June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Association of Vision and Hearing Impairment with Depression, Anxiety and Suicidal Ideas in Populations of Russia: The Ural Eye and Medical Study and the Ural Very Old Study
Author Affiliations & Notes
  • Gyulli Kazakbaeva
    Ufa Eye Research Institute, Ufa, Russian Federation
  • Mukharram Bikbov
    Ufa Eye Research Institute, Ufa, Russian Federation
  • Ellina Iakupova
    Ufa Eye Research Institute, Ufa, Russian Federation
  • Songhomitra Panda-Jonas
    Ufa Eye Research Institute, Ufa, Russian Federation
  • Jost Jonas
    Ufa Eye Research Institute, Ufa, Russian Federation
  • Footnotes
    Commercial Relationships   Gyulli Kazakbaeva None; Mukharram Bikbov None; Ellina Iakupova None; Songhomitra Panda-Jonas None; Jost Jonas None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 4209 – A0137. doi:
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      Gyulli Kazakbaeva, Mukharram Bikbov, Ellina Iakupova, Songhomitra Panda-Jonas, Jost Jonas; Association of Vision and Hearing Impairment with Depression, Anxiety and Suicidal Ideas in Populations of Russia: The Ural Eye and Medical Study and the Ural Very Old Study. Invest. Ophthalmol. Vis. Sci. 2022;63(7):4209 – A0137.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To assess prevalence and associated factors of depression, anxiety and suicidal ideas in populations from Russia.

Methods : In rural and urban regions in Bashkortostan/Russia, we conducted two population-based studies (Ural Eye and Medical Study (UEMS), Ural Very Old Study (UVOS)) which included participants aged 40+ years and 85+ years, respectively.

Results : In the UEMS with 5893 individuals (age:59.0±10.7 years;range:40-94 years), higher depression score and higher anxiety score were associated with more marked hearing loss (beta:0.07;P<0.001,and beta:0.07;P<0.0012,respectively) and worse visual acuity (beta:0.04;P=0.02; and beta:0.03;P=0.03,resp.), after adjusting for parameters such as female sex, Russian ethnicity, lower educational level, higher prevalence of alcohol consumption, weaker hand grip strength, less physical activity, and higher prevalence of dry eye disease. Attempted suicide was reported by 88 (1.5%;95%CI:1.2,1.8) participants, with 20 individuals indicating financial reasons for their attempt. Having thought of suicide was reported by 63 (1.1%) individuals. Overall, 131 (2.2%;95%CI:1.9,2.6) individuals attempted or thought of suicide. Out of 1491 UVOS participants (age:88.2±2.8 years;range:85-100 years) with a mean depression score of 20.0±10.3 (median:18;range:0-58), 916/1491 (61.4%;95%CI:59.0,63.9) fulfilled the definition of depression (depressions core ≥16). Higher depression score and higher anxiety score correlated with higher hearing loss score (beta:0.07;P=0.02, and beta:0.06;P=0.04,resp.) and worse visual acuity (beta:0.13;P<0.001, and beta:0.11;P<0.001,resp.), after adjusting for variables such as female sex, urban region of habitation, less physical activity, lower number of days with fruit intake, and lower cognitive function. Overall, 15 (1.0%;95%CI:0.50,1.50) individuals had attempted or thought of suicide.

Conclusions : Besides female sex, lower level of education and lower cognitive function, it was sensory impairment, namely vision and hearing impairment, which belonged to the determinants of depression and anxiety in these populations from Russia. Future studies may explore the role of improvement of vision and hearing impairment in the prevention and therapy of depression and anxiety.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

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