Health-Related Quality of Life Among People Aged ≥65 Years with Self-reported Visual Impairment: Findings from the 2006–2010 Behavioral Risk Factor Surveillance System

Details

• Alternative Title:
  Ophthalmic Epidemiol
• Personal Author:
  Crews, John E. ; Chou, Chiu-Fang ; Zhang, Xinzhi ; Zack, Matthew M. ; Saaddine, Jinan B.
• Description:
  Purpose
  
  To examine the association between health-related quality of life (HRQoL) and visual impairment among people aged ≥65 years.
  
  Methods
  
  We used cross-sectional data from the 2006–2010 Behavioral Risk Factor Surveillance System to examine six HRQoL measures: self-reported health, physically unhealthy days, mentally unhealthy days, activity limitation days, life satisfaction, and disability. Visual impairment was categorized as no, a little, and moderate/severe. We examined the association between self-reported visual impairment and HRQoL using logistic regression accounting for the survey’s complex design.
  
  Results
  
  People with self-reported moderate/severe visual impairment had more frequent (≥14) physically unhealthy days, mentally unhealthy days, and activity limitation days in the last 30 days compared to those reporting a little or no visual impairment. After controlling for all covariates (age, sex, marital status, race/ethnicity, education, income, diabetes, heart disease, stroke, heart attack, body mass index, leisure time activity, smoking, and medical care cost concerns) and comparing to those with no self-reported visual impairment, people reporting a little visual impairment were more likely to have fair/poor health (odds ratio, OR, 1.2, 95% confidence interval, CI, 1.1–1.3), life dissatisfaction (OR 1.6, 95% CI 1.3–2.0), and disability (OR 1.5, 95% CI 1.3–1.6), and those with self-reported moderate/severe visual impairment had more fair/poor health (OR 1.8, 95% CI 1.6–2.0), life dissatisfaction (OR 2.3, 95% CI 1.8–2.9), and disability (OR 2.0, 95% CI 1.8–2.2). They also had more frequent physically unhealthy days (OR 1.9, 95% CI 1.7–2.1), mentally unhealthy days (OR 1.8, 95% CI 1.5–2.1), and activity limitations days (OR 1.9, 95% CI 1.6–2.2).
  
  Conclusion
  
  Poor HRQoL is strongly associated with the severity of self-reported visual impairment among people aged ≥65 years.
  
  
• Subjects:
  Aged Aged, 80 And Over Behavioral Risk Factor Surveillance System Cross-Sectional Studies Female Health Behavior Health Services Research Health Status Indicators Humans Male Quality Of Life Risk Factors Vision Disorders Visually Impaired Persons

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• Keywords:
  Aging Health Related Quality Of Life Vision Impairment
• Source:
  Ophthalmic Epidemiol. 21(5):287-296
• Pubmed ID:
  24955821
• Pubmed Central ID:
  PMC4924345
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  21
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:005d7db68ac75f6643808ff2f3c8ece7a3855e0827d1a0c1ccd62c7779354801
• Download URL:
  https://stacks.cdc.gov/view/cdc/40311/cdc_40311_DS1.pdf
• File Type:
  [PDF - 144.14 KB ]