Measures of socioeconomic status and self-reported glaucoma in the UK Biobank cohort
Purpose To determine ocular, demographic, and socioeconomic associations with self-reported glaucoma in the UK Biobank. Methods Biobank is a study of UK residents aged 40–69 years registered with the National Health Service. Data were collected on visual acuity, intraocular pressure (IOP), corneal b...
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| Veröffentlicht in: | Eye (London) 2015-10, Vol.29 (10), p.1360-1367 |
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| creator | Shweikh, Y Ko, F Chan, M P Y Patel, P J Muthy, Z Khaw, P T Yip, J Strouthidis, N Foster, P J |
| description | Purpose
To determine ocular, demographic, and socioeconomic associations with self-reported glaucoma in the UK Biobank.
Methods
Biobank is a study of UK residents aged 40–69 years registered with the National Health Service. Data were collected on visual acuity, intraocular pressure (IOP), corneal biomechanics, and questionnaire from 112 690 participants. Relationships between ocular, demographic, and socioeconomic variables with reported diagnosis of glaucoma were examined.
Results
In all, 1916 (1.7%) people in UK Biobank reported glaucoma diagnosis. Participants reporting glaucoma were more likely to be older (mean 61.4
vs
56.7 years,
P |
| doi_str_mv | 10.1038/eye.2015.157 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4815692</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1721349326</sourcerecordid><originalsourceid>FETCH-LOGICAL-c520t-7bc809e590b033cad555c13ce5806b98a34942b3ff3fac33156672dd48cebdd33</originalsourceid><addsrcrecordid>eNptkUtPwzAQhC0EoqVw44wsceFAih9xHhckqHgJEBeQuFmOs2kDiV3sBKn_HlctFSBOe5hPs7M7CB1SMqaEZ2ewgDEjVIypSLfQkMZpEolYxNtoSHJBIsbY6wDtef9GSBBTsosGLOGBJmSInh9B-d6Bx7bC3uragrbGtrXGvlNd77EyJfbQVJGDuXUdlHjaqF7bVuHa4G4G-OUeX9a2UOYdazsLzD7aqVTj4WA9R-jl-up5chs9PN3cTS4eIi0Y6aK00BnJQeSkIJxrVQohNOUaREaSIs8Uj_OYFbyqeKU0D5GTJGVlGWcairLkfITOV77zvmih1GA6pxo5d3Wr3EJaVcvfiqlncmo_ZZwFr5wFg5O1gbMfPfhOtrXX0DTKgO29pCmjIQQP_xqh4z_om-2dCecFiuZ5wmOxpE5XlHbWewfVJgwlclmXDHXJZV0yFBDwo58HbODvfgIQrQAfJDMF92Prf4ZfaBqgSA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1719963456</pqid></control><display><type>article</type><title>Measures of socioeconomic status and self-reported glaucoma in the UK Biobank cohort</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Shweikh, Y ; Ko, F ; Chan, M P Y ; Patel, P J ; Muthy, Z ; Khaw, P T ; Yip, J ; Strouthidis, N ; Foster, P J</creator><creatorcontrib>Shweikh, Y ; Ko, F ; Chan, M P Y ; Patel, P J ; Muthy, Z ; Khaw, P T ; Yip, J ; Strouthidis, N ; Foster, P J ; UK Biobank Eye and Vision Consortium ; on behalf of the UK Biobank Eye and Vision Consortium</creatorcontrib><description><![CDATA[Purpose
To determine ocular, demographic, and socioeconomic associations with self-reported glaucoma in the UK Biobank.
Methods
Biobank is a study of UK residents aged 40–69 years registered with the National Health Service. Data were collected on visual acuity, intraocular pressure (IOP), corneal biomechanics, and questionnaire from 112 690 participants. Relationships between ocular, demographic, and socioeconomic variables with reported diagnosis of glaucoma were examined.
