视力障碍与家庭状态,家庭危险和支持服务利用之间的关联:国家健康和老龄化趋势研究
Xindi Chen1, Louay Almidani1, Seema Banerjee1
1From the Wilmer Eye Institute (X.C., L.A., S.B., J.T., A.M., F.A.W., P.Y.R.), Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
American journal of ophthalmology
|September 7, 2025
概括
视力障碍 (VI) 显著增加了老年人的风险变得家庭和面对家庭危险. 早期视力干预和家庭安全评估对于保持独立至关重要.
科学领域:
- 老年学与公共卫生
- 眼科和视觉科学 眼科和视觉科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 视力障碍 (VI) 在老年人中越来越令人担忧,可能会影响他们的独立性和安全.
- 对于有针对性的干预来说,了解VI和家庭状态,家庭危险以及长期服务和支持 (LTSS) 之间的关系至关重要.
研究的目的:
- 调查老年人视力障碍 (VI) 和家庭状态之间的关联.
- 检查VI与存在家庭安全危害之间的联系.
- 评估VI与使用家庭长期服务和支持 (LTSS) 之间的关系.
主要方法:
- 使用2021-2023年国家健康和衰老趋势研究 (NHATS) 数据进行了纵向和横截面分析.
- 这项研究包括3022名71岁及以上的医疗保险受益人.
- 视力障碍是根据视敏度和对比度敏感性的特定标准来定义的. 用既定的定义和家庭评估来评估家庭状态,家庭危险和LTSS利用率.
主要成果:
- 视力障碍与在家或半在家的可能性更高 (OR = 1.52,HR = 1.35) 显著相关.
- 患有VI的参与者更有可能有家庭安全危险 (OR = 1.88) 和利用家庭LTSS (OR = 1.35) .
- 随着视力障碍的严重程度和范围的增加,家庭状态的风险增加.
结论:
- 视力障碍是家庭状态和老年人家庭危险增加的重要风险因素.
- 患有VI的人需要更多的家庭LTSS,突出了维持家庭安全和功能方面的挑战.
- 早期视力干预,全面的家庭安全评估和定制的LTSS是推的预防策略.
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