Titre du document / Document title

Vision-related quality of life impairment in an elderly UK population: associations with age, sex, social class and material deprivation

Auteur(s) / Author(s)

FROST Andrew ⁽¹⁾ ; EACHUS Jenny ⁽²⁾ ; SPARROW John ⁽¹⁾ ; PETERS Tim J. ⁽²⁾ ; HOPPER Cherida ⁽³⁾ ; DAVEY-SMITH George ⁽²⁾ ; FRANKEL Stephen ⁽²⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Bristol Eye Hospital and University of Bristol, Bristol, ROYAUME-UNI
⁽²⁾ Department of Social Medicine, University of Bristol, Bristol, ROYAUME-UNI
⁽³⁾ The UK Department of Health, The NHS Executive South and, West, ETATS-UNIS

Résumé / Abstract

Purpose To describe the prevalence of vision-related quality of life (VR-QOL) impairment in an elderly UK population sample. Method The survey, using the VCM1 questionnaire, was based on an age- and sex-stratified random population sample of 2783 individuals aged 55 years or over. Results One thousand eight hundred and forty-six (69.7%) of 2647 eligible subjects responded. One thousand six hundred and eighty-three individuals completed all 10 VCM1 items. Overall the prevalence of a VCM1 score >2.0 ('more than a little' concern about vision) was 4.6% (95% CI = 3.7% to 5.7%), leading to an estimate of more than 550 000 individuals in England with substantial VR-QOL impairment. The prevalence increased with age from 2.1% in the 55-64 year age group to 17.9% in the group aged 85 years and older. The prevalence also increased as social class became lower, from 0 in social class I to 10.2% in social class V, and increased with increasing material deprivation, from 1.2% in the most affluent quintile to 6.8% in the most deprived quintile. Multivariable logistic regression analysis showed that age (p = 0.0001), decreasing social class (p = 0.03) and increasing material deprivation (p = 0.008) were independently associated with VR-QOL impairment (VCM1 score >2.0), whilst gender and means of questionnaire administration were not associated with VR-QOL impairment at the 5% level. Conclusions The findings suggest a substantial national prevalence of VR-QOL impairment, and are consistent with earlier studies linking ocular disease with social deprivation. Consideration should be given to directing resources more carefully towards groups at higher risk of VR-QOL impairment, in particular the very elderly and socially deprived.

Revue / Journal Title

Eye   ISSN 0950-222X   CODEN EYEEEC 

Source / Source

2001, vol. 15 (6), pp. 739-744 (27 ref.)

Langue / Language

Anglais

Editeur / Publisher

Nature Publishing Group, Basingstoke, ROYAUME-UNI  (1987) (Revue)

Mots-clés anglais / English Keywords

Public health ; Eye disease ; Europe ; Human ; United Kingdom ; Socioeconomic status ; Epidemiology ; Prevalence ; Questionnaire ; Survey ; Social class ; Sex ; Age ; Quality of life ; Elderly ; Vision disorder ;

Mots-clés français / French Keywords

Santé publique ; Oeil pathologie ; Europe ; Homme ; Royaume Uni ; Statut socioéconomique ; Epidémiologie ; Prévalence ; Questionnaire ; Enquête ; Classe sociale ; Sexe ; Age ; Qualité vie ; Personne âgée ; Trouble vision ;

Mots-clés espagnols / Spanish Keywords

Salud pública ; Ojo patología ; Europa ; Hombre ; Reino Unido ; Estatuto socioeconómico ; Epidemiología ; Prevalencia ; Cuestionario ; Encuesta ; Clase social ; Sexo ; Edad ; Calidad vida ; Anciano ; Trastorno visión ;

Localisation / Location

INIST-CNRS, Cote INIST : 21076, 35400010345917.0090