239107 Factors associated with poor health-related quality of life among people with eye diseases: Findings from the 2008 Behavioral Risk Factor Surveillance System

Monday, October 31, 2011

Huabin Luo, PhD , Mod/Hcm, Mount Olive College, Mount Olive, NC
Objective: 1) To compare the health related quality of life (HRQOL) between people with and without age-related eye diseases (i.e., cataract, glaucoma, age-related macular degeneration, and diabetic retinopathy) (ARED); 2) To explore factors associated with poor HRQOL among people with ARED.

Methods: Data were form the 2008 BRFSS eye care and diabetes modules (n=45,873). This study categorized respondents' self reported HRQOL---physical unhealthy days, mental unhealthy days, and activity limitation days--- into zero days and >=1 days, respectively, and the four levels of self-rated health into fair/poor and excellent/good. Multiple logistic regression models were used to explore factors associated with poor HRQOL among people 40+ with ARED. Covariates included demographics, comorbidities, health and eye insurance, and access to eye care. Data analyses were conducted using SAS 9.1. Results: Compared with those without ARED, people with ARED had more physical unhealthy days (7.02 vs. 4.18 days), mental unhealthy days (3.97 vs. 3.35 days), and activity limitation days (7.65 vs. 5.18 days); and a larger proportion of them rated their health as poor/fair (36.59% vs. 18.60%) (all ps<0.001). Among people with ARED, those who cited cost as the reason for not-having eye care were more likely to reporting more physical unhealthy days (AOR=2.04), mental unhealthy days (AOR=1.90), and worse general health (AOR=1.71) (all ps<0.05).

Conclusion: People with eye diseases have much worse HRQOL than those without ARED. To reduce disparities in quality of life, it is important to improve access to eye care for people with eye diseases.

Learning Areas:
Provision of health care to the public
Public health or related research

Learning Objectives:
To identify detrimental factors of poor quality of life among people with age-related eye diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have done all the analyses.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.