Vision-Related Quality of Life of Older People in Tehran and their Access and Utilization of Eye Care Services
Abstract
Background: Access to and utilization of eye care services may improve vision-related quality of life (VRQoL) of older people. This study aimed to evaluate the VRQoL of older adults and its associations with access to and utilization of eye care services.
Methods: This is a community-based cross-sectional survey conducted in Tehran, Iran, on 566 older people in 2018. The NEI-25 VFQ was used to measure the VRQoL. Multilevel Linear Regression analysis used to test the study hypotheses.
Results: The average score of the VRQoL was 80 out of 100. About 61% of the participants did not utilize the annual routine eye examination and the mean score of overall access to eye care was 85 out of 115. Having a higher physical, socio-cultural and overall access were significantly associated with higher VRQoL, but those with regular utilization had no better VRQoL status compared to non-users.
Conclusion: Access to eye care services showed to be very important in improvement of the VRQoL, whereas higher utilization was not found to be associated with better VRQoL statue of older people, as there might have a reverse causality with using more eye services with higher Visual impairment.
1. Nodehi Moghaddam A, Goodarzian M, Azadi F, et al (2015). Prevalence of eye disorders in elderly population of Tehran, Iran. Elderly Health Journal, 1(2): 46-51.
2. Khalili MR, Hosseini H, Rahat F, Nejabat M, Farvardin M (2009). Ocular Trauma in Subjects older than 60 years. Bina J Ophthalmol, 14(4):400-5.
3. Merriam-Webster.com Dictionary (2021), “Quality of life.”. Available from: https://www.merriam-webster.com/dictionary/quality%20of%20life
4. Brown RL, Barrett AE (2011). Visual impairment and quality of life among older adults: an examination of explanations for the relationship. J Gerontol B Psychol Sci Soc Sci, 66(3):364-73.
5. Crews JE, Campbell VA (2004). Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning. Am J Public Health, 94(5):823-9.
6. Dreer L, McGwin Jr G, Scilley K, et al (2007). Devel-opment of a nursing home vision-targeted health-related quality of life questionnaire for older adults. Ag-ing Ment Health, 11(6):722-33.
7. Asgari S, Nedjat S, Hashemi H, Shahnazi A, Fotouhi A (2012). Quality of life in the group of patients with chronic eye disease. Iran J Epidemiol, 7(4):43-8.
8. Mohammadian nia M FM, Rasafiani M, Hossein zadeh (2012). Evaluation of visual function and its correlation with quality of life in elderly people using public services in Bushehr clinics. Iran J Ageing, 7(27):16-26.
9. World Health Organization. Universal eye health: a global action plan 2014-2019. 2013.
10. Zambelli-Weiner A, Friedman DS (2012). Building a basis for action: Enhancing public health surveillance of vision impairment and eye health in the United States. Am J Ophthalmol, 154(6):S8-S22. e1.
11. Fotouhi A, Hashemi H, Mohammad K (2006). Eye care utilization patterns in Tehran population: a population based cross-sectional study. BMC Ophthalmol, 6(1):1-5.
12. Lee PP, West SK, Block SS, et al (2012). Surveillance of disparities in vision and eye health in the United States: an expert panel's opinions. Am J Ophthalmol, 154(6):S3-S7.
13. Chou C-F, Barker LE, Crews JE, et al (2012). Disparities in eye care utilization among the United States adults with visual impairment: findings from the behavioral risk factor surveillance system 2006-2009. Am J Ophthalmol, 154(6):S45-S52. e1.
14. Day F, Buchan J, Cassells-Brown A, Fear J, Dixon R, Wood F (2010). A glaucoma equity profile: correlating disease distribution with service provision and uptake in a population in Northern England, UK. Eye (Lond), 24(9):1478-85.
15. McAuley E, Konopack JF, Motl RW, Morris KS, Do-erksen SE, Rosengren KR (2006). Physical activity and quality of life in older adults: influence of health status and self-efficacy. Ann Behav Med, 31(1):99-103.
16. Vu H, Keeffe J, McCarty C, Taylor HR (2005). Impact of unilateral and bilateral vision loss on quality of life. Br J Ophthalmol, 89(3):360-3.
17. Tajvar M, Arab M, Montazeri A (2008). Determinants of health-related quality of life in elderly in Tehran, Iran. BMC Public Health, 8(1):1-8.
18. Tajvar M, Grundy E, Fletcher A (2018). Social support and mental health status of older people: a population-based study in Iran-Tehran. Aging Ment Health, 22(3):344-53.
