Quality of Life Research

, Volume 20, Issue 6, pp 845–852 | Cite as

Visual impairment and health-related quality of life among elderly adults with age-related eye diseases

  • Yan Li
  • John E. Crews
  • Laurie D. Elam-Evans
  • Amy Z. Fan
  • Xinzhi Zhang
  • Amanda F. Elliott
  • Lina Balluz
Article

Abstract

Purpose

To examine the association between age-related eye disease (ARED), visual impairment, and health-related quality of life (HRQOL).

Methods

We used data from the 2006 and 2008 Behavioral Risk Factor Surveillance System to examine self-reported visual impairment and two HRQOL domains—physical impairment (including poor general health, physical unhealthy days, activity-limitation days, and disability) and mental distress (including mental unhealthy days, life dissatisfaction, major depression, lifetime depression, and anxiety) for people aged 65 years or older, by ARED status.

Results

People with any ARED were more likely than those without to report visual impairment as well as physical impairment and mental distress. The prevalence of visual impairment (P trend <0.001) and physical impairment (P trend <0.001) increased with increasing number of eye diseases after controlling for all covariates. There was no significant linear trend, however, in mental distress among people with one or more eye diseases.

Conclusion

ARED was found to be associated with visual impairment and poorer HRQOL. Increasing numbers of AREDs were associated with increased levels of visual impairment and physical impairment, but were not associated with levels of mental distress.

