{
  "abstract": "Objectives Eye disease and vision impairment are known to be associated with reduced mental well-being, but less is known about the well-being of people with near-normal levels of vision. Here, we examined the association between self-reported eyesight and mental well-being, controlling for eye disease, mental ill-health and demographic factors, for adults with a wide range of age and vision.Design Population-based cross-sectional study.Participants 7705 adults (56% women; median age 49 years, range 16–104 years) who participated in the Health Survey for England 2013, self-reported their eyesight status and completed the Warwick-Edinburgh Mental Well-Being Scale.Primary outcome measure Mental well-being, controlling for self-reported mental ill health, self-reported eye disease, age, sex, socioeconomic group and ethnic origin.Results Poorer self-reported eyesight was strongly associated with lower mental well-being (univariate linear model, F (4,7700)=94.7, p<0.001) and explained 5% of the variance in the outcome variable (R2=0.047). Relative to reporting ‘poor’ vision, each subsequent level of vision predicted better well-being, with the exception of ‘fair’ vision, which was not significantly different from ‘poor’ reported vision. This association remained significant after controlling for self-reported mental ill health, self-reported eye disease, age, sex, socioeconomic group and ethnic origin.Conclusions Self-reported eyesight is strongly associated with mental well-being, irrespective of whether people have vision impairment or a diagnosed eye disease. This relationship exists in people with and without mental ill-health. Mental well-being should be considered in people with reduced eyesight, regardless of whether they have a diagnosed eye disease or mental ill-health. Interventions which improve vision may have a positive impact on mental well-being.",
  "authors": [
    {
      "affiliations": [
        "UCL Institute of Ophthalmology, London, UK",
        "NIHR Moorfields Biomedical Research Centre, London, UK"
      ],
      "name": "Michael D Crossland"
    },
    {
      "affiliations": [
        "UCL Institute of Ophthalmology, London, UK",
        "NIHR Moorfields Biomedical Research Centre, London, UK",
        "University College London Division of Psychology and Language Sciences, London, UK"
      ],
      "name": "Tessa M Dekker"
    },
    {
      "affiliations": [
        "Department of Clinical, Educational and Health Psychology, University College London, London, UK"
      ],
      "name": "Marc S Tibber"
    }
  ],
  "title": "Association between self-reported vision and mental well-being: a cross-sectional secondary analysis of Health Survey for England data",
  "uid": "b9d2d8c6-f1af-522e-bdec-a387b9271f24"
}