Self-perceived and measured visual function, the impact of eye-disease, wellbeing, social determinants, and personality traits in Swedish 70-year-olds-results from the Gothenburg H70 Study.

IF 3 3区医学 Q1 OPHTHALMOLOGY

Acta Ophthalmologica Pub Date : 2025-01-28 DOI:10.1111/aos.17440

Lena Havstam Johansson, Madeleine Zetterberg, Hanna Falk Erhag

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Abstract

Purpose: To explore the potential correlation between subjective and measured visual function, as well as to analyse the influence of eye disease, socioeconomic factors and emotional dimensions.

Methods: Semi-structured interviews, physical examinations and functional tests (n = 1203). Demographics covered sex, marital status, education, household economy, smoking and alcohol. Participants (born in 1944) rated their visual function (n = 533); those misjudging (n = 48) were studied. Group A (n = 18) had low presenting visual acuity (PVA) but reported good vision; Group B (n = 30) had normal PVA but reported low vision. Control group (n = 485) matched subjective and measured visual function. Ophthalmic examination tested visual acuity (VA), visual field and contrast sensitivity (CS). Psychometric tests: NEO-FFI, sense of coherence (SOC) and Montgomery-Åsberg Depression Rating Scale (MADRS).

Statistical tests: chi-square, t-tests, Mann-Whitney U test and logistic regression.

Results: Of the population, 91% made correct assumptions about their vision. The 9% who made incorrect assumptions about their vision ability (combining groups A + B) were more likely to live alone (p = 0.02) and had lower household incomes compared to the control group (p = 0.04). Additionally, the exhibited significantly lower PVA and BCVA, a higher prevalence of visual field defects (p = 0.02) and lower CS, mean 1.63 (p = 0.005). Group A (3.4%) were women (p = 0.002) with the personality of extraversion, mean 40.0 (p = 0.01). Group B (5.6%) had more self-reported eye diseases (p = 0.01), lower CS (p = 0.01), lower educational level (p = 0.03) and border significantly lower SOC (p = 0.06).

Conclusions: The perception of visual function is shaped by awareness of an eye disease but is additionally influenced by sex, socioeconomic factors and emotional parameters.

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瑞典70岁老人的自我感知和测量视觉功能、眼病、健康、社会决定因素和人格特征的影响——哥德堡H70研究结果

目的：探讨主观视觉功能与测量视觉功能之间的潜在相关性，并分析眼病、社会经济因素和情绪因素对主观视觉功能的影响。方法：半结构化访谈、体格检查和功能检查（n = 1203）。人口统计包括性别、婚姻状况、教育、家庭经济、吸烟和饮酒。1944年出生的参与者给自己的视觉功能打分（n = 533）；对48例错误判断进行了研究。A组（n = 18）表现视力较低，但报告视力良好；B组（n = 30） PVA正常，但报告视力低下。对照组（n = 485）主观视觉功能与测量视觉功能匹配。眼科检查视力（VA），视野和对比敏感度（CS）。心理测试：NEO-FFI、连贯性感（SOC）、Montgomery-Åsberg抑郁评定量表（MADRS）。统计检验：卡方检验、t检验、Mann-Whitney U检验和logistic回归。结果：91%的人对自己的视力做出了正确的假设。对自己的视力做出错误假设的9%的人（A + B组合并）更有可能独自生活（p = 0.02），与对照组相比，他们的家庭收入更低（p = 0.04）。此外，PVA和BCVA较低，视野缺损发生率较高（p = 0.02）， CS较低，平均1.63 （p = 0.005）。A组（3.4%）为外向型女性（p = 0.002），平均40.0 （p = 0.01）。B组（5.6%）自报眼病较多（p = 0.01）， CS较低（p = 0.01），文化程度较低（p = 0.03）， SOC较低（p = 0.06）。结论：视功能知觉受眼病意识的影响，但还受性别、社会经济因素和情绪参数的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ophthalmologica 医学-眼科学

CiteScore

7.60

自引率

5.90%

发文量

433

审稿时长

6 months

期刊介绍： Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.