19. Firoozabadi SA, Imani H (2007). Social capital and socioeconomic development in the metropolis of Tehran. REFAHJ, 6(23).197-224
20. Poor Ahmad A, Hatami nejad SH, Ghasemi I (2013). The zoning of Tehran based on the socio-demographic characteristics of modernity. Eur Urban Reg Stud, 5(19).1-18
21. Nickels S, Schuster AK, Singer S, et al (2017). The National Eye Institute 25-Item Visual Function Questionnaire (NEI VFQ-25)–reference data from the German population-based Gutenberg Health Study (GHS). Health Qual Life Outcomes, 15(1):1-10.
22. Asgari S, Hashemi H, Nedjat S, Shahnazi A, Fotouhi A (2011). Persian version of the 25-item National Eye Institute Visual Functioning Questionnaire (NEI-VFQ 39): a validation study. J Curr Ophthalmol, 23(3), 5-14.
23. Saiedpour J. Designing and evaluating a suitable tool for assessing the access of elderly people to health care in Tehran. [PhD thesis]. School of Public Health, Tehran University of Medical Sciences, Iran; 2017.
24. Tavasoli Zanjani Z, Mohammadi F, Motalebi S A, Alipour Heydari M (2017). Quality of Life among Elderly with Visual Impairment Refering to BooAli Sina Hospital, Qazvin. J Urmia Nurs Midwifery Fac, 15 (5),376-385.
25. Tajvar M, Yaseri M, Karami B, Mohammadi M (2021). Pattern of Outpatient Health Service Utilization by Older People in Iran. Iran J Ageing, 15 (4) :410-427.
26. Tajvar M, Mosadeghrad A, Yaseri M, Mohammadi M (2020). Utilization of Inpatient Services by Older People in Iran and its Determinants. SJSPH, 17 (4) :337-50.
27. Najafi B, Arzaghi S, Fakhrzadeh H, Sharifi F (2013). Mental health status of the elderly in Tehran and its related factors to measure equity in health and related factors. Diabetes Metab J, 13(1):62-73.
28. Rezapour A MM, Abolghasem GH, Bagheri S, Asadi S (2014). Assessing unmet health needs and related access barriers. J Health Manag, 17:57.
29. Falkingham JC, Chepngeno-Langat G, Kyobutungi C, Ezeh A, Evandrou M (2011). Does socioeconomic inequality in health persist among older people living in resource-poor urban slums? J Urban Health, 88(2):381-400.
30. Bal S (2018). Vision-related quality of life and access to eye care among recently resettled Syrian refugees in Philadelphia. J Glob Health, 2:e2018013.
2. Khalili MR, Hosseini H, Rahat F, Nejabat M, Farvardin M (2009). Ocular Trauma in Subjects older than 60 years. Bina J Ophthalmol, 14(4):400-5.
3. Merriam-Webster.com Dictionary (2021), “Quality of life.”. Available from: https://www.merriam-webster.com/dictionary/quality%20of%20life
4. Brown RL, Barrett AE (2011). Visual impairment and quality of life among older adults: an examination of explanations for the relationship. J Gerontol B Psychol Sci Soc Sci, 66(3):364-73.
5. Crews JE, Campbell VA (2004). Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning. Am J Public Health, 94(5):823-9.
6. Dreer L, McGwin Jr G, Scilley K, et al (2007). Devel-opment of a nursing home vision-targeted health-related quality of life questionnaire for older adults. Ag-ing Ment Health, 11(6):722-33.
7. Asgari S, Nedjat S, Hashemi H, Shahnazi A, Fotouhi A (2012). Quality of life in the group of patients with chronic eye disease. Iran J Epidemiol, 7(4):43-8.
8. Mohammadian nia M FM, Rasafiani M, Hossein zadeh (2012). Evaluation of visual function and its correlation with quality of life in elderly people using public services in Bushehr clinics. Iran J Ageing, 7(27):16-26.
9. World Health Organization. Universal eye health: a global action plan 2014-2019. 2013.
10. Zambelli-Weiner A, Friedman DS (2012). Building a basis for action: Enhancing public health surveillance of vision impairment and eye health in the United States. Am J Ophthalmol, 154(6):S8-S22. e1.
11. Fotouhi A, Hashemi H, Mohammad K (2006). Eye care utilization patterns in Tehran population: a population based cross-sectional study. BMC Ophthalmol, 6(1):1-5.
