Dry Eye Disease Among Mongolian and Han Older Adults in Grasslands of Northern China: Prevalence, Associated Factors, and Vision-Related Quality of Life

Purpose: Dry eye disease (DED) is projected to have increasing public health burden in China with the aging population. No published studies on the epidemiology of DED have been found in grasslands. We estimated DED prevalence among older adults living in grasslands of northern China and investigate...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Jianhua Wu, Xiaomei Wu, Han Zhang, Xiaoguang Zhang, Jie Zhang, Yanqiu Liu, Jun Liu, Lu Lu, Song Zhang, Guisen Zhang, Lei Liu
Formato: article
Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://doaj.org/article/17d775ca65bc48778df9e9e953a1bff8
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:17d775ca65bc48778df9e9e953a1bff8
record_format dspace
spelling oai:doaj.org-article:17d775ca65bc48778df9e9e953a1bff82021-11-30T22:24:00ZDry Eye Disease Among Mongolian and Han Older Adults in Grasslands of Northern China: Prevalence, Associated Factors, and Vision-Related Quality of Life2296-858X10.3389/fmed.2021.788545https://doaj.org/article/17d775ca65bc48778df9e9e953a1bff82021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.788545/fullhttps://doaj.org/toc/2296-858XPurpose: Dry eye disease (DED) is projected to have increasing public health burden in China with the aging population. No published studies on the epidemiology of DED have been found in grasslands. We estimated DED prevalence among older adults living in grasslands of northern China and investigated its associated factors and impact on vision-related quality of life (VR-QoL).Methods: A multistage cluster random sampling technique was used to select Mongolian and Han participants aged over 40 from November 2020 to May 2021 in this area. An assessment of DED was performed with Ocular Surface Disease Index (OSDI) questionnaire, Schirmer's I test (ST), and Tear film break up time (TBUT). All the participants completed the Chinese version of National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) assessing VR-QoL.Results: Of the 1,400 enumerated residents, 1,287 were examined. The overall age and gender standardized prevalence of DED was 34.5%, of which, 32.6% of Mongolian and 35.4% of Han had DED. In a multivariate model, statistically significant associations were found with advancing age [odds ratio (OR) 1.03, 95% confidence interval (CI) 1.02–1.04], female gender (OR 1.32, 95% CI 1.04–1.68), smoking (OR 0.7, 95% CI 0.5–0.98), anti-fatigue eye-drop use (OR 0.56, 95% CI 0.41–0.77), milk product intake (OR 0.55, 95% CI 0.39–0.77), number of household members (OR 0.8, 95% CI 0.72–0.88). DED was associated with lower scores on VR-QoL (β= −0.14, P < 0.01). Similar results were observed when analyses were stratified by ethnicity.Conclusions: The novelty-associated factors for DED in the grasslands area were anti-fatigue eye drop use, milk product intake, and number of household members. DED and its components were associated with VR-QoL. Further prospective studies are needed to confirm these findings.Jianhua WuXiaomei WuHan ZhangXiaoguang ZhangJie ZhangJie ZhangYanqiu LiuJun LiuLu LuSong ZhangGuisen ZhangLei LiuLei LiuLei LiuFrontiers Media S.A.articledry eye diseaseprevalenceassociated factorsvision-related quality of lifeepidemiology—analytic (risk factors)Medicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic dry eye disease
prevalence
associated factors
vision-related quality of life
epidemiology—analytic (risk factors)
Medicine (General)
R5-920
spellingShingle dry eye disease
prevalence
associated factors
vision-related quality of life
epidemiology—analytic (risk factors)
Medicine (General)
R5-920
Jianhua Wu
Xiaomei Wu
Han Zhang
Xiaoguang Zhang
Jie Zhang
Jie Zhang
Yanqiu Liu
Jun Liu
Lu Lu
Song Zhang
Guisen Zhang
Lei Liu
Lei Liu
Lei Liu
Dry Eye Disease Among Mongolian and Han Older Adults in Grasslands of Northern China: Prevalence, Associated Factors, and Vision-Related Quality of Life
