视力障碍认证与社会经济贫困之间的关联:一项使用北爱尔兰地区视力障碍认证数据库数据的研究
Natasha Moore1,2, Laura Cushley1, David Wright1
1Centre for Public Health, Queen's University Belfast, Belfast, Northern Ireland, UK.
BMJ open ophthalmology
|March 25, 2025
概括
贫困地区的个人在较年轻时被诊断出视力障碍 (SI) 或严重视力障碍 (SSI). 在视力障碍 (CVI) 数据库的认证中观察到这种关联,突出显示了眼睛健康的社会经济差异.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 在英国,大约有34万个人被注册为视力障碍者 (SI) 或严重视力障碍者 (SSI).
- 视力障碍的主要原因包括与年龄相关的黄斑变性 (AMD),糖尿病眼病 (DED) 和玻璃眼.
- 社会经济因素可能会影响视力障碍的患病率和认证年龄.
研究的目的:
- 调查视力障碍 (CVI) 认证与北爱尔兰社会经济贫困之间的关联.
- 为了确定来自较贫困地区的个人是否在较年轻时获得SI/SSI认证.
主要方法:
- 分析北爱尔兰 (2018-2022) 的所有CVI表格.
- 数据包括年龄,性别,视力敏度,邮政编码和认证类别.
- 用2017年北爱尔兰多重贫困措施 (NIMDM17) 评估社会经济贫困,将患者从最贫困到最贫困的五分之一划分为五分之一.
主要成果:
- 在1863名患者中,有1798人 (97%) 记录了用于剥夺分析的邮编.
- 贫困地区的患者在SI/SSI认证时 (80.97岁) 比较年轻 (85.77岁) (p<0.001).
- 这种年龄差异在AMD和DED中是显著的,但在玻璃眼中却没有.
结论:
- 生活在更贫困的地区与年龄较小的视力障碍 (SI) 或严重视力障碍 (SSI) 认证相关.
- 这一发现强调了社会经济地位对视力障碍诊断和认证时间的影响.
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