江苏省阜宁县社区老年人年龄相关性白内障患病率及影响因素

Prevalence and risk factors of age-related cataract in elderly people in Funing County,Jiangsu Province

目的探讨江苏省阜宁县社区60岁以上人群年龄相关性白内障(ARC)的影响因素。方法选取阜宁县眼病研究数据60岁以上人群,采用软件Stata 13.0对年龄、性别、教育程度等进行描述性分析,通过单因素及多因素Logistic回归分析ARC的相关危险因素。结果3952例受检者中,白内障1392例,患病率为35.22%;ARC 606例,患病率为15.53%。多因素Logistic回归分析显示,高龄(OR=1.19,P<0.001)、女性(OR=1.39,P<0.001)和阳光照射时间长(OR=1.85,P<0.001)是白内障的独立危险因素,高教育水平(OR=0.81,P<0.001)是白内障的独立保护因素;这些因素也是ARC的影响因素,但不同亚型之间存在细微差异。结论高龄、女性、文化程度低以及阳光照射时间长是江苏阜宁县老年人群发生白内障的独立危险因素,不同ARC亚型间危险因素存在细微差异。

Objective To investigate the risk factors of age-related cataract(ARC)in the patients aged over 60 years old in Funing County,Jiangsu Province.Methods The data were selected from Funing County Eye Study and analyzed by Stata 13.0.The risk factors of cataract and ARC were screened by univariate and multivariate Logistic regression analysis.Results Among the 3952 subjects,1392 cases presented with cataract,with a prevalence rate of 35.22%,and 606 cases presented with ARC,with a prevalence rate of 15.53%.Multivariate Logistic regression analysis showed that advanced age(OR=1.19,P<0.001),female(OR=1.39,P<0.001),and prolonged exposure to sunlight(OR=1.85,P<0.001)were the independent risk factors of cataract,and higher education level(OR=0.81,P<0.001)was the independent protective factor.The above factors were also influencing factors of ARC,but there were slight differences among the different subtypes.Conclusions Advanced age,female,low education level,and prolonged exposure to sunlight are risk factors for cataract in the community elderly in Funing County,Jiangsu Province.There are slight differences among different ARC subtypes.