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Self-reported vision impairment, vision correction and depressive symptoms among middle-aged and older Chinese: findings from the China Health and Retirement Longitudinal Study.

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机构: [1]Department of Ophthalmology, Peking University People’s Hospital, Beijing, China [2]Eye disease and optometry Institute, Beijing, China [3]Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing,China [4]College of Optometry, Peking University Health science center, Beijing, China [5]Department of Epidemiology and Biostatistics, School of Public Health, Peking University,Beijing, China [6]Peking University Medical Informatics Center, Beijing, China [7]Department of Evidence-based Medicine, Xuanwu Hospital, Capital Medical University,Beijing, China.
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To investigate associations between vision impairment (VI), vision correction (VC) and depressive symptoms among middle-aged and older Chinese. 22 203 participants aged ≥45 years from China Health and Retirement Longitudinal Study 2011-2015 were divided into four self-reported VI categories: no VI, distance VI (DVI) only, near VI (NVI) only, and both distance and near VI (DNVI); and four self-reported VI/VC subgroups: VI(+)/VC(-), VI(+)/VC(+),VI(-)/VC(-) and VI(-)/VC(+). Depressive symptoms were evaluated by 10-item Center for Epidemiological Studies Depression Scale (CESD-10). Compared with no VI, DVI only (OR = 2.12, 95% CI: 1.95, 2.31), NVI only (OR = 1.51, 95% CI: 1.39, 1.63) and DNVI (OR = 2.75, 95% CI: 2.47, 3.07) were associated with higher odds of depressive symptoms. Compared with VI(+)/VC(-), VI(+)/VC(+) (OR = 0.91, 95% CI: 0.83, 0.98), VI (-)/VC(-) (OR = 0.50, 95% CI: 0.48, 0.53) and VI(-)/VC(+) (OR = 0.49, 95% CI: 0.47, 0.54) were associated with lower odds of depressive symptoms. Compared with no VI at baseline, baseline DNVI was significantly associated with higher odds of depressive symptoms after two (OR = 1.48, 95% CI: 1.16, 1.88) and four (OR = 1.32, 95% CI: 1.04, 1.68) years. Baseline depressive symptoms were significantly associated with higher odds of VI after two (OR = 1.53, 95% CI: 1.34, 1.74) and four (OR = 1.54, 95% CI: 1.34, 1.76) years. Adults with DNVI were more likely to report depressive symptoms in the future and those with depressive symptoms were more likely to report VI in the future. VC might be a protective factor for preventing depressive symptoms among adults with VI. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 老年医学 3 区 精神病学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 老年医学 3 区 老年医学 3 区 精神病学
JCR分区:
出版当年[2019]版:
Q1 GERONTOLOGY Q2 PSYCHIATRY Q3 GERIATRICS & GERONTOLOGY
最新[2023]版:
Q1 PSYCHIATRY Q1 GERONTOLOGY Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者机构: [1]Department of Ophthalmology, Peking University People’s Hospital, Beijing, China [2]Eye disease and optometry Institute, Beijing, China [3]Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing,China [4]College of Optometry, Peking University Health science center, Beijing, China
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通讯作者:
通讯机构: [5]Department of Epidemiology and Biostatistics, School of Public Health, Peking University,Beijing, China [6]Peking University Medical Informatics Center, Beijing, China [*1]Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China [*2]Peking University Medical Informatics Center, Beijing, China. No. 38 Xueyuan Road, Haidian District, Beijing100191, China
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