Barriers to Eye Care Among Participants of a Mobile Eye Clinic

Overview

Journal Cogent Med

Specialty Biomedical Engineering

Date 2019 Aug 31

PMID 31467940

Citations 8

Authors

Kousanee Chheda

Rong Wu

Tosha Zaback

Mitchell V Brinks

Affiliations

Soon will be listed here.

Abstract

Purpose: Barriers to health care present complex challenges to improving eye health in the U.S., yet few studies have quantitatively measured the impact of these barriers. This study investigated the time elapsed since a person's most recent eye examination (TLEE) as a measure of barriers to eye care.

Methods: Participants (N=1699) from mobile clinic vision health screenings completed demographic and subjective visual function questionnaires, and then underwent comprehensive eye exams. Associations between demographics, subjective visual function, and visual acuity were analyzed with respect to TLEE.

Results: Many Hispanic (34.9%) and uninsured (28.6%) participants had no previous eye exam. Although most Caucasians had a previous eye exam, 40.2% did not have an exam in the previous four years. The majority of participants with diabetes were non-compliant with recommendations of annual eye examinations.

Conclusion: These results describe barriers that are specific to subpopulations, providing useful information for efforts to improve eye care access.

Citing Articles

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Alemu T, Seyum D, Gebre M, Sisay A Health Sci Rep. 2024; 7(12):e70272.

PMID: 39691561 PMC: 11651202. DOI: 10.1002/hsr2.70272.

Barriers to Eye Care for Adults in the United States and Solutions for It: A Literature Review.

Green N, Miller F, Khanna D Cureus. 2024; 16(4):e59071.

PMID: 38800137 PMC: 11128266. DOI: 10.7759/cureus.59071.

Effect of a Patient Navigator Program to Address Barriers to Eye Care at an Academic Ophthalmology Practice.

Zarnegar A, Cassidy J, Stone A, McGinnis-Thomas D, Wasser L, Sahel J J Acad Ophthalmol (2017). 2024; 15(1):e106-e111.

PMID: 38737150 PMC: 10804762. DOI: 10.1055/s-0043-1768696.

Risk Factors and Outcomes of Delayed Presentation of Diabetic Retinopathy Patients to a County Hospital.

Lu V, Patnaik J, Scott R, Lynch A, Smith J, Mandava N Transl Vis Sci Technol. 2023; 12(9):8.

PMID: 37676677 PMC: 10494984. DOI: 10.1167/tvst.12.9.8.

Eye Care Utilization among Older Subjects with Visual Impairment in Northwest Ethiopia.

Assaye A, Tegegn M, Belete G J Ophthalmic Vis Res. 2023; 18(3):306-317.

PMID: 37600912 PMC: 10432933. DOI: 10.18502/jovr.v18i3.13779.

References

Larkey L, Hecht M, Miller K, Alatorre C . Hispanic cultural norms for health-seeking behaviors in the face of symptoms. Health Educ Behav. 2001; 28(1):65-80. DOI: 10.1177/109019810102800107. View

Mangione C, Lee P, Gutierrez P, Spritzer K, Berry S, Hays R . Development of the 25-item National Eye Institute Visual Function Questionnaire. Arch Ophthalmol. 2001; 119(7):1050-8. DOI: 10.1001/archopht.119.7.1050. View

Quigley H, Park C, Tracey P, Pollack I . Community screening for eye disease by laypersons: the Hoffberger program. Am J Ophthalmol. 2002; 133(3):386-92. DOI: 10.1016/s0002-9394(01)01380-0. View

Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C . Association of health literacy with diabetes outcomes. JAMA. 2002; 288(4):475-82. DOI: 10.1001/jama.288.4.475. View

Macinko J, Shi L, Starfield B, Wulu Jr J . Income inequality and health: a critical review of the literature. Med Care Res Rev. 2003; 60(4):407-52. DOI: 10.1177/1077558703257169. View

Casten R, Rovner B, Tasman W . Age-related macular degeneration and depression: a review of recent research. Curr Opin Ophthalmol. 2004; 15(3):181-3. DOI: 10.1097/01.icu.0000120710.35941.3f. View

