Prevalence of self-rated visual impairment among adults with diabetes

被引:26
作者
Saaddine, JB
Narayan, KMV
Engelgau, MM
Aubert, RE
Klein, R
Beckles, GLA
机构
[1] Ctr Dis Control & Prevent, Div Diabet Translat, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA
[2] Prudential Ctr Hlth Care Res, Atlanta, GA USA
[3] Univ Wisconsin, Sch Med, Dept Ophthalmol & Visual Sci, Madison, WI USA
关键词
D O I
10.2105/AJPH.89.8.1200
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
objectives. This study estimated the prevalence of self-rated visual impairment among US adults with. diabetes and identified correlates of impairment. Methods. Self-reported data from the 1995 Behavioral Risk Factor surveillance System survey of adults 18 years and older with diabetes were analyzed Correlates of visual impairment were examined by multiple logistic regression analysis. Results. The prevalence of self-rated visual impairment was 24.8%; (95% confidence interval [CI] = 22.3%, 27.3%). Among insulin users, multivariable-adjusted odds ratios were 4.9 (95% GI = 2.6, 9.2) for those who had not completed. high school and 1.8 (95% CI = 1.0, 2.8) for those who had completed high school compared with those with higher levels of education Ea Comparable estimates of odds ratios for non-users of insulin were 22 (95% CI:= 1.4, 3.4) and 1.3 (95% CI- 0.9, 2.0) respectively. Among nonusers the adjusted odds for minority adults were 2.4 (95% CI = 1.0, 3.7) times the odds for nonHispanic Whites. Conclusions. By these data, 1.6 million US adults with diabetes reported having some degree of visual impairment. Future research:li on the specific causes of visual impairment may help in estimating the avoidable public health burden.
引用
收藏
页码:1200 / 1205
页数:6
相关论文
共 50 条
[1]  
Ammons L, 1997, J NATL MED ASSOC, V89, P737
[2]  
[Anonymous], 1995, Diabetes in America
[3]   Cost effectiveness of cataract surgery - A comparison of conventional extracapsular surgery and phacoemulsification at Flinders Medical Centre [J].
Asimakis, P ;
Coster, DJ ;
Lewis, DJ .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF OPHTHALMOLOGY, 1996, 24 (04) :319-325
[4]   VALIDITY OF CARDIOVASCULAR-DISEASE RISK-FACTORS ASSESSED BY TELEPHONE SURVEY - THE BEHAVIORAL RISK FACTOR SURVEY [J].
BOWLIN, SJ ;
MORRILL, BD ;
NAFZIGER, AN ;
JENKINS, PL ;
LEWIS, C ;
PEARSON, TA .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1993, 46 (06) :561-571
[5]   Reliability and changes in validity of self-reported cardiovascular disease risk factors using dual response: The behavioral risk factor survey [J].
Bowlin, SJ ;
Morrill, BD ;
Nafziger, AN ;
Lewis, C ;
Pearson, TA .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1996, 49 (05) :511-517
[6]   OPHTHALMIC EXAMINATION AMONG ADULTS WITH DIAGNOSED DIABETES-MELLITUS [J].
BRECHNER, RJ ;
COWIE, CC ;
HOWIE, LJ ;
HERMAN, WH ;
WILL, JC ;
HARRIS, MI .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 270 (14) :1714-1718
[7]   SELF-REPORT AND MEDICAL RECORD REPORT AGREEMENT OF SELECTED MEDICAL CONDITIONS IN THE ELDERLY [J].
BUSH, TL ;
MILLER, SR ;
GOLDEN, AL ;
HALE, WE .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1989, 79 (11) :1554-1556
[8]  
Centers for Disease Control and Prevention, 1996, MMWR-MORBID MORTAL W, V45, P937
[9]  
CHIANG YP, 1995, PUBLIC HEALTH REP, V110, P147
[10]   A POPULATION-BASED STUDY OF THE INCIDENCE OF COMPLICATIONS ASSOCIATED WITH TYPE-2 DIABETES IN THE ELDERLY [J].
COHEN, DL ;
NEIL, HAW ;
THOROGOOD, M ;
MANN, JI .
DIABETIC MEDICINE, 1991, 8 (10) :928-933