Ethnic differences in the incidence of pterygium in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Diseases Study

Abstract We evaluated the 6-year incidence and risk factors of pterygium in a multi-ethnic Asian population. Participants who attended the baseline visit of the Singapore Epidemiology of Eye Diseases Study (year 2004–2011) and returned six years later, were included in this study. Pterygium was diag...

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Autores principales: Xiao Ling Fang, Crystal Chun Yuen Chong, Sahil Thakur, Zhi Da Soh, Zhen Ling Teo, Shivani Majithia, Zhi Wei Lim, Tyler Hyungtaek Rim, Charumathi Sabanayagam, Tien Yin Wong, Ching-Yu Cheng, Yih-Chung Tham
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/c769e01d4b9b46cb9a5a928b96145b71
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spelling oai:doaj.org-article:c769e01d4b9b46cb9a5a928b96145b712021-12-02T15:23:02ZEthnic differences in the incidence of pterygium in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Diseases Study10.1038/s41598-020-79920-92045-2322https://doaj.org/article/c769e01d4b9b46cb9a5a928b96145b712021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-79920-9https://doaj.org/toc/2045-2322Abstract We evaluated the 6-year incidence and risk factors of pterygium in a multi-ethnic Asian population. Participants who attended the baseline visit of the Singapore Epidemiology of Eye Diseases Study (year 2004–2011) and returned six years later, were included in this study. Pterygium was diagnosed based on anterior segment photographs. Incident pterygium was defined as presence of pterygium at 6-year follow-up in either eye, among individuals without pterygium at baseline. Multivariable logistic regression models were used to determine factors associated with incident pterygium, adjusting for baseline age, gender, ethnicity, body mass index, occupation type, educational level, income status, smoking, alcohol consumption, presence of hypertension, diabetes and hyperlipidemia. The overall age-adjusted 6-year incidence of pterygium was 1.2% (95% confidence interval [CI] 1.0–1.6%); with Chinese (1.9%; 95% CI 1.4%-2.5%) having the highest incidence rate followed by Malays (1.4%; 95% CI 0.9%-2.1%) and Indians (0.3%; 95% CI 0.3–0.7%). In multivariable analysis, Chinese (compared with Indians; odds ratio [OR] = 4.21; 95% CI 2.12–9.35) and Malays (OR 3.22; 95% CI 1.52–7.45), male (OR 2.13; 95% CI 1.26–3.63), outdoor occupation (OR 2.33; 95% CI 1.16–4.38), and smoking (OR 0.41; 95% CI 0.16–0.87) were significantly associated with incident pterygium. Findings from this multi-ethnic Asian population provide useful information in identifying at-risk individuals for pterygium.Xiao Ling FangCrystal Chun Yuen ChongSahil ThakurZhi Da SohZhen Ling TeoShivani MajithiaZhi Wei LimTyler Hyungtaek RimCharumathi SabanayagamTien Yin WongChing-Yu ChengYih-Chung ThamNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Xiao Ling Fang
Crystal Chun Yuen Chong
Sahil Thakur
Zhi Da Soh
Zhen Ling Teo
Shivani Majithia
Zhi Wei Lim
Tyler Hyungtaek Rim
Charumathi Sabanayagam
Tien Yin Wong
Ching-Yu Cheng
Yih-Chung Tham
Ethnic differences in the incidence of pterygium in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Diseases Study
description Abstract We evaluated the 6-year incidence and risk factors of pterygium in a multi-ethnic Asian population. Participants who attended the baseline visit of the Singapore Epidemiology of Eye Diseases Study (year 2004–2011) and returned six years later, were included in this study. Pterygium was diagnosed based on anterior segment photographs. Incident pterygium was defined as presence of pterygium at 6-year follow-up in either eye, among individuals without pterygium at baseline. Multivariable logistic regression models were used to determine factors associated with incident pterygium, adjusting for baseline age, gender, ethnicity, body mass index, occupation type, educational level, income status, smoking, alcohol consumption, presence of hypertension, diabetes and hyperlipidemia. The overall age-adjusted 6-year incidence of pterygium was 1.2% (95% confidence interval [CI] 1.0–1.6%); with Chinese (1.9%; 95% CI 1.4%-2.5%) having the highest incidence rate followed by Malays (1.4%; 95% CI 0.9%-2.1%) and Indians (0.3%; 95% CI 0.3–0.7%). In multivariable analysis, Chinese (compared with Indians; odds ratio [OR] = 4.21; 95% CI 2.12–9.35) and Malays (OR 3.22; 95% CI 1.52–7.45), male (OR 2.13; 95% CI 1.26–3.63), outdoor occupation (OR 2.33; 95% CI 1.16–4.38), and smoking (OR 0.41; 95% CI 0.16–0.87) were significantly associated with incident pterygium. Findings from this multi-ethnic Asian population provide useful information in identifying at-risk individuals for pterygium.
format article
author Xiao Ling Fang
Crystal Chun Yuen Chong
Sahil Thakur
Zhi Da Soh
Zhen Ling Teo
Shivani Majithia
Zhi Wei Lim
Tyler Hyungtaek Rim
Charumathi Sabanayagam
Tien Yin Wong
Ching-Yu Cheng
Yih-Chung Tham
author_facet Xiao Ling Fang
Crystal Chun Yuen Chong
Sahil Thakur
Zhi Da Soh
Zhen Ling Teo
Shivani Majithia
Zhi Wei Lim
Tyler Hyungtaek Rim
Charumathi Sabanayagam
Tien Yin Wong
Ching-Yu Cheng
Yih-Chung Tham
author_sort Xiao Ling Fang
title Ethnic differences in the incidence of pterygium in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Diseases Study
title_short Ethnic differences in the incidence of pterygium in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Diseases Study
title_full Ethnic differences in the incidence of pterygium in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Diseases Study
title_fullStr Ethnic differences in the incidence of pterygium in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Diseases Study
title_full_unstemmed Ethnic differences in the incidence of pterygium in a multi-ethnic Asian population: the Singapore Epidemiology of Eye Diseases Study
title_sort ethnic differences in the incidence of pterygium in a multi-ethnic asian population: the singapore epidemiology of eye diseases study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/c769e01d4b9b46cb9a5a928b96145b71
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