Abstract

BackgroundVision-related quality of life is related to severity of visual impairments and show the impact of eye diseases on daily activities. This study aims to assess visual functions and disability and its association with age, gender, education, marital status, and economic status in adults aged 45–69 years.MethodsData in this population-based study were from the second phase of the Shahroud eye cohort study and collected by using a Short-Form Visual Functioning Scale. The scores of visual function and disability were calculated based on Rasch-transformed scores of the National Eye Institute visual functioning questionnaire, where a more negative score indicates a better situation. Multiple linear regression was used to investigate the factors associated with visual functions.ResultsAmong 4737 participants the visual function data for 4715 people were analyzed. The visual function of 75.3, 17.1 and 7.5% of participants were “ideal and good”, “moderate”, and “bad and very bad”, respectively, while 0.06% were unable for vision. The running mean of the visual function was calculated to be − 3.95 ± 0.02. The visual performance was worse in females than the males (β = 0.14, p = 0.005). Visual function improved with increasing levels of education (β = − 1.06, p < 0.001). It was worse in low-economic (β = 0.016, p = 0.005) and moderate-economic (β = 0.28, p < 0.001) participants than high-economic ones.ConclusionThe visual function of Iranian adults aged 45–69 years was moderate. The male gender, higher education and the higher economic status had a better visual function.

Highlights

  • According to the WHO’s latest report, global estimates on visual impairment show that 2.2 billion people have a vision impairment and majority of them are over the age of 50 years [1]

  • Vision-related quality of life (VRQoL) is an outstanding and measurable health outcome in patients with visual impairment [3], that indicates the impact of the chronic eye disease on daily activities [4]

  • Short‐form visual functioning scale (SFVFS) short-form visual functioning scale (SFVFS) is derived from the National Eye Institute Visual Function Questionnaire (NEI-VFQ)-25 by Pesudovs et al

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Summary

Introduction

According to the WHO’s latest report, global estimates on visual impairment show that 2.2 billion people have a vision impairment and majority of them are over the age of 50 years [1]. According to the Global Vision Database Maps, about 217 million people have a moderate and severe visual impairment, of which 0.4% are blind; the global prevalence of distant visual impairment is estimated to be 3.4%. Vision-related quality of life (VRQoL) is an outstanding and measurable health outcome in patients with visual impairment [3], that indicates the impact of the chronic eye disease on daily activities [4]. A shorter, 25 item, 12 subscales version, known as NEIVFQ-25, was designed and standardized to give respondents more comfortable and improve data quality as well as to measure the health-related quality of life (HRQOL) [7]. Vision-related quality of life is related to severity of visual impairments and show the impact of eye diseases on daily activities. This study aims to assess visual functions and disability and its association with age, gender, education, marital status, and economic status in adults aged 45–69 years

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