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Prevalence status and influencing factors of visual impairment in the elderly people in rural areas of Yugan County, Jiangxi Province



Prevalence status and influencing factors of visual impairment in the elderly people in rural areas of Yugan County, Jiangxi Province



Chinese Journal of Ophthalmology 54(8): 605-610



目的: 了解江西省余干县农村老年人视力损伤的患病现况及其相关影响因素,为开展老年人防盲工作提供依据。 方法: 横断面研究。采用分层整群随机抽样的方法,抽取余干县12个乡镇36个村委会老年人3 789名,对其进行眼科检查和流行病学调查,运用Logistic回归分析探讨了影响视力损伤的影响因素。 结果: 余干县3 789名农村老年人中,男性1 629名,女性2 160名。≥60岁且<70岁者1 981名,≥70岁且<80岁者1 268名,≥80岁者540名。按日常生活视力标准,总视力损伤率24.1%(915名),其中眼盲患病率为2.9%(108名),中重度视力损伤率21.3%(807名)。导致视力损伤的前4位眼部疾病分别为白内障(283名,占30.9%)、屈光不正(81名,占8.9%)、黄斑变性(29名,占3.2%)、角膜混浊或瘢痕(14名,占1.5%)。经多因素Logistic回归分析发现年龄[比值比(OR=2.695)]、性别(OR=1.238)、文化程度(OR=0.781)、职业(OR=1.268)、婚姻状况(OR=1.281)、既往眼病史(OR=1.515)、吸烟状况(OR=0.765)、每日水果摄入量(OR=0.661)为视力损伤的影响因素(P<0.05)。 结论: 余干县农村老年人视力损伤患病率较高。保持良好的饮食习惯、及时矫正眼部疾病,可降低视力损伤的风险。(中华眼科杂志,2018,54:605-610).

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Accession: 065432765

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PMID: 30107654


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