Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, 1163 Xinmin Avenue, Changchun, 130021, P. R. China.
BMC Geriatr. 2023 Apr 14;23(1):230. doi: 10.1186/s12877-023-03950-x.
The association between sensory impairment including vision impairment (VI), hearing impairment (HI), dual impairment (DI) and the functional limitations of SCD (SCD-related FL) are still unclear in middle-aged and older people.
162,083 participants from BRFSS in 2019 to 2020 was used in this cross-sectional study. After adjusting the weights, multiple logistic regression was used to study the relationship between sensory impairment and SCD or SCD-related FL. In addition, we performed subgroup analysis on the basis of interaction between sensory impairment and covariates.
Participants who reported sensory impairment were more likely to report SCD or SCD-related FL compared to those without sensory impairment (p < 0.001). The association between dual impairment and SCD-related FL was the strongest, the adjusted odds ratios (aORs) and 95% confidence interval (95% CI) were [HI, 2.88 (2.41, 3.43); VI, 3.15(2.61, 3.81); DI, 6.78(5.43, 8.47)] respectively. In addition, subgroup analysis showed that men with sensory impairment were more likely to report SCD-related FL than women, the aORs and 95% CI were [HI, 3.15(2.48, 3.99) vs2.69(2.09, 3.46); VI,3.67(2.79, 4.83) vs. 2.86(2.22, 3.70); DI, 9.07(6.67, 12.35) vs. 5.03(3.72, 6.81)] respectively. The subject of married with dual impairment had a stronger association with SCD-related FL than unmarried subjects the aOR and 95% CI was [9.58(6.69, 13.71) vs. 5.33(4.14, 6.87)].
Sensory impairment was strongly associated with SCD and SCD-related FL. Individuals with dual impairment had the greatest possibility to reported SCD-related FL, and the association was stronger for men or married subjects than other subjects.
中年人及老年人的感官障碍（包括视力障碍、听力障碍、双重障碍）与慢性病相关的功能受限（SCD-related FL）之间的关联尚不清楚。
本横断面研究使用了 2019 年至 2020 年 BRFSS 的 162083 名参与者。在调整权重后，采用多因素逻辑回归分析感官障碍与 SCD 或 SCD 相关 FL 之间的关系。此外，我们根据感官障碍与协变量之间的相互作用进行了亚组分析。
与无感官障碍者相比，报告有感官障碍者更有可能报告 SCD 或 SCD 相关 FL（p<0.001）。双重障碍与 SCD 相关 FL 的关联最强，调整后的比值比（aOR）及其 95%置信区间（95%CI）分别为[听力障碍，2.88（2.41，3.43）；视力障碍，3.15（2.61，3.81）；双重障碍，6.78（5.43，8.47）]。此外，亚组分析显示，有感官障碍的男性比女性更有可能报告 SCD 相关 FL，aOR 及其 95%CI 分别为[听力障碍，3.15（2.48，3.99）比 2.69（2.09，3.46）；视力障碍，3.67（2.79，4.83）比 2.86（2.22，3.70）；双重障碍，9.07（6.67，12.35）比 5.03（3.72，6.81）]。已婚且双重障碍的受试者与 SCD 相关 FL 的关联强于未婚受试者，aOR 及其 95%CI 分别为[9.58（6.69，13.71）比 5.33（4.14，6.87）]。
感官障碍与 SCD 和 SCD 相关 FL 密切相关。双重障碍个体报告 SCD 相关 FL 的可能性最大，男性或已婚者的关联强于其他个体。
