Global, Regional, and National Epidemiology of Visual Impairment in Working-Age Individuals, 1990-2019

作者：Jianqi Chen, Chunyan Yang, Weixin Zheng, Zhidong Li, Yanyi Huang, Shuyu Yao, Xuhao Chen, Xiaohong Chen, Rui Xie, Ruiyu Luo, Yuan Zhang, Guitong Ye, Xinyue Shen, Yue Xiao, Yingting Zhu, Wenmin Huang · 发表于：JAMA Ophthalmology · 年份：2023 · DOI：10.1001/jamaophthalmol.2023.5617 · 被引用次数：36 · 研究领域：Ophthalmology and Visual Impairment Studies、Tactile and Sensory Interactions、Disability Rights and Representation

Importance: Visual impairment in working-age individuals can affect their general health and employment prospects, leading to decreased social and economic productivity and increased poverty rates. Nonetheless, investigations in this population appear to be limited. Objective: To investigate the trends of visual impairment prevalence and disability-adjusted life-years (DALYs) in working-age individuals from 1990 to 2019. Design, Setting, and Participants: This cross-sectional, population-based study used data for individuals of working age (15-64 years) from 204 countries and territories obtained from the Global Burden of Disease 2019 study. The data analysis was performed between May 1 and 10, 2023. Exposure: Visual impairment, defined as visual acuity of less than 6/18 (20/60) or near visual acuity of less than 6/12 (20/40) distance equivalent as determined by Snellen chart. Main Outcomes and Measures: Trends of visual impairment prevalence, DALYs, and corresponding estimated annual percent changes (EAPCs) from 1990 to 2019 were stratified according to region, nation, and sociodemographic index (SDI). Results: There were 437 539 484 (95% uncertainty interval [UI], 325 463 851-575 573 588) prevalent cases of visual impairment globally (53.12% female and 46.88% male) in 2019, representing an increase of 91.46% from 1990 (prevalent cases, 228 530 964; 95% UI, 172 515 833-297 118 596). Over 3 decades, visual impairment-associated DALYs increased from 7 601 852 (95% UI, 5 047 03...