215623 Use of dilated eye examination among U.S. adults

Tuesday, November 9, 2010 : 11:09 AM - 11:27 AM

Asel Ryskulova, MD, PhD, MPH , Office of Analysis, Epidemiology and Health Promotion, National Center for Health Statistics, CDC, Hyattsville, MD
Richard Klein, MPH , Office of Analysis and Epidemiology, National Center for Health Statistics, CDC, Hyattsville, MD
Mary Frances Cotch, PhD , National Eye Institute, National Institutes of Health, Bethesda, MD
Rosemary Janiszewski, MS, CHES , National Eye Institute, National Institutes of Health, Bethesda, MD
Visual impairment from many eye diseases can be prevented with timely diagnosis and treatment. A dilated eye examination is one of the most important diagnostic tools to detect disease and monitor progression. Healthy People 2010 vision objective 28-1 is to increase the use of dilated eye examination at appropriate intervals. National data on the receipt of dilated eye examinations were collected in a special supplement to the 2002 and 2008 National Health Interview Survey. Data were obtained from adults 18 years and older and analyzed using bivariate and multivariate techniques in the SUDAAN software. In 2008, 55% of adults had an exam in the past 2 years, and 18% of adults reported that they never had a dilated eye exam. Females were more likely then males to have received a dilated eye exam. Among those who had eye exam, Hispanics, persons with less than high school education, and persons without health insurance were the most disadvantaged groups. Persons with diagnosed diabetes were more likely to have dilated eye examination than those without diabetes. There were no significant changes in receipt of eye exam between 2002 and 2008 for most of population groups. Healthy People 2010 target is 58% and it was achieved only by females and adults with college education. This study presents the first comprehensive national survey data on the receipt of dilated eye examinations among adult Americans. Tracking of use of dilated eye examination will be continued as this objective was retained in Healthy People 2020 initiative.

Learning Areas:
Chronic disease management and prevention
Public health or related education
Public health or related public policy

Learning Objectives:
List the Healthy People 2010 vision objectives Explain the importance of dilated eye examination in eye diseases prevention Describe the national profile of dilated eye examination use

Keywords: Access and Services, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I run the data analysis and prepared the presenatation
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.

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