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印度中老年人群中多种疾病与已诊断视力问题存在之间的关联。

Association Between Multimorbidity and Presence of Diagnosed Vision Problems Among the Middle-Aged and Older Population in India.

作者信息

Meher Trupti, Muhammad T, Ahmed Waquar

机构信息

Population Studies, International Institute for Population Sciences, Mumbai, India.

Center for Healthy Aging, Pennsylvania State University, University Park, USA.

出版信息

Ophthalmic Epidemiol. 2025 Jun;32(3):309-317. doi: 10.1080/09286586.2024.2384061. Epub 2024 Aug 8.

Abstract

PURPOSE

The aim of the study was to estimate the prevalence of diagnosed vision problems and to examine the association of single and multiple chronic conditions with vision problems among middle-aged and older adults in India.

METHODS

The study utilized data from the Longitudinal Ageing Study in India (LASI) Wave 1, (2017-18). Descriptive statistics along with bivariate and multivariable analyses were conducted to achieve the study objectives.

RESULTS

The prevalence of diagnosed vision problems in the sampled population was 48.2%. The older adults (60+ years) (55.3%) had shown a greater prevalence of vision problems than the middle-aged individuals (41%). Among chronic conditions, hypertension, diabetes, chronic lung diseases, chronic heart diseases, bone related diseases, psychiatric disorders, and high cholesterol were significantly associated with vision problems in the case of both middle-aged and older adults. Furthermore, odds of experiencing vision problems according to the presence of multimorbidity were higher in the middle-aged population [adjusted odds ratio (AOR) = 1.986; confidence interval (CI):1.855-2.126] than in the older population [AOR = 1.746; CI:1.644-1.854].

CONCLUSIONS

Middle-aged and older adults with chronic illnesses and multimorbidity were at greater risk of vision problems. Due to the high prevalence of vision problem, interventions aimed at prevention or early detection are warranted.

摘要

目的

本研究旨在估计已确诊视力问题的患病率,并探讨印度中年及老年人群中单一和多种慢性病与视力问题之间的关联。

方法

本研究利用了印度纵向老龄化研究(LASI)第一轮(2017 - 18年)的数据。进行了描述性统计以及双变量和多变量分析以实现研究目标。

结果

抽样人群中已确诊视力问题的患病率为48.2%。老年人(60岁及以上)(55.3%)的视力问题患病率高于中年人(41%)。在慢性病中,高血压、糖尿病、慢性肺病、慢性心脏病、骨相关疾病、精神障碍和高胆固醇在中年和老年人群中均与视力问题显著相关。此外,中年人群中根据存在多种疾病而出现视力问题的几率[调整优势比(AOR)= 1.986;置信区间(CI):1.855 - 2.126]高于老年人群[AOR = 1.746;CI:1.644 - 1.854]。

结论

患有慢性病和多种疾病的中年及老年人视力问题风险更高。由于视力问题患病率高,有必要采取旨在预防或早期检测的干预措施。

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