The level of education and the risk for retinal detachments and breaks: A registry-based case–control study

IF 3 3区医学 Q1 OPHTHALMOLOGY Acta Ophthalmologica Pub Date : 2023-09-13 DOI:10.1111/aos.15758

Albert Pettersson, Ing-Liss Bryngelsson, Karim Makdoumi

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Abstract

Purpose

Myopia is the most important risk factor for developing retinal tears and retinal detachment (RD). Due to altered lifestyle factors myopia is increasing in the world. In this study, the correlation between educational level and risk for retinal detachment were analysed.

Methods

A case–control registry study was conducted including a total of 10 268 individuals. Data were collected from registries of the Swedish National Board of Health and Welfare as well as the Swedish Central Bureau of Statistics. Cases were defined as ICD-10 H33 (retinal detachments and breaks). For each case, a matched control was selected with the same age and sex, living in the same county at the time of diagnosis. The study population was divided into seven groups with regard to educational level and compared using conditional logistic regression.

Results

In the total population, the odds ratio (OR) increased in a proportional fashion with a higher level of education. The odds ratio for the total population at the highest education level was 1.77 and increased to 2.00 when excluding individuals with diabetes. Out of the 5134 cases, 72% were men and 28% women. A statistically significant difference between sexes was only confirmed for the second highest education level.

Conclusion

Individuals with a longer education have a significantly higher risk for retinal complications in the form of RD and breaks. Higher education is a risk factor for retinal complications in both sexes but seemingly more strongly in men.

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教育水平与视网膜脱离和断裂的风险：基于登记的病例对照研究

目的近视是导致视网膜裂孔和视网膜脱离（RD）的最重要风险因素。由于生活方式的改变，近视在全球范围内呈上升趋势。本研究分析了教育水平与视网膜脱离风险之间的相关性。方法对 10 268 人进行了病例对照登记研究。数据收集自瑞典国家卫生和福利委员会以及瑞典中央统计局的登记处。病例定义为 ICD-10 H33（视网膜脱离和断裂）。每个病例都有一个年龄和性别相同、确诊时居住在同一郡的匹配对照。根据受教育程度将研究对象分为七组，并采用条件逻辑回归法进行比较。结果在总人口中，教育程度越高，几率比例（OR）越大。受教育程度最高的总人口的几率比为 1.77，如果不包括糖尿病患者，几率比则增至 2.00。在 5134 个病例中，72% 为男性，28% 为女性。只有在教育程度第二高的人群中，性别差异才具有统计学意义。结论教育程度较高的人患视网膜并发症（RD 和断裂）的风险明显更高。高学历是男女两性视网膜并发症的一个风险因素，但似乎男性的风险更大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ophthalmologica 医学-眼科学

CiteScore

7.60

自引率

5.90%

发文量

433

审稿时长

6 months

期刊介绍： Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.