Demographic and Psychiatric Associations With Dry Eye in a Medicare Population.
Journal
Cornea
ISSN: 1536-4798
Titre abrégé: Cornea
Pays: United States
ID NLM: 8216186
Informations de publication
Date de publication:
07 Mar 2024
07 Mar 2024
Historique:
received:
28
10
2023
accepted:
20
01
2024
medline:
8
3
2024
pubmed:
8
3
2024
entrez:
8
3
2024
Statut:
aheadofprint
Résumé
The purpose of this study was to investigate the impact of demographic characteristics and psychiatric comorbidity on the prevalence of dry eye disease in the American geriatric population. Data were collected from a 2011 nationwide sample of Medicare beneficiaries aged 65 years and older (N = 1,321,000). Age, sex, race/ethnicity, residential area, climate region, and income, along with psychiatric comorbidities including depression and anxiety, were collected. Multivariable logistic regression models were used to assess the relationship between demographic and psychiatric factors and the prevalence of dry eye disease. Among 21,059 patients with clinically significant dry eye, women had higher odds of having dry eye compared with men [odds ratio (OR) 2.03, 95% confidence interval (1.97-2.10)]. Asian and Native American patients had increased odds of having dry eye compared with White patients [OR 1.85 (1.69-2.02) and OR 1.51 (1.19-1.93)], while Black patients were less likely to have dry eye [OR 0.83 (0.79-0.87)]. Patients aged 75 to 84 years and 85+ were more likely to have dry eye compared with those aged 65 to 74 years [OR 1.49 (0.45-1.53) and OR 1.54 (1.48-1.60)]. Having both depression and anxiety were associated with higher odds of having dry eye [OR 2.38 (2.22-2.55)] compared with having depression alone [OR 1.95 (1.86-2.04)] or anxiety alone [OR 2.22 (2.10-2.35)]. Significant racial and regional disparities in dry eye prevalence were found. Psychiatric association with dry eye varied with age, sex, race, and residence region. Further research is needed to comprehend the underlying mechanisms, implications, and to address disparities in the diagnosis and management of dry eye.
Identifiants
pubmed: 38456830
doi: 10.1097/ICO.0000000000003516
pii: 00003226-990000000-00511
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors have no funding or conflicts of interest to disclose.
Références
Craig JP, Nichols KK, Akpek EK, et al. TFOS DEWS II definition and classification report. Ocul Surf. 2017;15:276–283.
Hemady R, Chu W, Foster CS. Keratoconjunctivitis sicca and corneal ulcers. Cornea. 1990;9:170–173.
Lemp MA. Epidemiology and classification of dry eye. Adv Exp Med Biol. 1998;438:791–803.
Stapleton F, Alves M, Bunya VY, et al. TFOS DEWS II epidemiology report. Ocul Surf. 2017;15:334–365.
Galor A, Feuer W, Lee DJ, et al. Prevalence and risk factors of dry eye syndrome in a United States veterans affairs population. Am J Ophthalmol. 2011;152:377–384.e2.
Han SB, Hyon JY, Woo SJ, et al. Prevalence of dry eye disease in an elderly Korean population. Arch Ophthalmol. 2011;129:633–638.
Alves M, Asbell P, Dogru M, et al. TFOS lifestyle report: impact of environmental conditions on the ocular surface. Ocul Surf. 2023;29:1–52.
Qian L, Wei W. Identified risk factors for dry eye syndrome: a systematic review and meta-analysis. PLoS One. 2022;17:e0271267.
Li X, Wang Z, Mu J, et al. Prevalence and associated risk factors of dry eye disease in Hotan, Xinjiang: a cross-sectional study. BMC Ophthalmol. 2023;23:214.
Dermer H, Galor A, Hackam AS, et al. Impact of seasonal variation in meteorological conditions on dry eye severity. Clin Ophthalmol. 2018;12:2471–2481.
Galor A, Kumar N, Feuer W, et al. Environmental factors affect the risk of dry eye syndrome in a United States veteran population. Ophthalmology. 2014;121:972–973.
Guo Od LW, Akpek E. The negative effects of dry eye disease on quality of life and visual function. Turk J Med Sci. 2020;50:1611–1615.
Han SB, Yang HK, Hyon JY, et al. Association of dry eye disease with psychiatric or neurological disorders in elderly patients. Clin Interv Aging. 2017;12:785–792.
van der Vaart R, Weaver MA, Lefebvre C, et al. The association between dry eye disease and depression and anxiety in a large population-based study. Am J Ophthalmol. 2015;159:470–474.
Li M, Gong L, Sun X, et al. Anxiety and depression in patients with dry eye syndrome. Curr Eye Res. 2011;36:1–7.
Liang CY, Cheang WM, Wang CY, et al. The association of dry eye syndrome and psychiatric disorders: a nationwide population-based cohort study. BMC Ophthalmol. 2020;20:123.
Goodwin RD, Weinberger AH, Kim JH, et al. Trends in anxiety among adults in the United States, 2008-2018: rapid increases among young adults. J Psychiatr Res. 2020;130:441–446.
Gum AM, King-Kallimanis B, Kohn R. Prevalence of mood, anxiety, and substance-abuse disorders for older Americans in the national comorbidity survey-replication. Am J Geriatr Psychiatry. 2009;17:769–781.
