Comorbid visual and cognitive impairment: relationship with disability status and self-rated health among older Singaporeans.

dc.contributor.author

Whitson, Heather E

dc.contributor.author

Malhotra, Rahul

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Chan, Angelique

dc.contributor.author

Matchar, David B

dc.contributor.author

Østbye, Truls

dc.date.accessioned

2021-05-11T07:39:44Z

dc.date.available

2021-05-11T07:39:44Z

dc.date.issued

2014-05

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2021-05-11T07:39:43Z

dc.description.abstract

The objective of this study was to examine the prevalence and consequences of coexisting vision and cognitive impairments in an Asian population. Data were collected from 4508 community-dwelling Singaporeans aged 60 years and older. Cognition was assessed by the Short Portable Mental Status Questionnaire whereas vision, disability, and self-rated health (SRH) were determined by self-report. Vision impairment was present in 902 (18.5%) participants and cognitive impairment in 835 (13.6%), with 232 (3.5%) participants experiencing both impairments. Persons with the comorbidity experienced higher odds of disability than persons with either single impairment. The association of vision impairment with SRH was stronger among women (odds ratio [OR] = 6.79, 95% confidence interval [CI] = 4.64-9.92) than among men (OR = 1.71, 95% CI = 1.21-2.41). Concurrent cognitive and vision impairment is prevalent in older Singaporeans and is associated with high rates of disability. Gender differences in vision-dependent roles may affect the patient-perceived impact of this comorbidity.

dc.identifier

1010539512443698

dc.identifier.issn

1010-5395

dc.identifier.issn

1941-2479

dc.identifier.uri

https://hdl.handle.net/10161/22887

dc.language

eng

dc.publisher

SAGE Publications

dc.relation.ispartof

Asia-Pacific journal of public health

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10.1177/1010539512443698

dc.subject

Humans

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Vision Disorders

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Prevalence

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Cognition Disorders

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Comorbidity

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Sex Distribution

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Aged

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Middle Aged

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Disabled Persons

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Singapore

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Female

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Male

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Diagnostic Self Evaluation

dc.title

Comorbid visual and cognitive impairment: relationship with disability status and self-rated health among older Singaporeans.

dc.type

Journal article

duke.contributor.orcid

Whitson, Heather E|0000-0002-8417-4846

duke.contributor.orcid

Matchar, David B|0000-0003-3020-2108

pubs.begin-page

310

pubs.end-page

319

pubs.issue

3

pubs.organisational-group

School of Medicine

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Duke Cancer Institute

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Duke Global Health Institute

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Family Medicine and Community Health

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Duke

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Institutes and Centers

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Clinical Science Departments

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Duke Clinical Research Institute

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Pathology

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Medicine, General Internal Medicine

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Medicine

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Center for the Study of Aging and Human Development

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Ophthalmology

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Ophthalmology, Vitreoretinal Diseases & Surgery

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Medicine, Geriatrics

pubs.publication-status

Published

pubs.volume

26

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