234090 State-level disparities in eye care utilization for adults with vision impairment

Tuesday, November 9, 2010 : 12:33 PM - 12:48 PM

Chiu-Fang Chou, Dr PH , The Vision Health Initiative, Division of Diabetes Translation/The Ginn Group, Northrop Grumman Corporation, Centers for Disease Control and Prevention, Atlanta, GA
Purpose: To determine whether state-level race/ethnicity or socioeconomic status health disparities exist in eye care utilization among the people with visual impairment (VI). Design: Cross-sectional study. Methods: We used 2006-2009 Behavioral Risk Factor Surveillance System (BRFSS) from 21 states to assess state-level disparities in eye care utilization. We examined state-level disparities in yearly eye doctor visit by race/ethnicity, income, and education among adults with VI by two age groups (40-64 and 65+ years). Results: Among those aged 40-64 years, the proportion of adults with moderate to severe VI not having a yearly eye doctor visit ranged from a low of 39.4% (Colorado) to a high of 62.7% (Maryland). Among those aged 65+ years, the range was 64.7% (New Mexico) to 86.5% (Arizona). State-level race/ethnicity, income, and educational disparities exist in eye care utilization among people with VI. Among those aged 65+ years, the only states we did not find evidence of racial/ethnic disparities were Ohio, New York, and Kansas. Among those aged 40-64 years, we found evidence of racial disparities in all states except North Carolina and Wyoming. We found evidence of education disparities in all states except Kansas. We found evidence of income disparities among those with VI aged 65+ years in all states except Connecticut and Texas. Conclusion: Disparities exist in eye care among people with VI at the State level. States need to identify their vision health priorities and set up effective intervention programs.

Learning Areas:
Assessment of individual and community needs for health education
Public health or related public policy

Learning Objectives:
Demonstrate the need to better understand state-level disparities in vision health for states efficiently use their limited health care resources. Demonstrate the usefulness of existing state-level data to address vision health disparities

Keywords: Access and Services, Vision Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted this study as a lead author by designing of this study, analyzing of the data, interpreting of the results, and preparing of the manuscript.
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.