Disparity in Prevalence of Self-Reported Visual Impairment in Older Adults Among U.S. Race-Ethnic Subgroups

Lam, Byron L.; Lee, Dong Hoon; Zheng, Dandan; Davila, Evelyn P.; Christ, Sharon L.; Arheart, Kristopher L.

doi:10.1080/09286580902863007

Cited by 25 publications

(12 citation statements)

References 32 publications

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“…For example, in a longitudinal study of adults in England, Matthews and colleagues (12) reported that worsening self-reported vision predicted decreases in social engagement and well-being, though they did not test the mediating pathways between these variables. The few studies that have explored the mediating effect of social activity on the association between VI and well-being have focused on social support rather than social participation, and results have been mixed (19,37). The current study contributes to this debate by demonstrating that self-reported VI was significantly and independently associated with participation restrictions, but that this did not mediate the association between VI and SWB.…”

Section: Discussionmentioning

confidence: 47%

“…There may have also been selection bias, wherein sicker respondents were more likely to be lost to follow-up or die, which could have biased results toward the null hypothesis since they may have been at greater risk for poor vision, activity limitations, and SWB decline (3). Though self-reported vision status has been widely used in prior population-based studies (37,38), there could be a confounding effect of personality type. Future work should corroborate this study's findings using objective measures of visual function like visual acuity and contrast sensitivity.…”

Section: Discussionmentioning

confidence: 99%

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Self-reported Vision Impairment and Subjective Well-being in Older Adults: A Longitudinal Mediation Analysis

Xiang

Freedman

Shah

et al. 2019

The Journals of Gerontology: Series A

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Abstract Background Vision impairment (VI) in older adults is associated with declines in well-being. However, the pathways through which poor vision leads to declines in well-being have not been well-described. The purpose of this study was to determine whether activity limitations and social participation restrictions mediate the impact of self-reported VI on subjective well-being. Methods The National Health and Aging Trends Study (NHATS) is a nationally representative longitudinal study of Medicare beneficiaries 65 and older that includes detailed measures of the disablement process. A longitudinal mediation model was conceptualized linking self-reported VI and subjective well-being. Structural equation modeling was used to test the mediating effects of activity limitations and social participation restrictions while adjusting for relevant covariates. Results The final sample included 5,431 respondents. At baseline, 8.0% of Medicare beneficiaries had self-reported VI. Subjective well-being scores were significantly lower among respondents with self-reported VI (15.7; 95% confidence interval [CI]: 15.2, 16.2) compared with those without VI (17.6; 95% CI: 17.5, 17.7). Self-reported VI had a significant indirect effect on subjective well-being through limiting mobility (β = −0.04; 95% CI: −0.07, −0.03) and household activities (β = −0.05; 95% CI: −0.08, −0.03), but not self-care limitations (β = 0.0; 95% CI = 0.0, 0.0) or participation restrictions (β = 0.0; 95% CI = −0.01, 0.00). Total indirect effects from all mediation paths accounted for 42% of the effect of VI on well-being. Conclusions Mobility and household activity limitations are significant mediators that explain a considerable portion of the impact of poor vision on well-being. Interventions to promote successful accommodation may result in greater overall well-being for older adults with poor vision.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Self-reported Vision Impairment and Subjective Well-being in Older Adults: A Longitudinal Mediation Analysis

Xiang

Freedman

Shah

et al. 2019

The Journals of Gerontology: Series A

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“…NHATS relies on self‐report, which can be subject to recall bias. Although self‐reported vision is not perfectly correlated with visual acuity, self‐reported vision has been widely used in prior population‐based studies, and previous studies have found that the 2 measures may have a strong positive association . NHATS respondents were also asked to recall falls from the prior year, but the validity of the NHATS falls questions has not been tested against prospective falls diaries, which are known to be more accurate and are considered the criterion standard for falls reporting .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Falls and Fall‐Related Outcomes in Older Adults with Self‐Reported Vision Impairment

Ehrlich

Hassan

Stagg

2018

J American Geriatrics Society

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Objectives To determine the prevalence of falls, fear of falling (FoF), and activity limitation due to FoF in a nationally representative study of older adults with self‐reported vision impairment (VI). Design Cross‐sectional analysis of panel survey data. Setting National Health and Aging Trends Study, a nationally representative survey administered annually from 2011 to 2016 to U.S. Medicare beneficiaries aged 65 and older. Participants Respondents (N=11,558) who contributed 36,229 participant observations. Measurements We performed logistic regression to calculate the unadjusted and adjusted prevalence of self‐reported history of more than 1 fall in the past year, any fall in the past month, FoF, and activity limitation due to FoF in participants with and without self‐reported VI. Results The weighted proportion of participants reporting VI was 8.6% (95% confidence interval (CI)=8.0–9.2%). The unadjusted prevalence of more than 1 fall in the past year was 27.6% (95% CI=25.5–29.7%) in participants with self‐reported VI and 13.2% (95% CI=12.7–13.7%) in those without self‐reported VI. In respondents with self‐reported VI, the prevalence of FoF was 48.3% (95% CI=46.1–50.6%) and of FoF limiting activity was 50.8% (95%CI 47.3–54.2%), and in those without self‐reported VI, the prevalence of FoF was 26.7% (95% CI=25.9–27.5%) and of FoF limiting activity was 33.9% (95% CI=32.4–35.4%). The prevalence of all fall and fall‐related outcomes remained significantly higher among those with self‐reported VI after adjusting for sociodemographics and potential confounders. Conclusion The prevalence of falls, FoF, and activity limitation due to FoF is high in older adults with self‐reported VI. This is the first study to provide nationally representative data on the prevalence of fall‐related outcomes in older Americans with self‐reported VI. These findings demonstrate the need to treat avoidable VI and to develop interventions to prevent falls and fall‐related outcomes in this population. J Am Geriatr Soc 67:239–245, 2019.

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“…2007); however, other studies from the USA (Glynn et al. 1991, Lam et al. 2009), and a study from Finland (Koski et al.…”

Section: Introductionmentioning

confidence: 97%

Falls among Koreans 45 years of age and older: incidence and risk factors

Hong

Cho

Young-ran

2010

Journal of Advanced Nursing

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Disparity in Prevalence of Self-Reported Visual Impairment in Older Adults Among U.S. Race-Ethnic Subgroups

Cited by 25 publications

References 32 publications

Self-reported Vision Impairment and Subjective Well-being in Older Adults: A Longitudinal Mediation Analysis

Self-reported Vision Impairment and Subjective Well-being in Older Adults: A Longitudinal Mediation Analysis

Prevalence of Falls and Fall‐Related Outcomes in Older Adults with Self‐Reported Vision Impairment

Falls among Koreans 45 years of age and older: incidence and risk factors

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