Results
In all, 1916 (1.7%) people in UK Biobank reported glaucoma diagnosis. Participants reporting glaucoma were more likely to be older (mean 61.4
vs
56.7 years,
P
<0.001) and male (2.1%
vs
1.4%,
P
=0.001). The rate of reported glaucoma was significantly higher in Black (3.28%,
P
<0.001) and Asian (2.14%,
P
=0.009) participants compared with White participants (1.62%, reference). Cases of reported glaucoma had a higher mean IOP (18 mm Hg both eyes,
P
<0.001), lower corneal hysteresis (9.96 right eye, 9.89 left eye,
P
<0.001), and lower visual acuity (0.09 logMAR right eye, 0.08 logMAR left eye,
P
<0.001) compared with those without (16 mm Hg both eyes, hysteresis 10.67 right eye, 10.63 left eye, 0.03 logMAR right eye, 0.02 logMAR left eye). The mean Townsend deprivation index was −0.72 for those reporting glaucoma and −0.95 for those without (
P
<0.001), indicating greater relative deprivation in those reporting glaucoma. Multivariable logistic regression showed that people in the lowest income group (<£18 000/year) were significantly more likely to report a diagnosis of glaucoma compared with any other income level (
P
<0.01). We observed increasing glaucoma risk across the full range of income categories, with highest risk among those of lowest income, and no evidence of a threshold effect.
Conclusions
In a large UK cohort, individuals reporting glaucoma had more adverse socioeconomic characteristics. Study of the mechanisms explaining these effects may aid our understanding of health inequality and will help inform public health interventions.]]></description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2015.157</identifier><identifier>PMID: 26315700</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/499 ; 692/53/2422 ; Adult ; Age Distribution ; Aged ; Clinical Study ; Cornea - physiology ; Cross-Sectional Studies ; Elasticity - physiology ; Female ; Glaucoma ; Glaucoma - diagnosis ; Glaucoma - epidemiology ; Glaucoma - physiopathology ; Humans ; Intraocular Pressure - physiology ; Laboratory Medicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; National Health Programs - statistics & numerical data ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Risk Factors ; Self Report ; Sex Distribution ; Social Class ; Surgery ; Surgical Oncology ; Surveys and Questionnaires ; United Kingdom - epidemiology ; Visual Acuity - physiology</subject><ispartof>Eye (London), 2015-10, Vol.29 (10), p.1360-1367</ispartof><rights>The Author(s) 2015</rights><rights>Copyright Nature Publishing Group Oct 2015</rights><rights>Copyright © 2015 Royal College of Ophthalmologists 2015 Royal College of Ophthalmologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-7bc809e590b033cad555c13ce5806b98a34942b3ff3fac33156672dd48cebdd33</citedby><cites>FETCH-LOGICAL-c520t-7bc809e590b033cad555c13ce5806b98a34942b3ff3fac33156672dd48cebdd33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4815692/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4815692/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,41467,42536,51298,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26315700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shweikh, Y</creatorcontrib><creatorcontrib>Ko, F</creatorcontrib><creatorcontrib>Chan, M P Y</creatorcontrib><creatorcontrib>Patel, P J</creatorcontrib><creatorcontrib>Muthy, Z</creatorcontrib><creatorcontrib>Khaw, P T</creatorcontrib><creatorcontrib>Yip, J</creatorcontrib><creatorcontrib>Strouthidis, N</creatorcontrib><creatorcontrib>Foster, P J</creatorcontrib><creatorcontrib>UK Biobank Eye and Vision Consortium</creatorcontrib><creatorcontrib>on behalf of the UK Biobank Eye and Vision Consortium</creatorcontrib><title>Measures of socioeconomic status and self-reported glaucoma in the UK Biobank cohort</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description><![CDATA[Purpose
To determine ocular, demographic, and socioeconomic associations with self-reported glaucoma in the UK Biobank.
Methods
Biobank is a study of UK residents aged 40–69 years registered with the National Health Service. Data were collected on visual acuity, intraocular pressure (IOP), corneal biomechanics, and questionnaire from 112 690 participants. Relationships between ocular, demographic, and socioeconomic variables with reported diagnosis of glaucoma were examined.
