- 作者：Alex R. Kemper ; M.D. ; M.P.H. ; M.S.a ; alex.kemper@duke.edu ; David K. Wallace ; M.D. ; M.P.H.b ; Xinzhi Zhang ; M.D. ; Ph.D.c ; Nita Patel ; O.D. ; M.P.H.d ; John E. Crews ; D.P.A.c
- 关键词：Visual acuity ; Myopia ; Lenses ; Health services ; Adolescent ; Young adult
- 刊名：Journal of Adolescent Health
- 出版年：2012
- 出版时间：June, 2012
- 年：2012
- 卷：50
- 期：6
- 页码：645-647
- 全文大小：347 K
Purpose
To describe uncorrected distance visual impairment (VI).Methods
We conducted an analysis of the 3,555 adolescents aged 12 through 21 years who participated in the 2005-2008 National Health and Nutrition Examination Survey. Distance VI was defined as 20/40 or worse in the better-seeing eye. Data were weighted to represent the civilian noninstitutionalized population.
Results
Overall, 12.3 % (95 % confidence interval [CI]: 10.7 % -14.1 % ) had distance VI, which was correctable to 20/30 or better in both eyes in 86.1 % (95 % CI: 83.6 % -89.5 % ). The prevalence was higher among those who reported not having corrective lenses available (44.3 % ) compared with those who reported that they did not need them (8.5 % ) or who had them available (5.2 % ; p < .001). After adjusting for potential confounders, those who were 12 or 13 years of age had 2.27 (95 % CI: 1.32-3.90) greater odds of distance VI than older adolescents, and the odds of distance VI were greater among non-Hispanic blacks (1.66 [95 % CI: 1.11-2.48]), Hispanics (1.96 [95 % CI: 1.35-2.84]), or other race/ethnicities (2.06 [95 % CI: 1.19-3.57]) than among non-Hispanic whites.
Conclusions
More than 1 in 10 adolescents had uncorrected distance VI. To address this, interventions should address case detection, access to eye care, and adherence with corrective lenses.