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Disparities in Eye Care Utilization Among the United States Adults With Visual Impairment: Findings From the Behavioral Risk Factor Surveillance System 2006-2009

Chou, Chiu-Fang ; Barker, Lawrence E ; Crews, John E ; Primo, Susan A ; Zhang, Xinzhi ; Elliott, Amanda F ; McKeever Bullard, Kai ; Geiss, Linda S ; Saaddine, Jinan B

American journal of ophthalmology, 2012-12, Vol.154 (6), p.S45-S52.e1 [Periódico revisado por pares]

United States: Elsevier Inc

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Título:
Disparities in Eye Care Utilization Among the United States Adults With Visual Impairment: Findings From the Behavioral Risk Factor Surveillance System 2006-2009
Autor: Chou, Chiu-Fang ; Barker, Lawrence E ; Crews, John E ; Primo, Susan A ; Zhang, Xinzhi ; Elliott, Amanda F ; McKeever Bullard, Kai ; Geiss, Linda S ; Saaddine, Jinan B
Assuntos: Adult ; Aged ; Behavioral Risk Factor Surveillance System ; Bias ; Blindness ; Chronic illnesses ; Confidence intervals ; Disease control ; Disease prevention ; Education ; Educational Status ; Ethnic Groups - statistics & numerical data ; Ethnicity ; Eye diseases ; Eyes & eyesight ; Female ; Health Behavior ; Health Care Surveys ; Health Services - utilization ; Health Services Accessibility ; Healthcare Disparities - statistics & numerical data ; Humans ; Male ; Middle Aged ; Ophthalmology ; Ophthalmology - statistics & numerical data ; Optometry ; Polls & surveys ; Prevalence ; Public health ; Race ; Risk factors ; Socioeconomic Factors ; Studies ; United States - epidemiology ; Vision Disorders - economics ; Vision Disorders - ethnology ; Vision Disorders - therapy ; Visually Impaired Persons - statistics & numerical data
É parte de: American journal of ophthalmology, 2012-12, Vol.154 (6), p.S45-S52.e1
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
Descrição: Purpose To estimate the prevalence of annual eye care among visually impaired United States residents aged 40 years or older, by state, race/ethnicity, education, and annual income. Design Cross-sectional study. Methods In analyses of 2006-2009 Behavioral Risk Factor Surveillance System data from 21 states, we used multivariate regression to estimate the state-level prevalence of yearly eye doctor visit in the study population by race/ethnicity (non-Hispanic white, non-Hispanic black, Hispanic, and other), annual income (≥$35 000 and <$35 000), and education (< high school, high school, and > high school). Results The age-adjusted state-level prevalence of yearly eye doctor visits ranged from 48% (Missouri) to 69% (Maryland). In Alabama, Colorado, Indiana, Iowa, New Mexico, and North Carolina, the prevalence was significantly higher among respondents with more than a high school education than among those with a high school education or less ( P < .05). The prevalence was positively associated with annual income levels in Alabama, Georgia, New Mexico, New York, Texas, and West Virginia and negatively associated with annual income levels in Massachusetts. After controlling for age, sex, race/ethnicity, education, and income, we also found significant disparities in the prevalence of yearly eye doctor visits among states. Conclusion Among visually impaired US residents aged 40 or older, the prevalence of yearly eye examinations varied significantly by race/ethnicity, income, and education, both overall and within states. Continued and possibly enhanced collection of eye care utilization data, such as we analyzed here, may help states address disparities in vision health and identify population groups most in need of intervention programs.
Editor: United States: Elsevier Inc
Idioma: Inglês

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Disparities in Eye Care Utilization Among the United States Adults With Visual Impairment: Findings From the Behavioral Risk Factor Surveillance System 2006-2009

Chou, Chiu-Fang ; Barker, Lawrence E ; Crews, John E ; Primo, Susan A ; Zhang, Xinzhi ; Elliott, Amanda F ; McKeever Bullard, Kai ; Geiss, Linda S ; Saaddine, Jinan B

United States: Elsevier Inc

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