Keywords

Age-related eye disease Health-related quality of life Visual impairment 

References

  1. 1.
    Saaddine, J. B., Narayan, K. M., & Vinicor, F. (2003). Vision loss: A public health problem? Ophthalmology, 110(2), 253–254.PubMedCrossRefGoogle Scholar
  2. 2.
    Crews, J. E. (2003). The role of public health in addressing aging and sensory loss. Generations, 27, 83–90.Google Scholar
  3. 3.
    (2009). Prevalence and most common causes of disability among adults—United States, 2005. MMWR. Morbidity and Mortality Weekly Report, 58(16), 421–426.Google Scholar
  4. 4.
    Congdon, N., O’Colmain, B., Klaver, C. C., et al. (2004). Causes and prevalence of visual impairment among adults in the United States. Archives of Ophthalmology, 122(4), 477–485.PubMedCrossRefGoogle Scholar
  5. 5.
    Munoz, B., West, S. K., Rubin, G. S., et al. (2000). Causes of blindness and visual impairment in a population of older Americans: The Salisbury Eye Evaluation Study. Archives of Ophthalmology, 118(6), 819–825.PubMedGoogle Scholar
  6. 6.
    Liu, I. Y., White, L., & LaCroix, A. Z. (1989). The association of age-related macular degeneration and lens opacities in the aged. American Journal of Public Health, 79(6), 765–769.PubMedCrossRefGoogle Scholar
  7. 7.
    Bockelbrink, A., Roll, S., Ruether, K., Rasch, A., Greiner, W., & Willich, S. N. (2008). Cataract surgery and the development or progression of age-related macular degeneration: A systematic review. Survey of Ophthalmology, 53(4), 359–367.PubMedCrossRefGoogle Scholar
  8. 8.
    Keenan, T. D., Salmon, J. F., Yeates, D., & Goldacre, M. (2009). Trends in rates of primary angle closure glaucoma and cataract surgery in England from 1968 to 2004. Journal of Glaucoma, 18(3), 201–205.PubMedCrossRefGoogle Scholar
  9. 9.
    Klein, R., Wang, Q., Klein, B. E., Moss, S. E., & Meuer, S. M. (1995). The relationship of age-related maculopathy, cataract, and glaucoma to visual acuity. Investigative Ophthalmology & Visual Science, 36(1), 182–191.Google Scholar
  10. 10.
    Nirmalan, P. K., Tielsch, J. M., Katz, J., et al. (2005). Relationship between vision impairment and eye disease to vision-specific quality of life and function in rural India: The Aravind Comprehensive Eye Survey. Investigative Ophthalmology & Visual Science, 46(7), 2308–2312.CrossRefGoogle Scholar
  11. 11.
    Broman, A. T., Munoz, B., Rodriguez, J., et al. (2002). The impact of visual impairment and eye disease on vision-related quality of life in a Mexican-American population: Proyecto VER. Investigative Ophthalmology & Visual Science, 43(11), 3393–3398.Google Scholar
  12. 12.
    Ivers, R. Q., Cumming, R. G., Mitchell, P., & Attebo, K. (1998). Visual impairment and falls in older adults: The Blue Mountains Eye Study. Journal of American Geriatrics Society, 46(1), 58–64.Google Scholar
  13. 13.
    Ivers, R. Q., Norton, R., Cumming, R. G., Butler, M., & Campbell, A. J. (2000). Visual impairment and risk of hip fracture. American Journal of Epidemiology, 52(7), 633–639.CrossRefGoogle Scholar
  14. 14.
    Hong, T., Mitchell, P., de Loryn, T., Rochtchina, E., Cugati, S., & Wang, J. J. (2009). Development and progression of diabetic retinopathy 12 months after phacoemulsification cataract surgery. Ophthalmology, 116(8), 1510–1514.PubMedCrossRefGoogle Scholar
  15. 15.
    Watkinson, S., & Seewoodhary, R. (2008). Ocular complications associated with diabetes mellitus. Nursing Standard, 22(27), 51–57.PubMedGoogle Scholar
  16. 16.
    Metsemakers, J. F., Hoppener, P., Knottnerus, J. A., Kocken, R. J., & Limonard, C. B. (1992). Computerized health information in The Netherlands: A registration network of family practices. The British Journal of General Practice, 42(356), 102–106.PubMedGoogle Scholar
  17. 17.
    Wolff, J. L., Starfield, B., & Anderson, G. (2002). Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Archives of Internal Medicine, 162(20), 2269–2276.PubMedCrossRefGoogle Scholar
  18. 18.
    Zahran, H. S., Kobau, R., Moriarty, D. G., Zack, M. M., Holt, J., & Donehoo, R. (2005). Health-related quality of life surveillance—United States, 1993–2002. MMWR. Surveillance Summaries, 54(4), 1–35.Google Scholar
  19. 19.
    Mitchell, J., & Bradley, C. (2006). Quality of life in age-related macular degeneration: A review of the literature. Health and Quality of Life Outcomes, 4, 97.PubMedCrossRefGoogle Scholar
  20. 20.
    Campbell, V. A., Crews, J. E., Moriarty, D. G., Zack, M. M., & Blackman, D. K. (1999). Surveillance for sensory impairment, activity limitation, and health-related quality of life among older adults—United States, 1993–1997. MMWR. CDC Surveillance Summaries, 48(8), 131–156.Google Scholar
  21. 21.
    Datta, S., Foss, A. J., Grainge, M. J., et al. (2008). The importance of acuity, stereopsis, and contrast sensitivity for health-related quality of life in elderly women with cataracts. Investigative Ophthalmology & Visual Science, 49(1), 1–6.CrossRefGoogle Scholar
  22. 22.
    Nelson, D. E., Holtzman, D., Bolen, J., Stanwyck, C. A., & Mack, K. A. (2001). Reliability and validity of measures from the behavioral risk factor surveillance system (BRFSS). Sozial- und Praventivmedizin, 46(Suppl 1), S3–S42.PubMedGoogle Scholar
  23. 23.
    Kapp, J. M., Jackson-Thompson, J., Petroski, G. F., & Schootman, M. (2009). Reliability of health-related quality-of-life indicators in cancer survivors from a population-based sample, 2005, BRFSS. Public Health, 123(4), 321–325.PubMedCrossRefGoogle Scholar
  24. 24.
    Brown, D. W., Balluz, L. S., Giles, W. H., et al. (2004). Diabetes mellitus and health-related quality of life among older adults. Findings from the behavioral risk factor surveillance system (BRFSS). Diabetes Research and Clinical Practice, 65(2), 105–115.PubMedCrossRefGoogle Scholar
