Homebound Risk and Safety Hazards in Older Adults With Vision Impairment
Jonathan Thomas, Xindi Chen, Louay Almidani, Seema Banerjee, Zhuochen Yuan, Aleksandra Mihailovic, Pradeep Ramulu

TL;DR
Older adults with vision impairment are more likely to become homebound, face home safety hazards, and use home-based care, according to a U.S. study.
Contribution
This study is the first to comprehensively examine the link between vision impairment and homebound status in older U.S. adults using longitudinal data.
Findings
Vision-impaired older adults had a 9.2% homebound prevalence compared to 4.0% in those without vision impairment.
Vision impairment increased the risk of becoming homebound or semi-homebound by 35%.
Vision-impaired individuals were more likely to have home hazards and use home-based care.
Abstract
Homebound status is associated with multiple risk factors and worse health outcomes. However, limited knowledge exists about the association between vision impairment (VI) and becoming homebound. Therefore, this study examined the associations between VI and homebound status, utilization of home-based care, presence of tripping hazards, and likelihood of transitioning to homebound status in United States (US) older adults. Longitudinal data was collected from the 2021-2023 National Health and Aging Trends Study and included Medicare beneficiaries ≥71 years. The main exposure was any VI, defined as impairment in either distance (DVA) or near (NVA) visual acuity (>0.3 logMAR), or contrast sensitivity (CS;< 1.55 logCS). Outcomes included homebound status, presence of safety hazards, and utilization of home-based care. 3,002 participants (mean [SD] age, 78.8 [5.6] years; 55.3% female; 81.8%…
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Taxonomy
TopicsAssistive Technology in Communication and Mobility · Ophthalmology and Visual Impairment Studies · Geriatric Care and Nursing Homes
