Association of visual impairment with disability: a population-based study.


Journal

Eye (London, England)
ISSN: 1476-5454
Titre abrégé: Eye (Lond)
Pays: England
ID NLM: 8703986

Informations de publication

Date de publication:
03 2022
Historique:
received: 25 08 2020
accepted: 25 02 2021
revised: 23 02 2021
pubmed: 19 3 2021
medline: 19 4 2022
entrez: 18 3 2021
Statut: ppublish

Résumé

To determine the relationship between visual impairment and other disabilities in a developing country. In this cross-sectional ancillary study, all individuals 50 years and older in 18 communities in the Chitwan region of Nepal were administered visual acuity screening and the Washington Group Short Set (WGSS) of questions on disability. The WGSS elicits a 4-level response for six disability domains: vision, hearing, walking/climbing, memory/concentration, washing/dressing, and communication. The association between visual impairment and disability was assessed with age- and sex-adjusted logistic regression models. Overall, 4719 of 4726 individuals successfully completed visual acuity and disability screening. Median age of participants was 61 years (interquartile range: 55-69 years), and 2449 (51.9%) were female. Participants with vision worse than 6/60 in the better-seeing eye were significantly more likely to be classified as having a disability in vision (OR 18.4, 95% CI 9.9-33.5), walking (OR 5.3, 95% CI 2.9-9.1), washing (OR 9.4, 95% CI 4.0-21.1), and communication (OR 5.0, 95% CI 1.7-13.0), but not in hearing (OR 0.6, 95% CI 0.006-2.2) or memory (OR 2.2, 95% CI 0.7-5.1). Visually impaired participants were more likely to self-report disabilities, though causality could not be ascertained. Public health programs designed to reduce visual impairment could use the WGSS to determine unintended benefits of their interventions.

Identifiants

pubmed: 33731892
doi: 10.1038/s41433-021-01498-x
pii: 10.1038/s41433-021-01498-x
pmc: PMC8873270
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

540-546

Subventions

Organisme : FIC NIH HHS
ID : D43 TW009343
Pays : United States

Informations de copyright

© 2021. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.

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Auteurs

John M Nesemann (JM)

Francis I Proctor Foundation, University of California San Francisco, San Francisco, CA, USA. JNesemann@mednet.ucla.edu.

Ram P Kandel (RP)

Seva Foundation, Berkeley, CA, USA.

Raghunandan Byanju (R)

Bharatpur Eye Hospital, Bharatpur, Nepal.

Bimal Poudyal (B)

Bharatpur Eye Hospital, Bharatpur, Nepal.

Gopal Bhandari (G)

Bharatpur Eye Hospital, Bharatpur, Nepal.

Sadhan Bhandari (S)

Bharatpur Eye Hospital, Bharatpur, Nepal.

Kieran S O'Brien (KS)

Francis I Proctor Foundation, University of California San Francisco, San Francisco, CA, USA.
Division of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, CA, USA.

Valerie M Stevens (VM)

Francis I Proctor Foundation, University of California San Francisco, San Francisco, CA, USA.

Jason S Melo (JS)

Francis I Proctor Foundation, University of California San Francisco, San Francisco, CA, USA.

Jeremy D Keenan (JD)

Francis I Proctor Foundation, University of California San Francisco, San Francisco, CA, USA.
Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.

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