  25. 25.
    Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1–3), 163–173.PubMedCrossRefGoogle Scholar
  26. 26.
    Witta, M. B., & Spagnol, K. E. (2009). Using predictive marginals to produce standardized estimates. Section on Survey Research Methods (pp. 4718–4732). http://www.amstat.org/sections/SRMS/Proceedings/y2009/Files/305262.pdf.
  27. 27.
    Knudtson, M. D., Klein, B. E., Klein, R., Cruickshanks, K. J., & Lee, K. E. (2005). Age-related eye disease, quality of life, and functional activity. Archives of Ophthalmology, 123(6), 807–814.PubMedCrossRefGoogle Scholar
  28. 28.
    Nutheti, R., Shamanna, B. R., Nirmalan, P. K., et al. (2006). Impact of impaired vision and eye disease on quality of life in Andhra Pradesh. Investigative Ophthalmology & Visual Science, 47(11), 4742–4748.CrossRefGoogle Scholar
  29. 29.
    Wu, S. Y., Hennis, A., Nemesure, B., & Leske, M. C. (2008). Impact of glaucoma, lens opacities, and cataract surgery on visual functioning and related quality of life: The Barbados Eye Studies. Investigative Ophthalmology & Visual Science, 49(4), 1333–1338.CrossRefGoogle Scholar
  30. 30.
    Chia, E. M., Wang, J. J., Rochtchina, E., Smith, W., Cumming, R. R., & Mitchell, P. (2004). Impact of bilateral visual impairment on health-related quality of life: The Blue Mountains Eye Study. Investigative Ophthalmology & Visual Science, 45(1), 71–76.CrossRefGoogle Scholar
  31. 31.
    Norris, C. M., Spertus, J. A., Jensen, L., Johnson, J., Hegadoren, K. M., & Ghali, W. A. (2008). Sex and gender discrepancies in health-related quality of life outcomes among patients with established coronary artery disease. Circulation Cardiovascular Quality and Outcomes, 1(2), 123–130.PubMedCrossRefGoogle Scholar
  32. 32.
    Muus, I., Petzold, M., & Ringsberg, K. C. (2009). Health-related quality of life after stroke: Reliability of proxy responses. Clinical Nursing Research, 18(2), 103–118.PubMedCrossRefGoogle Scholar
  33. 33.
    Esteban, J. J., Martinez, M. S., Navalon, P. G., et al. (2008). Visual impairment and quality of life: Gender differences in the elderly in Cuenca, Spain. Quality of Life Research, 17(1), 37–45.PubMedCrossRefGoogle Scholar
  34. 34.
    Tay, T., Wang, J. J., Rochtchina, E., & Mitchell, P. (2005). Vision and self-rated health: Longitudinal findings from an older Australian population. Ophthalmic Epidemiology, 12(3), 179–184.PubMedCrossRefGoogle Scholar
  35. 35.
    Hodek, J. M., Ruhe, A., & Greiner, W. (2009). Multimorbidity and health-related quality of life among elderly persons. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 52(12), 1188–1201.PubMedCrossRefGoogle Scholar
  36. 36.
    Varma, R., Wu, J., Chong, K., Azen, S. P., & Hays, R. D. (2006). Impact of severity and bilaterality of visual impairment on health-related quality of life. Ophthalmology, 113(10), 1846–1853.PubMedCrossRefGoogle Scholar
  37. 37.
    Fortin, M., Lapointe, L., Hudon, C., Vanasse, A., Ntetu, A. L., & Maltais, D. (2004). Multimorbidity and quality of life in primary care: A systematic review. Health and Quality of Life Outcomes, 2, 51.PubMedCrossRefGoogle Scholar
  38. 38.
    Jiang, Y., & Hesser, J. E. (2008). Patterns of health-related quality of life and patterns associated with health risks among Rhode Island adults. Health and Quality of Life Outcomes, 6, 49.PubMedCrossRefGoogle Scholar
  39. 39.
    Lavallee, L., Hatch, P., Michalos, A., & McKinley, T. (2007). Development of the contentment with life assessment scale (CLAS): Using daily life experiences to verify levels of self-reported life satisfaction. Social Indicators Research, 83(2), 201–244.CrossRefGoogle Scholar
  40. 40.
    Neugarten, B. L. (1962). Satisfaction with life: A measure of mental health in old age. L’Hygiéne Mentale, 51, 65–69.PubMedGoogle Scholar
  41. 41.
    Koivumaa-Honkanen, H. T., Viinamaki, H., Honkanen, R., et al. (1996). Correlates of life satisfaction among psychiatric patients. Acta Psychiatrica Scandinavica, 94(5), 372–378.PubMedCrossRefGoogle Scholar
  42. 42.
    Koivumaa-Honkanen, H., Rissanen, T., Hintikka, J, et al. (2010). Factors associated with life satisfaction in a 6-year follow-up of depressive out-patients. Social Psychiatry and Psychiatric Epidemiology. doi:10.1007/s00127-010-0225-z.
  43. 43.
    Koivumaa-Honkanen, H., Kaprio, J., Honkanen, R., Viinamaki, H., & Koskenvuo, M. (2004). Life satisfaction and depression in a 15-year follow-up of healthy adults. Social Psychiatry and Psychiatric Epidemiology, 39(12), 994–999.PubMedCrossRefGoogle Scholar
  44. 44.
    Mangione, C. M., Lee, P. P., Pitts, J., Gutierrez, P., Berry, S., & Hays, R. D. (1998). Psychometric properties of the national eye institute visual function questionnaire (NEI-VFQ). NEI-VFQ field test investigators. Archives of Ophthalmology, 116(11), 1496–1504.PubMedGoogle Scholar
  45. 45.
    Valbuena, M., Bandeen-Roche, K., Rubin, G. S., Munoz, B., & West, S. K. (1999). Self-reported assessment of visual function in a population-based study: The SEE project. Salisbury eye evaluation. Investigative Ophthalmology & Visual Science, 40(2), 280–288.Google Scholar
  46. 46.
    McHorney, C. A., Ware, J. E., Jr., & Raczek, A. E. (1993). The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247–263.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Yan Li
    • 1
  • John E. Crews
    • 2
  • Laurie D. Elam-Evans
    • 1
  • Amy Z. Fan
    • 1
  • Xinzhi Zhang
    • 2
  • Amanda F. Elliott
    • 2
  • Lina Balluz
    • 1
  1. 1.Division of Adult and Community HealthCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Division of Diabetes TranslationCenters for Disease Control and PreventionAtlantaUSA

Personalised recommendations