Results
In all, 1916 (1.7%) people in UK Biobank reported glaucoma diagnosis. Participants reporting glaucoma were more likely to be older (mean 61.4
vs
56.7 years,
P
<0.001) and male (2.1%
vs
1.4%,
P
=0.001). The rate of reported glaucoma was significantly higher in Black (3.28%,
P
<0.001) and Asian (2.14%,
P
=0.009) participants compared with White participants (1.62%, reference). Cases of reported glaucoma had a higher mean IOP (18 mm Hg both eyes,
P
<0.001), lower corneal hysteresis (9.96 right eye, 9.89 left eye,
P
<0.001), and lower visual acuity (0.09 logMAR right eye, 0.08 logMAR left eye,
P
<0.001) compared with those without (16 mm Hg both eyes, hysteresis 10.67 right eye, 10.63 left eye, 0.03 logMAR right eye, 0.02 logMAR left eye). The mean Townsend deprivation index was −0.72 for those reporting glaucoma and −0.95 for those without (
P
<0.001), indicating greater relative deprivation in those reporting glaucoma. Multivariable logistic regression showed that people in the lowest income group (<£18 000/year) were significantly more likely to report a diagnosis of glaucoma compared with any other income level (
P
<0.01). We observed increasing glaucoma risk across the full range of income categories, with highest risk among those of lowest income, and no evidence of a threshold effect.
Conclusions
In a large UK cohort, individuals reporting glaucoma had more adverse socioeconomic characteristics. Study of the mechanisms explaining these effects may aid our understanding of health inequality and will help inform public health interventions.]]></description><subject>692/499</subject><subject>692/53/2422</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Clinical Study</subject><subject>Cornea - physiology</subject><subject>Cross-Sectional Studies</subject><subject>Elasticity - physiology</subject><subject>Female</subject><subject>Glaucoma</subject><subject>Glaucoma - diagnosis</subject><subject>Glaucoma - epidemiology</subject><subject>Glaucoma - physiopathology</subject><subject>Humans</subject><subject>Intraocular Pressure - physiology</subject><subject>Laboratory Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>National Health Programs - statistics & numerical data</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>Sex Distribution</subject><subject>Social Class</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Surveys and Questionnaires</subject><subject>United Kingdom - epidemiology</subject><subject>Visual Acuity - physiology</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkUtPwzAQhC0EoqVw44wsceFAih9xHhckqHgJEBeQuFmOs2kDiV3sBKn_HlctFSBOe5hPs7M7CB1SMqaEZ2ewgDEjVIypSLfQkMZpEolYxNtoSHJBIsbY6wDtef9GSBBTsosGLOGBJmSInh9B-d6Bx7bC3uragrbGtrXGvlNd77EyJfbQVJGDuXUdlHjaqF7bVuHa4G4G-OUeX9a2UOYdazsLzD7aqVTj4WA9R-jl-up5chs9PN3cTS4eIi0Y6aK00BnJQeSkIJxrVQohNOUaREaSIs8Uj_OYFbyqeKU0D5GTJGVlGWcairLkfITOV77zvmih1GA6pxo5d3Wr3EJaVcvfiqlncmo_ZZwFr5wFg5O1gbMfPfhOtrXX0DTKgO29pCmjIQQP_xqh4z_om-2dCecFiuZ5wmOxpE5XlHbWewfVJgwlclmXDHXJZV0yFBDwo58HbODvfgIQrQAfJDMF92Prf4ZfaBqgSA</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Shweikh, Y</creator><creator>Ko, F</creator><creator>Chan, M P Y</creator><creator>Patel, P J</creator><creator>Muthy, Z</creator><creator>Khaw, P T</creator><creator>Yip, J</creator><creator>Strouthidis, N</creator><creator>Foster, P J</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151001</creationdate><title>Measures of socioeconomic status and self-reported glaucoma in the UK Biobank cohort</title><author>Shweikh, Y ; Ko, F ; Chan, M P Y ; Patel, P J ; Muthy, Z ; Khaw, P T ; Yip, J ; Strouthidis, N ; Foster, P J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-7bc809e590b033cad555c13ce5806b98a34942b3ff3fac33156672dd48cebdd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>692/499</topic><topic>692/53/2422</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Clinical Study</topic><topic>Cornea - physiology</topic><topic>Cross-Sectional Studies</topic><topic>Elasticity - physiology</topic><topic>Female</topic><topic>Glaucoma</topic><topic>Glaucoma - diagnosis</topic><topic>Glaucoma - epidemiology</topic><topic>Glaucoma - physiopathology</topic><topic>Humans</topic><topic>Intraocular Pressure - physiology</topic><topic>Laboratory Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>National Health Programs - statistics & numerical data</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>Sex Distribution</topic><topic>Social Class</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Surveys