The impact of socioeconomic factors and obesity on visual impairment among older adults in Poland.

IF 3.8 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Polskie Archiwum Medycyny Wewnetrznej-Polish Archives of Internal Medicine Pub Date : 2024-09-30 DOI:10.20452/pamw.16857
Adrian Lange, Natalia Lange, Kacper Jagiełło, Cezary Rydz, Bogdan Wojtyniak, Tomasz Zdrojewski
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Abstract

Introduction: Visual impairment is a significant public health concern, particularly among older adults in Poland.

Objectives: The aim of this study was to determine the impact of socioeconomic factors and medical condition on visual impairment among older adults in Poland.

Patients and methods: An analysis was conducted utilizing near visual acuity assessments with Snellen charts and surveys among 5987 participants aged 60 years and over from the nationwide PolSenior2 study. A univariable and multivariable logistic regression models were created to identify risk factors for visual impairment.

Results: In a multivariable regression analysis, the odds of visual impairments were 1.72 times higher among individuals aged 75 years and over compared to those aged 60-74 years. Furthermore, individuals with primary education had 1.66 times higher odds of visual impairment compared to those with higher education. Individuals engaged in manual/farming work in the past, those who were unemployed in the past and those engaged in other job in the past had 1.25, 1.42 and 1.26 times higher odds of visual impairment, respectively, compared to white collar workers. Additionally, multivariable logistic regression analysis also revealed that obesity is associated with a 0.85 times lower odds of visual impairments.

Conclusions: Our study revealed that socioeconomic factors significanlty impact visual health. Visual impairment was most prevalent among older age groups (age 75 and above), individuals with lower education levels or no education, the unemployed, and those who previously worked in manual labor or farming jobs or other. Additionally, obesity was inversely associated with visual impairment.

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社会经济因素和肥胖对波兰老年人视力损伤的影响。
引言视力障碍是一个重要的公共健康问题,尤其是在波兰的老年人中:本研究旨在确定社会经济因素和医疗状况对波兰老年人视力损伤的影响:利用斯奈伦视力表进行近视力评估,并对全国范围内 PolSenior2 研究的 5987 名 60 岁及以上参与者进行了调查。建立了单变量和多变量逻辑回归模型,以确定视力受损的风险因素:在多变量回归分析中,75 岁及以上人群视力受损的几率是 60-74 岁人群的 1.72 倍。此外,与受过高等教育的人相比,受过初等教育的人视力受损的几率要高出 1.66 倍。过去从事体力劳动/农业工作、过去失业和过去从事其他工作的人与白领相比,视力受损的几率分别高出 1.25 倍、1.42 倍和 1.26 倍。此外,多变量逻辑回归分析还显示,肥胖与视力受损几率降低0.85倍有关:我们的研究表明,社会经济因素对视力健康有重大影响。视力障碍在老年群体(75 岁及以上)、教育水平较低或未受过教育的人、失业者、以前从事体力劳动或农业工作或其他工作的人中最为普遍。此外,肥胖与视力损伤成反比。
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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
176
审稿时长
6-12 weeks
期刊介绍: Polish Archives of Internal Medicine is an international, peer-reviewed periodical issued monthly in English as an official journal of the Polish Society of Internal Medicine. The journal is designed to publish articles related to all aspects of internal medicine, both clinical and basic science, provided they have practical implications. Polish Archives of Internal Medicine appears monthly in both print and online versions.
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