12. Lee PP, West SK, Block SS, et al (2012). Surveillance of disparities in vision and eye health in the United States: an expert panel's opinions. Am J Ophthalmol, 154(6):S3-S7.
13. Chou C-F, Barker LE, Crews JE, et al (2012). Disparities in eye care utilization among the United States adults with visual impairment: findings from the behavioral risk factor surveillance system 2006-2009. Am J Ophthalmol, 154(6):S45-S52. e1.
14. Day F, Buchan J, Cassells-Brown A, Fear J, Dixon R, Wood F (2010). A glaucoma equity profile: correlating disease distribution with service provision and uptake in a population in Northern England, UK. Eye (Lond), 24(9):1478-85.
15. McAuley E, Konopack JF, Motl RW, Morris KS, Do-erksen SE, Rosengren KR (2006). Physical activity and quality of life in older adults: influence of health status and self-efficacy. Ann Behav Med, 31(1):99-103.
16. Vu H, Keeffe J, McCarty C, Taylor HR (2005). Impact of unilateral and bilateral vision loss on quality of life. Br J Ophthalmol, 89(3):360-3.
17. Tajvar M, Arab M, Montazeri A (2008). Determinants of health-related quality of life in elderly in Tehran, Iran. BMC Public Health, 8(1):1-8.
18. Tajvar M, Grundy E, Fletcher A (2018). Social support and mental health status of older people: a population-based study in Iran-Tehran. Aging Ment Health, 22(3):344-53.
19. Firoozabadi SA, Imani H (2007). Social capital and socioeconomic development in the metropolis of Tehran. REFAHJ, 6(23).197-224
20. Poor Ahmad A, Hatami nejad SH, Ghasemi I (2013). The zoning of Tehran based on the socio-demographic characteristics of modernity. Eur Urban Reg Stud, 5(19).1-18
21. Nickels S, Schuster AK, Singer S, et al (2017). The National Eye Institute 25-Item Visual Function Questionnaire (NEI VFQ-25)–reference data from the German population-based Gutenberg Health Study (GHS). Health Qual Life Outcomes, 15(1):1-10.
22. Asgari S, Hashemi H, Nedjat S, Shahnazi A, Fotouhi A (2011). Persian version of the 25-item National Eye Institute Visual Functioning Questionnaire (NEI-VFQ 39): a validation study. J Curr Ophthalmol, 23(3), 5-14.
23. Saiedpour J. Designing and evaluating a suitable tool for assessing the access of elderly people to health care in Tehran. [PhD thesis]. School of Public Health, Tehran University of Medical Sciences, Iran; 2017.
24. Tavasoli Zanjani Z, Mohammadi F, Motalebi S A, Alipour Heydari M (2017). Quality of Life among Elderly with Visual Impairment Refering to BooAli Sina Hospital, Qazvin. J Urmia Nurs Midwifery Fac, 15 (5),376-385.
25. Tajvar M, Yaseri M, Karami B, Mohammadi M (2021). Pattern of Outpatient Health Service Utilization by Older People in Iran. Iran J Ageing, 15 (4) :410-427.
26. Tajvar M, Mosadeghrad A, Yaseri M, Mohammadi M (2020). Utilization of Inpatient Services by Older People in Iran and its Determinants. SJSPH, 17 (4) :337-50.
27. Najafi B, Arzaghi S, Fakhrzadeh H, Sharifi F (2013). Mental health status of the elderly in Tehran and its related factors to measure equity in health and related factors. Diabetes Metab J, 13(1):62-73.
28. Rezapour A MM, Abolghasem GH, Bagheri S, Asadi S (2014). Assessing unmet health needs and related access barriers. J Health Manag, 17:57.
29. Falkingham JC, Chepngeno-Langat G, Kyobutungi C, Ezeh A, Evandrou M (2011). Does socioeconomic inequality in health persist among older people living in resource-poor urban slums? J Urban Health, 88(2):381-400.
30. Bal S (2018). Vision-related quality of life and access to eye care among recently resettled Syrian refugees in Philadelphia. J Glob Health, 2:e2018013.
| Files | ||
| Issue | Vol 51 No 8 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v51i8.10272 | |
| Keywords | ||
| Visual function questionnaire Vision related quality of life Older people Eye care services | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Bigdeli S, Arab M, Hadian M, Tajvar M. Vision-Related Quality of Life of Older People in Tehran and their Access and Utilization of Eye Care Services. Iran J Public Health. 2022;51(8):1857-1865.