and Questionnaires</topic><topic>United Kingdom - epidemiology</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shweikh, Y</creatorcontrib><creatorcontrib>Ko, F</creatorcontrib><creatorcontrib>Chan, M P Y</creatorcontrib><creatorcontrib>Patel, P J</creatorcontrib><creatorcontrib>Muthy, Z</creatorcontrib><creatorcontrib>Khaw, P T</creatorcontrib><creatorcontrib>Yip, J</creatorcontrib><creatorcontrib>Strouthidis, N</creatorcontrib><creatorcontrib>Foster, P J</creatorcontrib><creatorcontrib>UK Biobank Eye and Vision Consortium</creatorcontrib><creatorcontrib>on behalf of the UK Biobank Eye and Vision Consortium</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shweikh, Y</au><au>Ko, F</au><au>Chan, M P Y</au><au>Patel, P J</au><au>Muthy, Z</au><au>Khaw, P T</au><au>Yip, J</au><au>Strouthidis, N</au><au>Foster, P J</au><aucorp>UK Biobank Eye and Vision Consortium</aucorp><aucorp>on behalf of the UK Biobank Eye and Vision Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measures of socioeconomic status and self-reported glaucoma in the UK Biobank cohort</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>29</volume><issue>10</issue><spage>1360</spage><epage>1367</epage><pages>1360-1367</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract><![CDATA[Purpose
To determine ocular, demographic, and socioeconomic associations with self-reported glaucoma in the UK Biobank.
Methods
Biobank is a study of UK residents aged 40–69 years registered with the National Health Service. Data were collected on visual acuity, intraocular pressure (IOP), corneal biomechanics, and questionnaire from 112 690 participants. Relationships between ocular, demographic, and socioeconomic variables with reported diagnosis of glaucoma were examined.
Results
In all, 1916 (1.7%) people in UK Biobank reported glaucoma diagnosis. Participants reporting glaucoma were more likely to be older (mean 61.4
vs
56.7 years,
P
<0.001) and male (2.1%
vs
1.4%,
P
=0.001). The rate of reported glaucoma was significantly higher in Black (3.28%,
P
<0.001) and Asian (2.14%,
P
=0.009) participants compared with White participants (1.62%, reference). Cases of reported glaucoma had a higher mean IOP (18 mm Hg both eyes,
P
<0.001), lower corneal hysteresis (9.96 right eye, 9.89 left eye,
P
<0.001), and lower visual acuity (0.09 logMAR right eye, 0.08 logMAR left eye,
P
<0.001) compared with those without (16 mm Hg both eyes, hysteresis 10.67 right eye, 10.63 left eye, 0.03 logMAR right eye, 0.02 logMAR left eye). The mean Townsend deprivation index was −0.72 for those reporting glaucoma and −0.95 for those without (
P
<0.001), indicating greater relative deprivation in those reporting glaucoma. Multivariable logistic regression showed that people in the lowest income group (<£18 000/year) were significantly more likely to report a diagnosis of glaucoma compared with any other income level (
P
<0.01). We observed increasing glaucoma risk across the full range of income categories, with highest risk among those of lowest income, and no evidence of a threshold effect.
Conclusions
In a large UK cohort, individuals reporting glaucoma had more adverse socioeconomic characteristics. Study of the mechanisms explaining these effects may aid our understanding of health inequality and will help inform public health interventions.]]></abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>26315700</pmid><doi>10.1038/eye.2015.157</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0950-222X |
| ispartof | Eye (London), 2015-10, Vol.29 (10), p.1360-1367 |
| issn | 0950-222X 1476-5454 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4815692 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | 692/499 692/53/2422 Adult Age Distribution Aged Clinical Study Cornea - physiology Cross-Sectional Studies Elasticity - physiology Female Glaucoma Glaucoma - diagnosis Glaucoma - epidemiology Glaucoma - physiopathology Humans Intraocular Pressure - physiology Laboratory Medicine Male Medicine Medicine & Public Health Middle Aged National Health Programs - statistics & numerical data Ophthalmology Pharmaceutical Sciences/Technology Risk Factors Self Report Sex Distribution Social Class Surgery Surgical Oncology Surveys and Questionnaires United Kingdom - epidemiology Visual Acuity - physiology |
| title | Measures of socioeconomic status and self-reported glaucoma in the UK Biobank cohort |
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