Self-Reported Vision Impairment and Psychological Distress in U.S. Adults

Details

• Alternative Title:
  Ophthalmic Epidemiol
• Personal Author:
  Lundeen, Elizabeth A. ; Saydah, Sharon ; Ehrlich, Joshua R. ; Saaddine, Jinan
• Description:
  Purpose:
  
  Examine the relationship between vision impairment and psychological distress in adults ≥18 years.
  
  Methods:
  
  Using the 2016–2017 cross-sectional, U.S. National Health Interview Survey, we analyzed self-reported data (n=57,644) on: Kessler psychological distress scores; general vision impairment (GVI), defined as difficulty seeing even when wearing glasses or contacts; and visual function impairment (VFI), measured using six visual function questions. Multinomial logistic regression was used to estimate adjusted odds ratios (aOR) for mild/moderate and serious psychological distress, by GVI and VFI status, and identify predictors of psychological distress among those with GVI or VFI.
  
  Results:
  
  Among adults, 10.6% (95% CI: 10.2, 11.0) had GVI; 11.6% (CI: 11.1, 12.0) had VFI. One in four adults with GVI had psychological distress (14.9% [CI: 13.8, 16.0] reported mild/moderate and 11.2% [CI: 10.2, 12.3] reported serious). Individuals with GVI, versus those without, had higher odds of mild/moderate (aOR=2.24; CI: 2.00, 2.52) and serious (aOR=3.41; CI: 2.96, 3.93) psychological distress; VFI had similar findings. Among adults with GVI, odds of serious psychological distress were higher for those aged 18–39 (aOR=4.46; CI: 2.89, 6.90) or 40–64 (aOR=6.09; CI: 4.33, 8.57) versus ≥65 years; smokers (aOR=2.45; CI: 1.88, 3.18) versus non-smokers; physically inactive (aOR=1.61; CI: 1.22, 2.11) versus active; and with arthritis (aOR=2.18; CI: 1.66, 2.87) or chronic obstructive pulmonary disease (aOR=1.65; CI: 1.15, 2.37) versus without.
  
  Conclusion:
  
  Adults with self-reported vision impairment had higher odds of psychological distress. These findings may inform screening interventions to address psychological distress, particularly among younger working-age adults vision impairment.
  
  
• Subjects:
  Adult Cross-Sectional Studies Humans Odds Ratio Psychological Distress Self Report Surveys And Questionnaires
• Keywords:
  Anxiety Blindness Depression Psychological Distress Vision Impairment
• Source:
  Ophthalmic Epidemiol. 29(2):171-181
• Pubmed ID:
  33896341
• Pubmed Central ID:
  PMC10949979
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  29
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:aa7817599c54c3076528cdbcdf746c52d7543183224361e3beff7aa1b2b297c0d72185d042ce22857454dfa71314631c6a8f0e0d625329f88a49bb1a328cd742
• Download URL:
  https://stacks.cdc.gov/view/cdc/151788/cdc_151788_DS1.pdf
• File Type:
  [PDF - 155.63 KB ]