description Purpose: Dry eye disease (DED) is projected to have increasing public health burden in China with the aging population. No published studies on the epidemiology of DED have been found in grasslands. We estimated DED prevalence among older adults living in grasslands of northern China and investigated its associated factors and impact on vision-related quality of life (VR-QoL).Methods: A multistage cluster random sampling technique was used to select Mongolian and Han participants aged over 40 from November 2020 to May 2021 in this area. An assessment of DED was performed with Ocular Surface Disease Index (OSDI) questionnaire, Schirmer's I test (ST), and Tear film break up time (TBUT). All the participants completed the Chinese version of National Eye Institute Visual Function Questionnaire (NEI-VFQ-25) assessing VR-QoL.Results: Of the 1,400 enumerated residents, 1,287 were examined. The overall age and gender standardized prevalence of DED was 34.5%, of which, 32.6% of Mongolian and 35.4% of Han had DED. In a multivariate model, statistically significant associations were found with advancing age [odds ratio (OR) 1.03, 95% confidence interval (CI) 1.02–1.04], female gender (OR 1.32, 95% CI 1.04–1.68), smoking (OR 0.7, 95% CI 0.5–0.98), anti-fatigue eye-drop use (OR 0.56, 95% CI 0.41–0.77), milk product intake (OR 0.55, 95% CI 0.39–0.77), number of household members (OR 0.8, 95% CI 0.72–0.88). DED was associated with lower scores on VR-QoL (β= −0.14, P < 0.01). Similar results were observed when analyses were stratified by ethnicity.Conclusions: The novelty-associated factors for DED in the grasslands area were anti-fatigue eye drop use, milk product intake, and number of household members. DED and its components were associated with VR-QoL. Further prospective studies are needed to confirm these findings.
format article
author Jianhua Wu
Xiaomei Wu
Han Zhang
Xiaoguang Zhang
Jie Zhang
Jie Zhang
Yanqiu Liu
Jun Liu
Lu Lu
Song Zhang
Guisen Zhang
Lei Liu
Lei Liu
Lei Liu
author_facet Jianhua Wu
Xiaomei Wu
Han Zhang
Xiaoguang Zhang
Jie Zhang
Jie Zhang
Yanqiu Liu
Jun Liu
Lu Lu
Song Zhang
Guisen Zhang
Lei Liu
Lei Liu
Lei Liu
author_sort Jianhua Wu
title Dry Eye Disease Among Mongolian and Han Older Adults in Grasslands of Northern China: Prevalence, Associated Factors, and Vision-Related Quality of Life
title_short Dry Eye Disease Among Mongolian and Han Older Adults in Grasslands of Northern China: Prevalence, Associated Factors, and Vision-Related Quality of Life
title_full Dry Eye Disease Among Mongolian and Han Older Adults in Grasslands of Northern China: Prevalence, Associated Factors, and Vision-Related Quality of Life
title_fullStr Dry Eye Disease Among Mongolian and Han Older Adults in Grasslands of Northern China: Prevalence, Associated Factors, and Vision-Related Quality of Life
title_full_unstemmed Dry Eye Disease Among Mongolian and Han Older Adults in Grasslands of Northern China: Prevalence, Associated Factors, and Vision-Related Quality of Life
title_sort dry eye disease among mongolian and han older adults in grasslands of northern china: prevalence, associated factors, and vision-related quality of life
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/17d775ca65bc48778df9e9e953a1bff8
work_keys_str_mv AT jianhuawu dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT xiaomeiwu dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT hanzhang dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT xiaoguangzhang dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT jiezhang dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT jiezhang dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT yanqiuliu dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT junliu dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT lulu dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT songzhang dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT guisenzhang dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT leiliu dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT leiliu dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
AT leiliu dryeyediseaseamongmongolianandhanolderadultsingrasslandsofnorthernchinaprevalenceassociatedfactorsandvisionrelatedqualityoflife
_version_ 1718406187017306112