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J Aging Health. 2018 Oct;30(9):1369-1388. doi: 10.1177/0898264317716360. Epub 2017 Jun 23.

Factors Associated With Visual Impairment and Eye Care Utilization: The International Mobility in Aging Study.

Author information

1
1 Hôpital Maisonneuve-Rosemont, Montreal, Québec, Canada.
2
2 Université de Montréal, Québec, Canada.
3
3 Universidad de Caldas, Manizales, Colombia.
4
4 Queen's University, Kingston, Ontario, Canada.
5
5 Universidade Federal do Rio Grande do Norte, Natal, Brazil.
6
6 Institute of Public Health, Tirana, Albania.

Abstract

OBJECTIVE:

To examine factors associated with visual impairment (VI) and eye care in the International Mobility in Aging Study (IMIAS).

METHOD:

IMIAS data were analyzed ( N = 1,995 with ages 65-74). Outcomes were VI defined as presenting visual acuity worse than 6/18 in the better eye and eye care utilization assessed by annual visits to eye care professionals. The Hurt-Insult-Threaten-Scream (HITS) questionnaire requested information on domestic violence.

RESULTS:

Among men, VI varied from 24% in Manizales (Colombia) to 0.5% in Kingston (Canada); among women, VI ranged from 20% in Manizales to 1% in Kingston; lifetime exposure to domestic violence was associated with VI (odds ratio [OR] = 1.87; 95% confidence interval [CI] = [1.17, 3.00]). Eye care utilization varied from 72% in Kingston's men to 25% in Tirana's men; it was associated with domestic violence (prevalence ratio [PR] = 1.3; 95% CI = [1.1, 1.6]).

DISCUSSION:

VI is more frequent where eye care utilization is low. Domestic violence may be a risk factor for VI.

KEYWORDS:

aging; domestic violence; global health; vision

PMID:
28645242
DOI:
10.1177/0898264317716360

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