Unzueta M, Globe D, Wu J, Paz S, Azen S, Varma R . Compliance with recommendations for follow-up care in Latinos: the Los Angeles Latino Eye Study. Ethn Dis. 2004; 14(2):285-91. View

Goins R, Williams K, Carter M, Spencer M, Solovieva T . Perceived barriers to health care access among rural older adults: a qualitative study. J Rural Health. 2005; 21(3):206-13. DOI: 10.1111/j.1748-0361.2005.tb00084.x. View

Owsley C, McGwin G, Scilley K, Girkin C, Phillips J, Searcey K . Perceived barriers to care and attitudes about vision and eye care: focus groups with older African Americans and eye care providers. Invest Ophthalmol Vis Sci. 2006; 47(7):2797-802. DOI: 10.1167/iovs.06-0107. View

10.

Zhang X, Saaddine J, Lee P, Grabowski D, Kanjilal S, Duenas M . Eye care in the United States: do we deliver to high-risk people who can benefit most from it?. Arch Ophthalmol. 2007; 125(3):411-8. DOI: 10.1001/archopht.125.3.411. View

11.

Shavers V . Measurement of socioeconomic status in health disparities research. J Natl Med Assoc. 2007; 99(9):1013-23. PMC: 2575866. View

12.

Zhang X, Lee P, Thompson T, Sharma S, Barker L, Geiss L . Health insurance coverage and use of eye care services. Arch Ophthalmol. 2008; 126(8):1121-6. DOI: 10.1001/archopht.126.8.1121. View

13.

Skalicky S, Goldberg I . Depression and quality of life in patients with glaucoma: a cross-sectional analysis using the Geriatric Depression Scale-15, assessment of function related to vision, and the Glaucoma Quality of Life-15. J Glaucoma. 2008; 17(7):546-51. DOI: 10.1097/IJG.0b013e318163bdd1. View

14.

Lee D, Lam B, Arora S, Arheart K, McCollister K, Zheng D . Reported eye care utilization and health insurance status among US adults. Arch Ophthalmol. 2009; 127(3):303-10. PMC: 11025701. DOI: 10.1001/archophthalmol.2008.567. View

15.

Morales L, Varma R, Paz S, Lai M, Mazhar K, Andersen R . Self-reported use of eye care among Latinos: the Los Angeles Latino Eye Study. Ophthalmology. 2009; 117(2):207-15.e1. PMC: 2835414. DOI: 10.1016/j.ophtha.2009.07.015. View

16.

Kullgren J, McLaughlin C, Mitra N, Armstrong K . Nonfinancial barriers and access to care for U.S. adults. Health Serv Res. 2011; 47(1 Pt 2):462-85. PMC: 3393009. DOI: 10.1111/j.1475-6773.2011.01308.x. View

17.

Crews J, Lollar D, Kemper A, Lee L, Owsley C, Zhang X . The variability of vision loss assessment in federally sponsored surveys: seeking conceptual clarity and comparability. Am J Ophthalmol. 2012; 154(6 Suppl):S31-44.e1. DOI: 10.1016/j.ajo.2011.10.029. View

18.

Chou C, Barker L, Crews J, Primo S, Zhang X, Elliott A . Disparities in eye care utilization among the United States adults with visual impairment: findings from the behavioral risk factor surveillance system 2006-2009. Am J Ophthalmol. 2012; 154(6 Suppl):S45-52.e1. DOI: 10.1016/j.ajo.2011.09.025. View

19.

Zhang X, Cotch M, Ryskulova A, Primo S, Nair P, Chou C . Vision health disparities in the United States by race/ethnicity, education, and economic status: findings from two nationally representative surveys. Am J Ophthalmol. 2012; 154(6 Suppl):S53-62.e1. PMC: 4169111. DOI: 10.1016/j.ajo.2011.08.045. View

20.

Juckett G . Caring for Latino patients. Am Fam Physician. 2013; 87(1):48-54. View