Social Determinants of Health and Perceived Barriers to Care in Diabetic Retinopathy Screening

JAMA Ophthalmology, Journal Year: 2023, Volume and Issue: 141(12), P. 1161 - 1161

Published: Nov. 16, 2023

Regular screening for diabetic retinopathy often is crucial the health of patients with diabetes. However, many factors may be barriers to regular and associated disparities in rates.

Language: Английский

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Place, Race, and Lapses in Diabetic Retinopathy Care

JAMA Ophthalmology, Journal Year: 2024, Volume and Issue: 142(6), P. 581 - 581

Published: April 25, 2024

This cohort study investigates the association of neighborhood-level social determinants health with lapses in diabetic retinopathy care by race and ethnicity.

Language: Английский

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Eye Care Service Use and Associated Health-Seeking Behaviors Among Malawian Adults: Secondary Analysis of the Malawi Fifth Integrated Household Survey 2019-2020

JMIRx Med, Journal Year: 2024, Volume and Issue: 5, P. e44381 - e44381

Published: April 9, 2024

Abstract Background The use of eye care services varies among different population groups. Objective This study aimed to assess self-reported (ECU) and associated demographic factors Malawian adults. Methods used secondary data from the Malawi Fifth Integrated Household Survey 2019-2020, a nationally representative survey. included 12,288 households 27,336 individuals 15 years older. We entered age, sex, level education, residency (urban/rural), chronic disease into logistic regression model, confusion matrix predict model’s accuracy. A P value <.05 was considered statistically significant. Results About 60.6% (95% CI 60.0%-61.2%) those with problems accessed formal 2 weeks before survey date. model showed that ECU positively education compared none (odds ratio [OR] 6.6, 95% 5.927-7.366; <.001), males females (OR 1.2, 1.104-1.290; urban residence rural 1.118-1.375; <.001). negatively age 7, 6.782-8.476; <.001) having diseases 0.6, 0.547-0.708; Conclusions Social support, women empowerment, mobile clinics are key strategic areas would increase access in Malawi. Further studies can investigate pediatric population.

Language: Английский

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Loss to Follow-Up in Patients With Proliferative Diabetic Retinopathy or Diabetic Macular Edema

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(12), P. e2450942 - e2450942

Published: Dec. 13, 2024

Importance Effective management of proliferative diabetic retinopathy (PDR) and macular edema (DME) requires reliable patient follow-up to prevent disease progression. Objective To investigate the sociodemographic clinical factors associated with being lost (LTFU) among individuals PDR or DME treated anti–vascular endothelial growth factor (VEGF) intravitreal injections (IVIs) panretinal photocoagulation (PRP). Design, Setting, Participants This cohort study included a multicenter, retrospective review patients in Toronto, Canada, from January 1, 2012, December 31, 2021. Data were analyzed February 1 May 2024. Exposures All received at least anti-VEGF IVI PRP session. Main Outcomes Measures The primary outcome was LTFU rate, defined as absence an ophthalmic visit intervention 1-year period following individual’s last treating retinal specialist. Univariable multivariable logistic regression models conducted evaluate associations between rate. Results Overall, 2961 (mean [SD] age, 71 [13] years; 1640 [55.4%] male) included, whom 507 (17.1%) over mean (SD) 61 (22) months. In analysis, older (age ≥85 years vs age &amp;lt;65 years: odds ratio [OR], 0.58; 95% CI, 0.40-0.81; P = .002), those worse baseline visual acuity (&amp;gt;20/200 Snellen 20/40 better: OR, 0.68; 0.48-0.97; .04), (OR no DME, 0.60; 0.43-0.83; .003), frequent clinic visits (≥6 &amp;lt;6 visits: 0.78; 0.62-0.98; high burden first year low burden, 0.40; 0.21-0.76; .006) less likely be LTFU. contrast, males females, 1.23; 1.04-1.52; living further point care (&amp;gt;200 ≤20 km 2.65; 1.85-3.76; &amp;lt; .001), IVIs, 2.10; 1.24-3.55; .001) more Compared White patients, Black (OR, 1.50-2.95; Hispanic 1.54; 1.05-2.21; .03) Conclusions Relevance found multiple rates. Identifying higher risk developing targeted strategies may reduce progression vision loss PDR.