Stein JD, Lum F, Lee PP, et al. Use of health care claims data to study patients with ophthalmologic conditions. Ophthalmology. 2014;121:1134–1141.
SSA to Federal Information Processing Series (FIPS) State and County Crosswalk. National Bureau of Economic Research. https://www.nber.org/research/data/ssa-federal-information-processing-series-fips-state-and-county-crosswalk. Accessed June 2, 2023
Census Bureau Data. https://data.census.gov/. Accessed June 2, 2023.
Rural-Urban Continuum Codes, 2013. https://www.ers.usda.gov/webdocs/DataFiles/53251/ruralurbancodes2013.xls. Accessed June 2, 2023
U.S. Climate Regions | Geographical Reference Maps | National Centers for Environmental Information (NCEI). https://www.ncei.noaa.gov/access/monitoring/reference-maps/us-climate-regions. Accessed June 2, 2023.
Akowuah PK, Kobia-Acquah E. Prevalence of dry eye disease in Africa: a systematic review and meta-analysis. Optom Vis Sci. 2020;97:1089–1098.
Moss SE, Klein R, Klein BEK. Long-term incidence of dry eye in an older population. Optom Vis Sci. 2008;85:668–674.
Paulsen AJ, Cruickshanks KJ, Fischer ME, et al. Dry eye in the beaver dam offspring study: prevalence, risk factors, and health-related quality of life. Am J Ophthalmol. 2014;157:799–806.
Schein OD, Muñoz B, Tielsch JM, et al. Prevalence of dry eye among the elderly. Am J Ophthalmol. 1997;124:723–728.
Schaumberg DA, Dana R, Buring JE, et al. Prevalence of dry eye disease among US men: estimates from the physicians' health studies. Arch Ophthalmol. 2009;127:763–768.
Schaumberg DA, Sullivan DA, Buring JE, et al. Prevalence of dry eye syndrome among US women. Am J Ophthalmol. 2003;136:318–326.
Yazdani C, McLaughlin T, Smeeding JE, et al. Prevalence of treated dry eye disease in a managed care population. Clin Ther. 2001;23:1672–1682.
Farrand KF, Fridman M, Stillman IÖ, et al. Prevalence of diagnosed dry eye disease in the United States among adults aged 18 years and older. Am J Ophthalmol. 2017;182:90–98.
Cui D, Mathews PM, Li G, et al. Racial and ethnic disparities in dry eye diagnosis and care. Ophthalmic Epidemiol. 2023;30:484–491.
Galor A. Painful dry eye symptoms: a nerve problem or a tear problem? Ophthalmology. 2019;126:648–651.
Vehof J, Sillevis Smitt-Kamminga N, Kozareva D, et al. Clinical characteristics of dry eye patients with chronic pain syndromes. Am J Ophthalmol. 2016;162:59–65.e2.
Galor A, Moein HR, Lee C, et al. Neuropathic pain and dry eye. Ocul Surf. 2018;16:31–44.
Ren Y, Tian J, Shi W, et al. Evaluation and correlation analysis of ocular surface disorders and quality of life in autoimmune rheumatic diseases: a cross-sectional study. BMC Ophthalmol. 2023;23:229.
Sayegh RR, Yu Y, Farrar JT, et al. Ocular discomfort and quality of life among patients in the dry eye assessment and management study. Cornea. 2021;40:869–876.
Tekintaş NS, Yanartaş Ö, Durmuş FB, et al. Functional somatic symptoms and their predictors in patients with major depressive disorder and fibromyalgia syndrome. Noro Psikiyatr Ars. 2022;59:274–280.
Kim KW, Han SB, Han ER, et al. Association between depression and dry eye disease in an elderly population. Invest Ophthalmol Vis Sci. 2011;52:7954–7958.
Labbé A, Wang YX, Jie Y, et al. Dry eye disease, dry eye symptoms and depression: the Beijing Eye Study. Br J Ophthalmol. 2013;97:1399–1403.
Dankis M, Aydogdu O, Tobin G, et al. Acute inhibitory effects of antidepressants on lacrimal gland secretion in the anesthetized rat. Invest Ophthalmol Vis Sci. 2021;62:8.
Peen J, Schoevers RA, Beekman AT, et al. The current status of urban-rural differences in psychiatric disorders. Acta Psychiatr Scand. 2010;121:84–93.
Wang JK, Su TP, Chou P. Sex differences in prevalence and risk indicators of geriatric depression: the Shih-Pai community-based survey. J Formos Med Assoc. 2010;109:345–353.
Vilsaint CL, NeMoyer A, Fillbrunn M, et al. Racial/ethnic differences in 12-month prevalence and persistence of mood, anxiety, and substance use disorders: variation by nativity and socioeconomic status. Compr Psychiatry. 2019;89:52–60.
Islam JY, Parikh NS, Lappen H, et al. Mental health burdens among North American Asian Adults living with chronic conditions: a systematic review. Epidemiol Rev. 2023;45:82–92.
McKenzie SK, Oliffe JL, Black A, et al. Men's experiences of mental illness stigma across the lifespan: a scoping review. Am J Mens Health. 2022;16:15579883221074789.