Department of Ophthalmology, CHU Poitiers, Poitiers, France
Public Health department, CHU Poitiers, Poitiers, France.
Br J Ophthalmol. 2024 Feb 21;108(3):484-492. doi: 10.1136/bjo-2022-321439.
Data on population-based self-reported dual vision and hearing impairment are sparse in Europe. We aimed to investigate self-reported dual sensory impairment (DSI) in European population.
A standardised questionnaire was used to collect medical and socio-economic data among individuals aged 15 years or more in 29 European countries. Individuals living in collective households or in institutions were excluded from the survey.
Among 296 677 individuals, the survey included 153 866 respondents aged 50 years old or more. The crude prevalence of DSI was of 7.54% (7.36-7.72). Among individuals aged 60 or more, 9.23% of men and 10.94% of women had DSI. Eastern and southern countries had a higher prevalence of DSI. Multivariable analyses showed that social isolation and poor self-rated health status were associated with DSI with ORs of 2.01 (1.77-2.29) and 2.33 (2.15-2.52), while higher income was associated with lower risk of DSI (OR of 0.83 (0.78-0.89). Considering country-level socioeconomic factors, Human Development Index explained almost 38% of the variance of age-adjusted prevalence of DSI.
There are important differences in terms of prevalence of DSI in Europe, depending on socioeconomic and medical factors. Prevention of DSI does represent an important challenge for maintaining quality of life in elderly population.
基于人群的自我报告双重视力和听力障碍数据在欧洲较为匮乏。我们旨在研究欧洲人群中的自我报告双重感觉障碍(DSI)。
使用标准化问卷收集了 29 个欧洲国家 15 岁及以上人群的医疗和社会经济数据。居住在集体住宅或机构中的个人被排除在调查之外。
在 296677 名参与者中,调查包括 153866 名年龄在 50 岁及以上的应答者。DSI 的粗患病率为 7.54%(7.36-7.72)。在 60 岁及以上的人群中,9.23%的男性和 10.94%的女性患有 DSI。东部和南部国家的 DSI 患病率较高。多变量分析显示,社会隔离和自我评估健康状况较差与 DSI 相关,比值比(OR)分别为 2.01(1.77-2.29)和 2.33(2.15-2.52),而较高的收入与 DSI 的风险降低相关(OR 为 0.83(0.78-0.89))。考虑到国家层面的社会经济因素,人类发展指数解释了 DSI 年龄调整后患病率差异的近 38%。
欧洲 DSI 的患病率存在重要差异,取决于社会经济和医疗因素。预防 DSI 确实是维持老年人口生活质量的重要挑战。