Purpose

To determine the age and sex-standardized prevalence and risk factors of anterior blepharitis in a geriatric population in "…".

Methods

This population-based study was conducted on the elderly population (over 60 years of age) of Tehran, the capital of "…" in 2019. Examinations included visual acuity assessment, refraction, and complete slit lamp examination. After the diagnosis of anterior blepharitis, its type (staphylococcal vs. seborrheic) was also determined. Multiple logistic regression was used to determine the risk factors of the disease.

Results

3310 individuals participated in this study. The data of 3284 participants were available for this report. The mean age of the participants was 68.6 ± 24.5 years, and (57.8 %) were female. Age and sex-standardized prevalence of anterior blepharitis was 33.5 % (95 % CI: 30.6–36.5%) of which 96.5 % were bilateral. The prevalence of seborrheic and staphylococcal types was 22.4 % (95 % CI: 19.9–25.2%) and 11.3 % (95 % CI: 9.2–13.5%), respectively. According to the multiple logistic regression, the prevalence of anterior blepharitis was positively related to age over 80 years (P < 0.001) and male gender (P < 0.001), and inversely related to education level (P = 0.033). No significant relationship was found between anterior blepharitis and other variables including systemic hypertension, diabetes mellitus, hyperlipidemia, smoking, socioeconomic status, and history of the previous eye examination. Sex had the greatest effect on developing anterior blepharitis (standardized coefficient: 0.325).

Conclusion

The results of this study showed a relatively high prevalence of anterior blepharitis in the elderly population which requires special attention of the health system to inform and control this disease through continuous training of the media and regional health centers.

中文翻译：

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伊朗老年人群中前睑缘炎的患病率；德黑兰老年眼科研究

目的

确定“……”中老年人群中前睑缘炎的年龄和性别标准化患病率和危险因素。

方法

这项基于人群的研究是在 2019 年对“……”首都德黑兰的老年人口（60 岁以上）进行的。检查包括视力评估、屈光度和完整的裂隙灯检查。在诊断出前睑缘炎后，还确定了其类型（葡萄球菌与脂溢性）。使用多元逻辑回归确定疾病的危险因素。

结果

3310 人参与了这项研究。本报告提供了 3284 名参与者的数据。参与者的平均年龄为 68.6 ± 24.5 岁，（57.8 %）为女性。前睑缘炎的年龄和性别标准化患病率为 33.5%（95% CI：30.6-36.5%），其中 96.5% 为双侧。脂溢性和葡萄球菌类型的患病率分别为 22.4%（95% CI：19.9–25.2%）和 11.3%（95% CI：9.2–13.5%）。多元logistic回归显示，前睑缘炎患病率与80岁以上（P < 0.001）和男性（P < 0.001）呈正相关，与文化程度呈负相关（P = 0.033）。前睑缘炎与全身性高血压、糖尿病、高脂血症、吸烟、社会经济状况和以前的眼科检查史。性别对发生前睑缘炎的影响最大（标准化系数：0.325）。

结论

这项研究的结果表明，老年人群中前睑缘炎的患病率相对较高，这需要卫生系统特别注意通过媒体和区域卫生中心的持续培训来告知和控制这种疾病。