Format

Send to

Choose Destination
Ocul Surf. 2019 Apr;17(2):278-284. doi: 10.1016/j.jtos.2019.01.005. Epub 2019 Jan 24.

Lack of social support and social trust as potential risk factors for dry eye disease: JPHC-NEXT study.

Author information

1
Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
2
Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan. Electronic address: uchinomiki@keio.jp.
3
Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, United States.
4
Department of Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA, United States.
5
Department of Hygiene and Preventive Medicine, School of Medicine, Iwate Medical University, Iwate, Japan.
6
Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
7
Department of Public Health Medicine, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
8
Department of Public Health, Kochi Medical School, Kochi, Japan.
9
Department of Community Health Systems Nursing, Ehime University Graduate School of Medicine, Ehime, Japan.
10
Center for Education and Educational Research, Faculty of Education, Ehime University, Ehime, Japan.
11
Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
12
Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.

Abstract

PURPOSE:

To investigate whether social support and social trust are associated with DED.

METHODS:

Cross-sectional data from the Japan Public Health Center-Based Prospective Study for the Next Generation (JPHC-NEXT) were used. Subjects are 96,227 Japanese men and women aged 40 to 74. Data from respondents included information on DED, social support and social trust. DED was defined as the presence of clinically diagnosed DED or severe symptoms. Social support was measured by emotional support and tangible support. Social trust was measured by level of general trust in others. Multiple logistic regression analysis was conducted to assess the association of social determinants for DED.

RESULTS:

Individuals with high levels of social support and social trust were less likely to have severe symptoms of DED and clinically diagnosed DED (P for trend < 0.001 in both cases). Those with the highest levels of social support and social trust were least likely to have DED (odds ratios [OR] = 0.64 [0.61-0.67], 95% confidence interval [CI] = 0.63 [0.60-0.67] for severe symptoms of DED; OR = 0.88 [0.83-0.93] and 0.85 [0.80-0.91] for clinically diagnosed DED).

CONCLUSIONS:

High levels of social support and social trust were associated with a lower prevalence of DED.

KEYWORDS:

Dry eye disease; Social support; Social trust

PMID:
30685439
DOI:
10.1016/j.jtos.2019.01.005

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center