Jessica Brinson, Priyanka Kumar, Jiangxia Wang, Varshini Varadaraj, Bonnielin K Swenor, Adrienne W Scott
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Multivariable logistic regression analyses examined associations between eye care utilization, VD, diabetic status, and sociodemographic characteristics.</p><p><strong>Results: </strong>Of the 284,599 adults included in this study, the majority were female (55%), White (73%), and non-Hispanic (84%). In regression analysis, as compared to adults without diabetes or VD, adults with both diabetes and VD had the greatest utilization (OR = 2.49, 99% CI = 2.18-2.85). Females had higher utilization than men (OR = 1.45, 99% CI = 1.41-1.50). Higher levels of education was associated with greater utilization (OR = 1.82, 99% CI = 1.72-1.92). White and American Indian adults without diabetes had higher utilization compared to other races (OR = 1.17, 99% CI = 1.12-1.24, 0.98-1.39).</p><p><strong>Conclusion: </strong>While adults with VD and diabetes are better connected to eye care, significant eye care disparities persist for marginalized groups in the U.S. Identifying and understanding these disparities and eliminating barriers to care is critical to better support all patient populations.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"283-290"},"PeriodicalIF":1.7000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Disparities in Eye Care Utilization by Self-Reported Vision Difficulty and Diabetes Status in the United States.\",\"authors\":\"Jessica Brinson, Priyanka Kumar, Jiangxia Wang, Varshini Varadaraj, Bonnielin K Swenor, Adrienne W Scott\",\"doi\":\"10.1080/09286586.2023.2249540\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To assess differences in eye care utilization by vision difficulty (VD), diabetes status, and sociodemographic characteristics for American adults.</p><p><strong>Methods: </strong>The analysis pooled cross-sectional data from the National Health Interview Survey (2010-2018) from US adults ≥ 18 years. 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引用次数: 0
摘要
目的:评估美国成年人因视力困难(VD)、糖尿病状况和社会人口特征而在眼科保健利用率方面存在的差异:分析汇集了全国健康访谈调查(2010-2018 年)中的横截面数据,这些数据来自年龄≥ 18 岁的美国成年人。结果测量指标为过去一年的眼科保健使用情况。主要自变量包括四组:无视网膜病变或糖尿病、仅有糖尿病、仅有视网膜病变以及糖尿病和视网膜病变。视力障碍的定义是自述即使戴眼镜或隐形眼镜也看不清东西。糖尿病状态的定义是曾被医疗专业人员诊断为糖尿病。多变量逻辑回归分析研究了眼科护理利用率、视力障碍、糖尿病状况和社会人口特征之间的关联:在 284,599 名参与研究的成年人中,大多数为女性(55%)、白人(73%)和非西班牙裔(84%)。在回归分析中,与没有糖尿病或退行性病变的成年人相比,同时患有糖尿病和退行性病变的成年人的使用率最高(OR = 2.49,99% CI = 2.18-2.85)。女性的使用率高于男性(OR = 1.45,99% CI = 1.41-1.50)。教育程度越高,使用率越高(OR = 1.82,99% CI = 1.72-1.92)。与其他种族相比,没有糖尿病的白人和美国印第安人使用率更高(OR = 1.17, 99% CI = 1.12-1.24, 0.98-1.39):虽然患有退行性视网膜病变和糖尿病的成年人更容易获得眼科护理,但在美国,边缘化群体在眼科护理方面仍存在显著差异。
Disparities in Eye Care Utilization by Self-Reported Vision Difficulty and Diabetes Status in the United States.
Purpose: To assess differences in eye care utilization by vision difficulty (VD), diabetes status, and sociodemographic characteristics for American adults.
Methods: The analysis pooled cross-sectional data from the National Health Interview Survey (2010-2018) from US adults ≥ 18 years. The outcome measure was eye care utilization in the past year. The primary independent variable included four groups: no VD or diabetes, only diabetes, only VD, and diabetes and VD. VD was defined as self-reported difficulty seeing even with glasses or contacts. Diabetic status was defined as ever receiving this diagnosis by a health professional. Multivariable logistic regression analyses examined associations between eye care utilization, VD, diabetic status, and sociodemographic characteristics.
Results: Of the 284,599 adults included in this study, the majority were female (55%), White (73%), and non-Hispanic (84%). In regression analysis, as compared to adults without diabetes or VD, adults with both diabetes and VD had the greatest utilization (OR = 2.49, 99% CI = 2.18-2.85). Females had higher utilization than men (OR = 1.45, 99% CI = 1.41-1.50). Higher levels of education was associated with greater utilization (OR = 1.82, 99% CI = 1.72-1.92). White and American Indian adults without diabetes had higher utilization compared to other races (OR = 1.17, 99% CI = 1.12-1.24, 0.98-1.39).
Conclusion: While adults with VD and diabetes are better connected to eye care, significant eye care disparities persist for marginalized groups in the U.S. Identifying and understanding these disparities and eliminating barriers to care is critical to better support all patient populations.
期刊介绍:
Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.