Life space limitations in visually impaired older adults.

Autor: Bittner AK, Gobeille M; New England College of Optometry, Boston, Massachusetts., Malkin AG; New England College of Optometry, Boston, Massachusetts., Ho J; New England College of Optometry, Boston, Massachusetts., Idman-Rait C; New England College of Optometry, Boston, Massachusetts., Estabrook M; Department of Ophthalmology, Stein Eye Institute, University of California, Los Angeles, Los Angeles, California., Ross NC; New England College of Optometry, Boston, Massachusetts.
Jazyk: angličtina
Zdroj: Optometry and vision science : official publication of the American Academy of Optometry [Optom Vis Sci] 2024 Jun 01; Vol. 101 (6), pp. 321-328.
DOI: 10.1097/OPX.0000000000002150
Abstrakt: Significance: Future work should develop and evaluate interventional strategies to help overcome visual and health-related barriers to travel in visually impaired seniors and mitigate adverse impacts of loneliness for those who do not leave town.
Purpose: Life space refers to the area in which a person travels within a given time period. We explored whether demographics, vision, and/or health characteristics were related to restrictions in self-reported life space for visually impaired seniors.
Methods: Visually impaired (n = 114) clinical trial participants aged ≥55 years learned visual assistive iPhone apps and completed the following baseline questionnaires: Life Space, 36-Item Short-Form Health Survey, University of California, Los Angeles Loneliness Scale, and New-General Self-efficacy Scale. Multiple logistic regressions evaluated associations between life space and patient factors after accounting for their distance to the next county or state.
Results: During 2021 to 2023, 17%, 43%, and 70% of participants had not left their town, county, or state, respectively, in the past 3 months, or planned to in the next 3 months. Those with reduced distance best-corrected visual acuity had greater odds of not leaving the county in these time frames (odds ratio [OR] = 3.5; p=0.04). Minority race was associated with greater odds of not leaving town or the county in the past 2 weeks or future 3 months (OR = 4.3 to 6.4; p=0.009 to 0.049). Increased self-efficacy was associated with reduced odds of not leaving the state in the past 3 months, next 3 months, or past and/or future 3 months (OR = 0.54 to 0.55; p=0.02 to 0.03). Better physical function was associated with reduced odds of not leaving the state in the past 2 weeks or 3 months (OR = 0.96 to 0.98; p=0.01 to 0.04). Increased loneliness was related to greater odds of not leaving town in the past and/or future 3 months (OR = 1.8 to 2.0; p=0.007 to 0.009).
Conclusions: Minority race, reduced vision, self-efficacy, and physical health were related to life space restrictions in this cohort of visually impaired seniors, whereas loneliness was greater among those who were not leaving town.
Competing Interests: Conflict of Interest Disclosure: There are no relevant financial conflicts of interest for any author. The sponsor provided funding but was not involved in the study design, conduct, analysis, or manuscript preparation. The authors had access to and control of the data in this study. The authors were responsible for preparation of this manuscript and the decision to submit this article for publication. Each of the authors had full access to the study data and take full responsibility for their presentation in this article.
(Copyright © 2024 American Academy of Optometry.)
Databáze: MEDLINE