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Evaluation of socioeconomic status as a risk factor of pterygium using the Korean National Health and Nutrition Examination Survey 2010 to 2011: A STROBE-compliant article.

Abstract Pterygium is a common conjunctival disorder. The socioeconomic risk factors of pterygium have not been systematically evaluated in Korea. The study investigated risk factors of pterygium considering socioeconomic status.Participants were 9839 adults aged 19 to 74 years, who underwent ophthalmic slit-lamp examinations as part of the Korean National Health and Nutrition Examination Survey 2010 to 2011. Pterygium was diagnosed as a growth of fibrovascular tissue over the cornea. The socioeconomic risk factors were analyzed in association with the presence of pterygium. Multiple logistic regression analysis was used to evaluate the odds ratios for differences in socioeconomic status.The presence of pterygium was associated with diabetes mellitus, hypertension, metabolic syndrome, and sun exposure time (>5 h/d). The blood level of 25-hydroxyvitamin D was higher in the pterygium group than in the control group, but both groups were deficient in 25-hydroxyvitamin D compared with the normal reference level. Pterygium was almost 3 times as frequent among persons who worked outdoors, such as skilled agricultural, forestry, and fishery workers, than among those who worked indoors (odds ratio 3.061, 95% confidence interval 1.946-4.813). Low educational status and longer working hours were also significantly associated with pterygium.This study used a nationwide population-based survey conducted by the Korean Centers for Disease Control and Prevention to reveal that pterygium is associated with low socioeconomic status. Efforts should be made to reduce the risk of pterygium by changing modifiable risk factors, especially among people with low socioeconomic status.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28296766
OWN - NLM
STAT- MEDLINE
DA  - 20170315
DCOM- 20170410
LR  - 20170410
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 11
DP  - 2017 Mar
TI  - Evaluation of socioeconomic status as a risk factor of pterygium using the Korean
      National Health and Nutrition Examination Survey 2010 to 2011: A STROBE-compliant
      article.
PG  - e6343
LID - 10.1097/MD.0000000000006343 [doi]
AB  - Pterygium is a common conjunctival disorder. The socioeconomic risk factors of
      pterygium have not been systematically evaluated in Korea. The study investigated
      risk factors of pterygium considering socioeconomic status.Participants were 9839
      adults aged 19 to 74 years, who underwent ophthalmic slit-lamp examinations as
      part of the Korean National Health and Nutrition Examination Survey 2010 to 2011.
      Pterygium was diagnosed as a growth of fibrovascular tissue over the cornea. The 
      socioeconomic risk factors were analyzed in association with the presence of
      pterygium. Multiple logistic regression analysis was used to evaluate the odds
      ratios for differences in socioeconomic status.The presence of pterygium was
      associated with diabetes mellitus, hypertension, metabolic syndrome, and sun
      exposure time (>5 h/d). The blood level of 25-hydroxyvitamin D was higher in the 
      pterygium group than in the control group, but both groups were deficient in
      25-hydroxyvitamin D compared with the normal reference level. Pterygium was
      almost 3 times as frequent among persons who worked outdoors, such as skilled
      agricultural, forestry, and fishery workers, than among those who worked indoors 
      (odds ratio 3.061, 95% confidence interval 1.946-4.813). Low educational status
      and longer working hours were also significantly associated with pterygium.This
      study used a nationwide population-based survey conducted by the Korean Centers
      for Disease Control and Prevention to reveal that pterygium is associated with
      low socioeconomic status. Efforts should be made to reduce the risk of pterygium 
      by changing modifiable risk factors, especially among people with low
      socioeconomic status.
FAU - Lee, Young Bok
AU  - Lee YB
AD  - aDepartment of Dermatology bDepartment of Ophthalmology and Visual Science
      cDepartment of Medical Statistics dDepartment of Internal Medicine, College of
      Medicine, The Catholic University of Korea, Seoul, Korea.
FAU - Kim, Su Young
AU  - Kim SY
FAU - Park, Yong Gyu
AU  - Park YG
FAU - Han, Kyung Do
AU  - Han KD
FAU - Kim, Jin-Wou
AU  - Kim JW
FAU - Chae, Hiun Suk
AU  - Chae HS
FAU - Lee, Young Chun
AU  - Lee YC
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 1406-16-2 (Vitamin D)
RN  - 64719-49-9 (25-hydroxyvitamin D)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anthropometry
MH  - Diabetes Complications
MH  - Female
MH  - Humans
MH  - Hypertension/complications
MH  - Male
MH  - Metabolic Syndrome X/complications
MH  - Middle Aged
MH  - Occupations
MH  - Odds Ratio
MH  - Prevalence
MH  - Pterygium/complications/*epidemiology
MH  - Republic of Korea/epidemiology
MH  - Risk Factors
MH  - Slit Lamp
MH  - Sunlight
MH  - Vitamin D/analogs & derivatives/blood
MH  - Young Adult
PMC - PMC5369921
EDAT- 2017/03/16 06:00
MHDA- 2017/04/11 06:00
CRDT- 2017/03/16 06:00
AID - 10.1097/MD.0000000000006343 [doi]
AID - 00005792-201703170-00047 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Mar;96(11):e6343. doi: 10.1097/MD.0000000000006343.

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