Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in China

Abstract Background Although previous prevalence studies of DED were reported from some countries worldwide, national data are unavailable in China. We aimed to conduct an up-to-date national survey on the prevalence of DED in China and find out the potential risk factors including air pollutant. Me...

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Main Authors: Donghui Yu, Qinglong Deng, Jiwei Wang, Xing Chang, Shuxiao Wang, Renren Yang, Jinming Yu, Jing Yu
Format: Article
Language:English
Published: BMC 2019-02-01
Series:Journal of Translational Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12967-019-1794-6
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author Donghui Yu
Qinglong Deng
Jiwei Wang
Xing Chang
Shuxiao Wang
Renren Yang
Jinming Yu
Jing Yu
author_facet Donghui Yu
Qinglong Deng
Jiwei Wang
Xing Chang
Shuxiao Wang
Renren Yang
Jinming Yu
Jing Yu
author_sort Donghui Yu
collection DOAJ
description Abstract Background Although previous prevalence studies of DED were reported from some countries worldwide, national data are unavailable in China. We aimed to conduct an up-to-date national survey on the prevalence of DED in China and find out the potential risk factors including air pollutant. Methods 23,922 eligible outpatients were recruited from ophthalmic clinics of 32 cities in China in 2013 by registration orders. The patients’ demographic characteristics, history of keratorefractive surgery, diseases and medication history were collected and the daily air pollutant data in 2013. Multivariate logistic analysis was performed to identify the potential risk factors associated with DED. The association between related factors and dry eye diseases subtypes evaluated as p value and odds ratios (OR) with 95% confidence intervals (CI). Results Among 23,922 outpatients, the prevalence of DED was 61.57%, and that of the male patients was 57.64% and of the female was 65.32% (P < 0.0001). Multivariate logistic regression suggested that the possible risk factors for DED included: female, older age, history of keratorefractive surgery, presence of arthritis, thyroid diseases, and antihistamine, diuretic, duodenal ulcer drugs, diazepam. Air pollutants including O3, PM2.5, and SO2 were also identified as the risk factors. Conclusion The prevalence of DED among ophthalmic outpatients in China was considerably high. Age, gender, history of keratorefractive surgery, diseases, medication history, and air pollutants were associated with DED prevalence.
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spelling doaj.art-5f6a1b1f25fb4f59ada8632fba8ad51e2022-12-22T03:20:59ZengBMCJournal of Translational Medicine1479-58762019-02-011711910.1186/s12967-019-1794-6Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in ChinaDonghui Yu0Qinglong Deng1Jiwei Wang2Xing Chang3Shuxiao Wang4Renren Yang5Jinming Yu6Jing Yu7Department of Ophthalmology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji UniversityInstitute of Clinical Epidemiology, School of Public Health and Key Laboratory of Public Health Safety, Ministry of Education, Fudan UniversityInstitute of Clinical Epidemiology, School of Public Health and Key Laboratory of Public Health Safety, Ministry of Education, Fudan UniversitySchool of Environment, Tsinghua UniversitySchool of Environment, Tsinghua UniversityInstitute of Clinical Epidemiology, School of Public Health and Key Laboratory of Public Health Safety, Ministry of Education, Fudan UniversityInstitute of Clinical Epidemiology, School of Public Health and Key Laboratory of Public Health Safety, Ministry of Education, Fudan UniversityDepartment of Ophthalmology, Shanghai Tenth People’s Hospital, School of Medicine, Tongji UniversityAbstract Background Although previous prevalence studies of DED were reported from some countries worldwide, national data are unavailable in China. We aimed to conduct an up-to-date national survey on the prevalence of DED in China and find out the potential risk factors including air pollutant. Methods 23,922 eligible outpatients were recruited from ophthalmic clinics of 32 cities in China in 2013 by registration orders. The patients’ demographic characteristics, history of keratorefractive surgery, diseases and medication history were collected and the daily air pollutant data in 2013. Multivariate logistic analysis was performed to identify the potential risk factors associated with DED. The association between related factors and dry eye diseases subtypes evaluated as p value and odds ratios (OR) with 95% confidence intervals (CI). Results Among 23,922 outpatients, the prevalence of DED was 61.57%, and that of the male patients was 57.64% and of the female was 65.32% (P < 0.0001). Multivariate logistic regression suggested that the possible risk factors for DED included: female, older age, history of keratorefractive surgery, presence of arthritis, thyroid diseases, and antihistamine, diuretic, duodenal ulcer drugs, diazepam. Air pollutants including O3, PM2.5, and SO2 were also identified as the risk factors. Conclusion The prevalence of DED among ophthalmic outpatients in China was considerably high. Age, gender, history of keratorefractive surgery, diseases, medication history, and air pollutants were associated with DED prevalence.http://link.springer.com/article/10.1186/s12967-019-1794-6Air pollutantChinaDry eye diseasePrevalence study
spellingShingle Donghui Yu
Qinglong Deng
Jiwei Wang
Xing Chang
Shuxiao Wang
Renren Yang
Jinming Yu
Jing Yu
Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in China
Journal of Translational Medicine
Air pollutant
China
Dry eye disease
Prevalence study
title Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in China
title_full Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in China
title_fullStr Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in China
title_full_unstemmed Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in China
title_short Air Pollutants are associated with Dry Eye Disease in Urban Ophthalmic Outpatients: a Prevalence Study in China
title_sort air pollutants are associated with dry eye disease in urban ophthalmic outpatients a prevalence study in china
topic Air pollutant
China
Dry eye disease
Prevalence study
url http://link.springer.com/article/10.1186/s12967-019-1794-6
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