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Barriers to eye care among participants of a mobile eye clinic
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 ey...
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Published in: | Cogent medicine 2019-01, Vol.6 (1), p.1650693 |
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description | 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. |
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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.</description><identifier>ISSN: 2331-205X</identifier><identifier>EISSN: 2331-205X</identifier><identifier>EISSN: 2770-7571</identifier><identifier>DOI: 10.1080/2331205X.2019.1650693</identifier><identifier>PMID: 31467940</identifier><language>eng</language><publisher>England: Cogent</publisher><subject>access ; Acuity ; Blindness ; caucasian ; Community ; Cultural differences ; Demography ; Diabetes ; Diabetes mellitus ; Diabetic retinopathy ; Eye ; Eye examinations ; Health care policy ; Health insurance ; hispanic ; Hispanic people ; Homeless people ; Insurance coverage ; Medical screening ; Medicine ; Mobile businesses ; ophthalmology ; Out of pocket costs ; Prevention ; Quality of life ; Subpopulations ; Uninsured people ; visual acuity ; Visual impairment ; Visual perception</subject><ispartof>Cogent medicine, 2019-01, Vol.6 (1), p.1650693</ispartof><rights>2019 The Author(s). This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license. 2019</rights><rights>2019 The Author(s). This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). 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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. 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Wu, Rong ; Zaback, Tosha ; Brinks, Mitchell V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3743-6cfaa0186b40955dda7ac25469f6ae10b20500574bda7a28c66028f81c7742873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>access</topic><topic>Acuity</topic><topic>Blindness</topic><topic>caucasian</topic><topic>Community</topic><topic>Cultural differences</topic><topic>Demography</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetic retinopathy</topic><topic>Eye</topic><topic>Eye examinations</topic><topic>Health care policy</topic><topic>Health insurance</topic><topic>hispanic</topic><topic>Hispanic people</topic><topic>Homeless people</topic><topic>Insurance coverage</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Mobile businesses</topic><topic>ophthalmology</topic><topic>Out of pocket costs</topic><topic>Prevention</topic><topic>Quality of life</topic><topic>Subpopulations</topic><topic>Uninsured people</topic><topic>visual acuity</topic><topic>Visual impairment</topic><topic>Visual perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chheda, Kousanee</creatorcontrib><creatorcontrib>Wu, Rong</creatorcontrib><creatorcontrib>Zaback, Tosha</creatorcontrib><creatorcontrib>Brinks, Mitchell V.</creatorcontrib><collection>Taylor & Francis Journals Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Cogent medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chheda, Kousanee</au><au>Wu, Rong</au><au>Zaback, Tosha</au><au>Brinks, Mitchell V.</au><au>Gray, Selena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers to eye care among participants of a mobile eye clinic</atitle><jtitle>Cogent medicine</jtitle><addtitle>Cogent Med</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>6</volume><issue>1</issue><spage>1650693</spage><pages>1650693-</pages><issn>2331-205X</issn><eissn>2331-205X</eissn><eissn>2770-7571</eissn><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. 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subjects | access Acuity Blindness caucasian Community Cultural differences Demography Diabetes Diabetes mellitus Diabetic retinopathy Eye Eye examinations Health care policy Health insurance hispanic Hispanic people Homeless people Insurance coverage Medical screening Medicine Mobile businesses ophthalmology Out of pocket costs Prevention Quality of life Subpopulations Uninsured people visual acuity Visual impairment Visual perception |
title | Barriers to eye care among participants of a mobile eye clinic |
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