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Demographics covered sex, marital status, education, household economy, smoking and alcohol. Participants (born in 1944) rated their visual function (<jats:italic>n<\/jats:italic>\u2009=\u2009533); those misjudging (<jats:italic>n<\/jats:italic>\u2009=\u200948) were studied. Group A (<jats:italic>n<\/jats:italic>\u2009=\u200918) had low presenting visual acuity (PVA) but reported good vision; Group B (<jats:italic>n<\/jats:italic>\u2009=\u200930) had normal PVA but reported low vision. Control group (<jats:italic>n<\/jats:italic>\u2009=\u2009485) matched subjective and measured visual function. Ophthalmic examination tested visual acuity (VA), visual field and contrast sensitivity (CS). Psychometric tests: NEO\u2010FFI, sense of coherence (SOC) and Montgomery\u2013\u00c5sberg Depression Rating Scale (MADRS). Statistical tests: chi\u2010square, t\u2010tests, Mann\u2013Whitney U test and logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the population, 91% made correct assumptions about their vision. The 9% who made incorrect assumptions about their vision ability (combining groups A\u2009+\u2009B) were more likely to live alone (<jats:italic>p<\/jats:italic>\u2009=\u20090.02) and had lower household incomes compared to the control group (<jats:italic>p<\/jats:italic>\u2009=\u20090.04). Additionally, the exhibited significantly lower PVA and BCVA, a higher prevalence of visual field defects (<jats:italic>p<\/jats:italic>\u2009=\u20090.02) and lower CS, mean 1.63 (<jats:italic>p<\/jats:italic>\u2009=\u20090.005). Group A (3.4%) were women (<jats:italic>p<\/jats:italic>\u2009=\u20090.002) with the personality of extraversion, mean 40.0 (<jats:italic>p<\/jats:italic>\u2009=\u20090.01). Group B (5.6%) had more self\u2010reported eye diseases (<jats:italic>p<\/jats:italic>\u2009=\u20090.01), lower CS (<jats:italic>p<\/jats:italic>\u2009=\u20090.01), lower educational level (<jats:italic>p<\/jats:italic>\u2009=\u20090.03) and border significantly lower SOC (<jats:italic>p<\/jats:italic>\u2009=\u20090.06).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The perception of visual function is shaped by awareness of an eye disease but is additionally influenced by sex, socioeconomic factors and emotional parameters.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.17440","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T14:44:06Z","timestamp":1738075446000},"page":"469-478","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010perceived and measured visual function, the impact of eye\u2010disease, wellbeing, social determinants, and personality traits in Swedish 70\u2010year\u2010olds\u2013results from the Gothenburg <scp>H70<\/scp> Study"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0520-7081","authenticated-orcid":false,"given":"Lena","family":"Havstam Johansson","sequence":"first","affiliation":[{"name":"Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg  Goteborg Sweden"},{"name":"Department of Ophthalmology Sahlgrenska University Hospital  Mondale Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8230-0741","authenticated-orcid":false,"given":"Madeleine","family":"Zetterberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg  Goteborg Sweden"},{"name":"Department of Ophthalmology Sahlgrenska University Hospital  Mondale Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6494-2895","authenticated-orcid":false,"given":"Hanna","family":"Falk Erhag","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Centre for Ageing and Health (Age Cap) University of Gothenburg  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2023.0723"},{"volume-title":"Unraveling the mystery of health. 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