Factors Associated with Cataract in Korea: A Community Health Survey 2008-2012.
10.3349/ymj.2015.56.6.1663
- Author:
Tyler Hyungtaek RIM
1
;
Dong Wook KIM
;
Sung Eun KIM
;
Sung Soo KIM
Author Information
1. Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. semekim@yuhs.ac
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Cataract;
a community health survey;
risk factor;
nomogram
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Asthma/epidemiology;
Cataract/*epidemiology;
Comorbidity;
Cross-Sectional Studies;
Dermatitis, Atopic/epidemiology;
Diabetes Mellitus/epidemiology;
Female;
*Health Behavior;
Health Surveys;
Humans;
Hypertension/epidemiology;
Logistic Models;
Male;
Middle Aged;
Nomograms;
Odds Ratio;
Population Surveillance/*methods;
Prevalence;
Republic of Korea/epidemiology;
Residence Characteristics;
Risk Factors;
Self Report;
Sleep;
Socioeconomic Factors;
Surveys and Questionnaires
- From:Yonsei Medical Journal
2015;56(6):1663-1670
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To investigate sociodemographic factors, health behaviors, and comorbidities associated with cataracts in a large, nationally representative Korean sample. MATERIALS AND METHODS: This cross-sectional study included 715554 adults aged 40 years or older who participated in the 2008-2012 Community Health Survey. Significant risk factors were identified using multivariate logistic regression analysis for self-reported cataract, and a nomogram for analysis of cataract risk was generated. RESULTS: Roughly 11% of participants (n=88464) reported being diagnosed with cataracts by a doctor. Age was the most important independent risk factor [adjusted odds ratio (aOR)=1.11, 99% confidence interval (CI), 1.11-1.11 for each increasing year]. Significant comorbidities with descending order of effect size (aOR, 99% CI), included diabetes mellitus (1.78, 1.71-1.85), osteoporosis (1.62, 1.56-1.69), arthritis (1.54, 1.48-1.59), hepatitis B infection (1.46, 1.31-1.63), atopic dermatitis (1.50, 1.33-1.69), angina (1.46, 1.35-1.57), allergic rhinitis (1.45, 1.36-1.55), dyslipidemia (1.38, 1.31-1.45), asthma (1.35, 1.26-1.44), and hypertension (1.23, 1.19-1.28). Subjects who sleep less than 6 hours/day were more likely to have cataract than subjects who sleep more than 9 hours/day as a reference group (aOR=1.22, 99% CI, 1.11-1.34). CONCLUSION: While the most important cataract risk factor was age, the ten comorbidities mentioned above were also significant risk factors. Interestingly, longer duration of sleep was associated with a protective effect against cataract development.
