围绕心理健康和视力的公共卫生案例.pdf

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1、Varshini Varadaraj,MD,MPHResearch AssociateJohns Hopkins Disability Health Research CenterPublic Health Case Around Mental Health and VisionSESSION 2:Why the Eye:Forum on the Public Health Connection Between Mental Wellness and Vision Shifting the paradigm from Shifting the paradigm from living with

2、 a disabilityliving with a disability to to thriving with a disabilitythriving with a disabilityVisual Visual Impairment Impairment is is Varma et al.JAMA Ophthal.2016.Swenor et al.Gerontologist.2019.“Some of the limitations of disability stem from the psychological environment rather than physical

3、impairment.”Silverman&Cohen.Pers Soc Psychol Bull.2014.Older adults with Older adults with visual visual impairments impairments more likely to more likely to have depression have depression and anxietyand anxietyVan der Aa et al.IOVS.2015.A higher proportion of persons with visual impairment report

4、ed lonelinessBrunes et al.Health Qual Life Outcomes.2019.WhyWhy does vision loss does vision loss impact psychosocial impact psychosocial health?health?“Loss of eyesight described as the worst ailment that could happen relative to losing memory,speech,hearing,or a limb.”Scott et al.JAMA Ophthal.2016

5、.Swenor et al.Gerontologist.2019.Stigma&Stigma&DiscriminationDiscriminationNonNon-inclusiveinclusive&Inaccessible&Inaccessible environments environments“I just dont want to have a perception of limitations.”“I dont want people to feel sorry for me.”“I think it hurts them,because they are targeted as

6、 different.They are targeted as not a whole person,as being a lesser person.I do feel that people feel rejected rejected in general.”Kumar et al.JVIB.2022.DiscriminationDiscriminationShakarchi et al.JAMA Ophthal.2020.Adults with dual sensory impairment experience more frequent perceived discriminati