214662 Cataract surgery and eye care services utilization among African-Americans: A comparison with Whites

Tuesday, November 9, 2010 : 10:51 AM - 11:09 AM

Yan Li, MD, MPH , Maternal and Child Health Program, Georgia Department of Community Health, Atlanta, GA
Xinzhi Zhang, MD, PhD , Vision Health Initiative, Centers for Disease Control and Prevention, Atlanta, GA
Laurie Elam-Evans , CDC, CDC, Atlanta, GA
Lina S. Balluz, ScD, MPH , Office of Surveillance, Epidemiology, and Laboratory Services, Centers for disease Control and Prevention, Atlanta, GA
Background: Cataract is the leading cause of visual impairment among the elderly in the United States. Cataract surgery is the most effective and successful treatment and should be offered to all who can benefit from it. Objectives: To compare the prevalence of cataract, cataract surgery and eye care services between Whites and African-Americans (AA). Methods: Data from the 2006 2008 Behavioral Risk Factor Surveillance System's Vision and Access to Eye Care module were aggregated for these analyses. The module was administered to participants aged 40 years and older in 9 states in 2006, in 6 states in 2007, and in 12 states in 2008. Results: Among people age 40 years and older (N=115,018), the age-gender adjusted prevalence of cataract for AA and Whites was 12.8% and 12.1%, respectively (p=0.24). However, the cataract surgery rate was 6.0% and 10.1% for AA and Whites (p<0.001). For the people with cataract, even though AA had higher prevalence of visual impairment (24.2% vs. 15.1%, p<0.001), they had lower proportion of eye care visit (80.5% vs. 83.3%, p=0.02) and dilated eye exam (68.7% vs. 74.9%, p=0.008) during the past year. A higher proportion of AA (30.5% for AA vs. 19.4% for Whites, p=0.007) reported their failure to seek eye care visit on a regular basis was due to the cost. Conclusions: African-Americans had a greater burden of visual impairment associated with cataract compared with Whites. However, they had limited access to cataract surgery and less utilization of eye care services because of the cost.

Learning Areas:
Chronic disease management and prevention
Public health or related research

Learning Objectives:
Describe the racial disparity on cataract surgery utilization between African-Americans and Whites in the United States. Discuss efforts to ensure that African-Americans receive the benefits of cataract surgery equally to Whites.

Keywords: African American, Health Care Access

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Helped with study concept and literature review. I will present the study instead of the first author.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4126.0: Vision Health and Aging