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Self-Reported Vision Impairment and Psychological Distress in U.S. Adults
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4 2022
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Source: Ophthalmic Epidemiol. 29(2):171-181
Details:
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Alternative Title:Ophthalmic Epidemiol
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Personal Author:
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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.
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Keywords:
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Source:
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Pubmed ID:33896341
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Pubmed Central ID:PMC10949979
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Document Type:
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Funding:
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Volume:29
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Issue:2
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Main Document Checksum:
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Download URL:
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File Type:
[PDF-155.63 KB]
