Purchase this article with an account.
Elizabeth Ann Lundeen, Robert B Gerzoff, Joshua R Ehrlich, Jinan Saaddine; The Relationship Between Self-Reported Vision Impairment and Psychological Distress Among Adults with Chronic Diseases. Invest. Ophthalmol. Vis. Sci. 2020;61(7):1573.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Vision impairment (VI) is associated with anxiety in older adults. However, few nationally-representative US data sources describe this relationship across a broad range of adult ages, and none examine the association of co-occurring VI and chronic diseases with anxiety. Using cross-sectional, nationally-representative household survey data, we describe the relationship between VI and psychological distress in US adults aged ≥40 years and examine effect modification of this relationship by the presence of chronic diseases (diabetes, hypertension, arthritis, coronary heart disease, chronic obstructive pulmonary disease (COPD), myocardial infarction, or stroke).
Data are from the 2016 and 2017 National Health Interview Survey of US noninstitutionalized civilians; all variables are self-reported. The analytic sample included 39,005 adults aged ≥40 years with data on VI and psychological distress. A two-part model evaluated the relationship between VI and Kessler Psychological Distress Scale (K6) scores. Effect measures were predicted average marginal K6 scores for the three-way interaction term that included age, VI, and each chronic disease, adjusting for sociodemographic characteristics and accounting for the complex survey design.
Participants’ average age was 59.0 years (95% CI: 58.8, 59.2); 52.5% (CI: 51.9, 53.2) were female; 13.0% (CI: 12.5, 13.5) had VI; chronic disease prevalence ranged from 4.7% (CI: 4.4, 5.0) with a stroke to 44.0% (CI: 43.2, 44.8) having hypertension. Across all ages, those with VI had significantly higher mean K6 scores than those without VI (Figure 1). For arthritis and COPD, across a wide range of ages, those with both VI and the chronic disease had significantly higher mean K6 scores than those with only VI, only the chronic disease, or neither condition; this was true for hypertension and stroke across a narrower range of ages. For example, at 45 years, mean K6 scores were 6.9 (CI: 6.4, 7.4) [VI and arthritis], 5.1 (CI: 4.6, 5.5) [VI], 3.9 (CI: 3.7, 4.1) [arthritis], and 2.7 (CI: 2.6, 2.8) [neither].
Adults with VI had higher psychological distress than those without VI, and for certain chronic diseases, having a comorbid chronic disease modified this effect. Interventions are needed to screen for and address psychological distress among people with VI, with and without comorbid chronic disease.
This is a 2020 ARVO Annual Meeting abstract.
This PDF is available to Subscribers Only