Association between vision impairment and suicidal ideation among older adults: Results from National Survey on Drug Use and Health |
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| Affiliation: | 1. New York University, Silver School of Social Work, USA;2. The University of North Carolina at Charlotte, School of Social Work, USA;1. Mongan Institute Health Policy Center, Massachusetts General Hospital, USA;2. Department of Medicine, Harvard Medical School, Boston, MA, USA;1. Department of Biostatistics, 2525 West End, Suite, 1100, Vanderbilt School of Medicine, Nashville, TN, USA;2. Division of General Pediatrics, Department of Pediatrics, 2146, Belcourt Ave., Vanderbilt University Medical Center, Nashville, TN, USA;3. Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA;4. Department of Health Policy, 2525 West End Ave., Suite 1200, 1275, Vanderbilt University Medical Center, Nashville, TN, USA;1. Institute on Development and Disability, Oregon Health & Science University, Portland, OR, USA;2. Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA;1. Department of Recreation & Leisure Studies, California State University Long Beach, 1250 Bellflower Boulevard. ET-101, Long Beach, CA, 90840, USA;2. School of Public Health, Indiana University, 801 N Jordan Ave, 147A, Bloomington, IN, 47405, USA;1. School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia;2. The HEARing CRC, Melbourne, Australia;3. Children’s Health Queensland Hospital and Health Service, Healthy Hearing, Brisbane, Australia |
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| Abstract: | BackgroundVision impairment (VI) is a significant risk factor for depression among older adults. The stigma attached to VI, which has multidimensional aspects consisting of ageism and ableism, may constitute a major impediment to accepting one’s VI and engaging in help-seeking behaviors, which could have led to suicide prevention.ObjectiveThis study aims to investigate the relative strength of association for VI on suicidal ideation among a nationally representative sample of older adults.MethodsThe study sample was composed of 10,635 adults aged 65 years and over, drawn from the 2015–2017 National Survey on Drug Use and Health. Respondents were asked if they had serious thoughts about suicide in the past year.ResultsOf the total sample, 6.85% reported VI (n = 729), defined as being blind or having serious difficulty seeing, even when wearing glasses. In comparison to those without VI, older adults with VI were more likely to report impoverished sociodemographic status and poor health conditions. After adjusting for a comprehensive set of covariates, multivariate logistic regression analyses revealed that older adults with VI were more likely to report suicidal ideation, compared to their counterparts without VI (OR = 3.12, 95% CI [1.24, 7.85]. p < 0. 05). Of the covariates, major depressive episodes presented the strongest positive association with suicidal ideation (OR = 14.11, 95% CI [8.93, 22.29], p < 0. 05).DiscussionThis study contributes to the scant body of literature by identifying the relative strength of association between VI and suicide in a nationally representative sample. |
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| Keywords: | Vision impairment Suicidal ideation Depression Health status Older adults |
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