Time trend of prevalence of self-reported cataract and its association with prolonged sitting in Taiwan from 2001 and 2013

Shih, Ya-Hui; Chang, Hsing-Yi; Lu, Mong-Liang; Hurng, Baai-Shyun

doi:10.1186/1471-2415-14-128

Cited by 28 publications

(25 citation statements)

References 32 publications

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“…In line with many previous studies [ 29 – 31 ], cataract was more common in women than men, with the prevalence of 6.41% versus 3.51% in the present study. Such difference is often addressed by the estrogen deficiency [ 10 ] or biomass cooking fuels [ 32 ].…”

Section: Discussionsupporting

confidence: 93%

Childbearing May Increase the Risk of Nondiabetic Cataract in Chinese Women’s Old Age

Yuan

Fang

et al. 2015

Journal of Ophthalmology

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Backgrounds. Ocular changes may arise during pregnancy and after childbirth, but very few studies have reported the association between childbearing and cataract among older adults. Methods. 14,292 individuals aged 60+ years were recruited in Xiamen, China, in 2013. Physician-diagnosed cataract and diabetes status were assessed by a self-reported questionnaire. Childbearing status was measured by number of children (NOC). Structural equation modeling (SEM) analysis was conducted to examine the relationships among NOC, diabetes, and cataract. Gender-specific logistic models regressing nondiabetic cataract on NOC were performed by adjusting some covariates. Results. 14,119 participants had complete data, of whom 5.01% suffered from cataract, with higher prevalence in women than men (6.41% versus 3.51%). Estimates of SEM models for women suggested that both NOC and diabetes were risk factors for cataract and that no correlation existed between NOC and diabetes. Women who had one or more children faced roughly 2–4 times higher risk of nondiabetic cataract than their childless counterparts (OR [95% CI] = 3.88 [1.24, 17.71], 3.21 [1.04, 14.52], 4.32 [1.42, 19.44], 4.41 [1.46, 19.74], and 3.98 [1.28, 18.10] for having 1, 2, 3, 4-5, and 6 or more children, resp.). Conclusions. Childbearing may increase the risk of nondiabetic cataract in Chinese women's older age.

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Section: Discussionsupporting

confidence: 93%

Childbearing May Increase the Risk of Nondiabetic Cataract in Chinese Women’s Old Age

Yuan

Fang

et al. 2015

Journal of Ophthalmology

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“…[3] The occurrence rate of sight-threatening cataract in the study group is approximately 27.9 percent which was three-folds higher than the 8.4 percent in the DM control group and the 7.3 percent in the non-DM control group. In a previous population-based study conducted in the same region, the prevalence of self-reported cataract was about 11.8 percent in 2013, [37] which was much lower than the study group in the current study. Since both DM and cataract affect a majority of population and the DR will increase the risk of sight-threatening cataract with a gross population, strictly blood sugar control and periodically ophthalmic examination in patients with DM is advocated.…”

Section: Discussioncontrasting

confidence: 72%

The elevated risk of sight-threatening cataract in diabetes with retinopathy: a cohort study

Nien

Lee

Chen

et al. 2020

Preprint

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Background To survey the effect of diabetic retinopathy (DR) on the development of sight-threatening cataract via National Health Insurance Research Database of Taiwan.Methods Patients diagnosed with diabetes mellitus (DM) and DR were enrolled in the study group. The age and gender-matched DM individuals without DR and patients without DM served as the DM control group and non-DM control group, both with 1:4 ratios. The outcome was set as the performance of cataract surgery. Cox proportional hazard regression was used to calculate the adjusted hazard ratio (aHR) of DR with considering multiple factors of cataract formation.Results A total of 3,297 DR patients, 13,188 DM control patients and 13,188 non-DM controls were enrolled. There were 919 events (27.87 percent) of sight-threatening cataract in the study group while another 1,108 events (8.40 percent) in the DM control group and 957 events (7.26 percent) in the non-DM control group. After multivariable analysis, the study group showed a higher aHR of cataract surgery (2.93, 95% CI: 2.60-3.30) and a higher cumulative probability of cataract surgery compared to both the DM control and non-DM control groups (both Log rank P<0.001). Besides, both the proliferative DR (3.90, 95% CI: 3.42-4.45) and non-proliferative DR (2.35, 95% CI: 2.08-2.65) subgroups showed a higher aHR of cataract surgery than the DM control group.Conclusion The presence of DR will increase the risk for development of sight-threatening cataract that surgery is warranted, and the effect is prominent in both the proliferative DR and non-proliferative DR.

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“…Rural residents are exposed to higher levels of ultra-violet radiation than their urban counterparts [ 3 ]. A recent study of population at age 40 years and older in Taiwan proper showed that the prevalence of cataracts as indicated by medical professionals (excluding mild cataracts) was 11.8 % [ 36 ]. The prevalence of moderate and severe cataracts in Matsu (13.9 %, 117/841) was consistent with this previous study, as we investigated residents aged 50 years and older.…”

Section: Discussionmentioning

confidence: 99%

Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system

Chen

Chang

Shieh

et al. 2016

BMC Health Serv Res

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BackgroundTo assess the utilization of and satisfaction with ophthalmic healthcare provided by integrated delivery system (IDS) since 2000 and vision-related quality of life (VRQoL) for residents of an offshore island of Taiwan.MethodsFacilitators interviewed residents (age ≥ 50 years) with the 25-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) for VRQoL and a questionnaire on clinical information, ophthalmic care utilization and satisfaction.ResultsA total of 841 participants (response rate 93.4 %, 841/900) completed the questionnaire survey. Mean age was 63.7 (±10. 7) years. The common eye diseases were cataract (44.7 %), dry eye (15.5 %), and glaucoma (8.7 %). Among the participants, 61.0 % sought ophthalmic care under the IDS in the past year and 17.6 % experienced unmet ophthalmic needs in the past 6 months. Satisfaction with ophthalmic care under the IDS was 88.1 %. Determinants of dissatisfaction under the IDS were distance to healthcare facility and VRQoL. Predictors of VRQoL included age, residential area, marital status, occupation, comorbid condition, commercial insurance, household income, cataracts and glaucoma.ConclusionsThe implementation of IDS improves accessibility of ophthalmic care for residents of an offshore island. Geographic proximity to avail healthcare facility and VRQoL affect satisfaction with the IDS.

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Time trend of prevalence of self-reported cataract and its association with prolonged sitting in Taiwan from 2001 and 2013

Cited by 28 publications

References 32 publications

Childbearing May Increase the Risk of Nondiabetic Cataract in Chinese Women’s Old Age

Childbearing May Increase the Risk of Nondiabetic Cataract in Chinese Women’s Old Age

The elevated risk of sight-threatening cataract in diabetes with retinopathy: a cohort study

Accessibility of ophthalmic healthcare for residents of an offshore island—an example of integrated delivery system

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