Language: Английский

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Loss to Follow up in Patients with Proliferative Diabetic Retinopathy Treated with Anti-VEGF Therapy and/or Panretinal Photocoagulation in the United States

Ophthalmology Retina, Journal Year: 2024, Volume and Issue: 8(10), P. 953 - 961

Published: April 23, 2024

Language: Английский

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Relationship Between Neighborhood-level Social Risk Factor Measures and Presenting Glaucoma Severity Utilizing Multilevel Modeling

Ophthalmology Science, Journal Year: 2024, Volume and Issue: 5(1), P. 100598 - 100598

Published: Aug. 23, 2024

Language: Английский

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Social Risk Groups in Patients With Diabetes With Differing Eye Care Utilization and Vision Outcomes

Translational Vision Science & Technology, Journal Year: 2024, Volume and Issue: 13(3), P. 13 - 13

Published: March 18, 2024

Purpose: To evaluate whether latent class analysis on social determinants of health (SDoH) data can identify risk groups that differ by adverse SDoH and vision outcomes in patients with diabetes. Methods: This was a prospective cohort study adults ≥18 years diabetes who completed survey. Latent used to cluster into groups. The association group severity diabetic retinopathy, history lapses retinopathy care, visual acuity evaluated. Results: A total 1006 participants were included. three differed sociodemographic characteristics. average age 65, 60, 54 Groups 1, 2, 3 respectively. Most (51%) 1 non-Hispanic White, 66% 2 Black, 80% Hispanic. Group had the lowest burden per person (average 3.6), 8.2, 10.5. In general, lacked knowledge, financial insecurity difficulties transportation, did not have insurance. Social associated presenting worse vision. Conclusions Translational Relevance: We identified distinct among seeking care for needs, eye utilization, Identifying these their specific needs help guide interventions effectively address improve utilization

Language: Английский

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Use of Subsidized Health Services by Artists in Canada: An Exploratory Study

Community Health Equity Research & Policy, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 12, 2024

Introduction Creative and performing artists are often confronted with precarious employment insufficient healthcare coverage. A clinic in Canada that provides specialized to offers eligible subsidized health services. We aim compare the use of services, demographics conditions between subsidy artist recipients (SAs) non-subsidy (NSAs). Methods accessed existing data from 265 SAs 711 NSAs applied descriptive inferential statistics address our research questions. Results Musculoskeletal issues, stress, anxiety disorders, depressive disorders most common problems faced by SAs. Compared NSAs, were more likely seek treatment for but less chronic problems, upper extremity problems. Discussion Future may investigate enduring effects services on SAs’ outcomes. Sustained positive outcomes crucial maintaining an artist’s career well-being.

Language: Английский

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Baseline Characteristics and Clinical Outcomes of Patients Seen Through the Free Diabetes Screening (FDS) Program

Clinical ophthalmology, Journal Year: 2024, Volume and Issue: Volume 18, P. 3227 - 3236

Published: Nov. 1, 2024

To characterize the baseline characteristics and clinical outcomes of patients seen through Free Diabetic Screening (FDS) program, a free diabetic retinopathy screening program for uninsured patients, in ophthalmology resident clinic at Wilmer Eye Institute.

Language: Английский

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Social Determinants of Health in Pediatric Ophthalmology Patients: Availability of Data in the Electronic Health Record and Association With Clinic Attendance

Translational Vision Science & Technology, Journal Year: 2023, Volume and Issue: 12(11), P. 36 - 36

Published: Nov. 29, 2023

Purpose: To characterize the availability of social determinants health data in electronic record pediatric ophthalmology patients and to examine association with attendance at scheduled operating room clinic visits. Methods: This was a retrospective cohort study seen The Hospital for Sick Children between June 1, 2018, May 23, 2022. Data were collected on demographics, diagnosis, management-plan. χ2 tests multivariable regression used associations Results: consisted 26,102 subjects 31,288 unique eye-related diagnoses representing 57 ICD-10 codes. Availability ranged from 100% sex, age postal code 0.1% ethnic group. Female sex (P = 0.004) urbanicity 0.05) associated higher visit cancellations. 0.002), group 0–13 ≤ 0.001), low-medium neighborhood income quintile residence Northern Ontario 0.001) cancellations no-shows. Conclusions: At major tertiary-care hospital Canada, key determinant such as ethnicity are not consistently available patients. younger age, living rural area or may be predictors missed visits require further study. Translational Relevance: highlights need improved documentation variables records.

Language: Английский

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