wow-inequalities/02-data/intermediate/wos_sample/ab68b373486866e9491e2ca6f88adec0-besagar-sonya-and-y/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'IMPORTANCE Approximately 13\% of US adults are affected by visual
disability, with disproportionately higher rates in groups impacted by
certain social determinants of health (SDOH).
OBJECTIVE To evaluate SDOH associated with severe visual impairment
(SVI) to ultimately guide targeted interventions to improve ophthalmic
health.
DESIGN, SETTING, AND PARTICIPANTS This quality improvement study used
cross-sectional data from a telephone survey from the Behavioral Risk
Factor Surveillance System (BRFSS) that was conducted in the US from
January 2019 to December 2020. Participants were noninstitutionalized
adult civilians who were randomly selected and interviewed and
self-identified as ``blind or having serious difficulty seeing, even
while wearing glasses.{''''}
EXPOSURES Demographic and health care access factors.
MAIN OUTCOMES AND MEASURES The main outcomewas risk of SVI associated
with various factors as measured by odds ratios (ORs) and 95\% CIs.
Descriptive and logistic regression analyses were performed using theWeb
Enabled Analysis Tool in the BRFFS.
RESULTS During the study period, 820 226 people (53.07\% female)
participated in the BRFSS survey, of whom 42 412 (5.17\%)
self-identified as ``blind or having serious difficulty seeing, even
while wearing glasses.{''''} Compared with White, non-Hispanic
individuals, risk of SVI was increased among American Indian/Alaska
Native (OR, 1.63; 95\% CI, 1.38-1.91), Black/African American (OR, 1.50;
95\% CI, 1.39-1.62), Hispanic (OR, 1.65; 95\% CI, 1.53-1.79), and
multiracial (OR, 1.33; 95\% CI, 1.15-1.53) individuals. Lower annual
household income and educational level (eg, not completing high school)
were associated with greater risk of SVI. Individuals who were out of
work for 1 year or longer (OR, 1.78; 95\% CI, 1.54-2.07) or who reported
being unable to work (OR, 2.90; 95\% CI, 2.66-3.16) had higher odds of
SVI compared with the other variables studied. Mental health diagnoses
and 14 or more days per month with poor mental health were associated
with increased risk of SVI (OR, 1.87; 95\% CI, 1.73-2.02). Health care
access factors associated with increased visual impairment risk included
lack of health care coverage and inability to afford to see a physician.
CONCLUSIONS AND RELEVANCE In this study, various SDOH were associated
with SVI, including self-identification as being from a racial or ethnic
minority group; low socioeconomic status and educational level;
long-term unemployment and inability to work; divorced, separated, or
widowed marital status; poor mental health; and lack of health care
coverage. These disparities in care and barriers to health care access
should guide targeted interventions.'
affiliation: 'Patel, S (Corresponding Author), Vanderbilt Univ, Dept Ophthalmol, Med
Ctr, 2311 Pierce Ave, Nashville, TN 37232 USA.
Besagar, Sonya; Finn, Avni; Padovani-Claudio, Dolly Ann; Sternberg, Paul, Jr.; Patel,
Shriji, Vanderbilt Univ, Dept Ophthalmol, Med Ctr, 2311 Pierce Ave, Nashville, TN
37232 USA.
Yonekawa, Yoshihiro, Thomas Jefferson Univ, Wills Eye Hosp, Mid Atlantic Retina,
Philadelphia, PA 19107 USA.
Sridhar, Jayanth, Bascom Palmer Eye Inst, Dept Ophthalmol, Miami, FL 33136 USA.'
author: Besagar, Sonya and Yonekawa, Yoshihiro and Sridhar, Jayanth and Finn, Avni
and Padovani-Claudio, Dolly Ann and Sternberg Jr., Paul and Patel, Shriji
author-email: shriji.patel@vumc.org
author_list:
- family: Besagar
given: Sonya
- family: Yonekawa
given: Yoshihiro
- family: Sridhar
given: Jayanth
- family: Finn
given: Avni
- family: Padovani-Claudio
given: Dolly Ann
- family: Sternberg Jr.
given: Paul
- family: Patel
given: Shriji
da: '2023-09-28'
doi: 10.1001/jamaophthalmol.2022.4566
earlyaccessdate: NOV 2022
eissn: 2168-6173
files: []
issn: 2168-6165
journal: JAMA OPHTHALMOLOGY
keywords-plus: 'QUALITY-OF-LIFE; UNITED-STATES; OLDER-ADULTS; VISION; GLAUCOMA; IMPACT;
RISK; AGE; UK'
language: English
month: DEC
number: '12'
number-of-cited-references: '37'
pages: 1219-1226
papis_id: e60e911d19aeb8d5bcde95e3faa39bd9
ref: Besagar2022associationsocioecon
times-cited: '6'
title: Association of Socioeconomic, Demographic, and Health Care Access Disparities
With Severe Visual Impairment in the US
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000878749300002
usage-count-last-180-days: '3'
usage-count-since-2013: '4'
volume: '140'
web-of-science-categories: Ophthalmology
year: '2022'