人更好的VRQoL状况并无关联可能是因为视力损害程度较高的人使用更多眼部服务，存在反向因果关系。
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