Barriers to Eye Care Among People Aged 40 Years and Older With Diagnosed Diabetes, 2006-2010

被引:72
作者
Chou, Chiu-Fang [1 ]
Sherrod, Cheryl E. [2 ]
Zhang, Xinzhi [1 ]
Barker, Lawrence E. [1 ]
Bullard, Kai McKeever [1 ]
Crews, John E. [1 ]
Saaddine, Jinan B. [1 ]
机构
[1] Ctr Dis Control & Prevent, Div Diabet Translat, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30333 USA
[2] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA
关键词
HEALTH-INSURANCE COVERAGE; ANGELES LATINO EYE; AFRICAN-AMERICANS; VISUAL IMPAIRMENT; US ADULTS; VISION; RETINOPATHY; PREVALENCE; GUIDELINES; SERVICES;
D O I
10.2337/dc13-1507
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVEWe examine barriers to receiving recommended eye care among people aged 40 years with diagnosed diabetes.RESEARCH DESIGN AND METHODSWe analyzed 2006-2010 Behavioral Risk Factor Surveillance System data from 22 states (n = 27,699). Respondents who had not sought eye care in the preceding 12 months were asked the main reason why. We categorized the reasons as cost/lack of insurance, no need, no eye doctor/travel/appointment, and other (meaning everything else). We used multinomial logistic regression to control for race/ethnicity, education, income, and other selected covariates.RESULTSAmong adults with diagnosed diabetes, nonadherence to the recommended annual eye examinations was 23.5%. The most commonly reported reasons for not receiving eye care in the preceding 12 months were no need and cost or lack of insurance (39.7 and 32.3%, respectively). Other reasons were no eye doctor, no transportation or could not get appointment (6.4%), and other (21.5%). After controlling for covariates, adults aged 40-64 years were more likely than those aged 65 years (relative risk ratio [RRR] = 2.79; 95% CI 2.01-3.89) and women were more likely than men (RRR = 2.33; 95% CI 1.75-3.14) to report cost or lack of insurance as their main reason. However, people aged 40-64 years were less likely than those aged 65 years to report no need (RRR = 0.51; 95% CI 0.39-0.67) as their main reason.CONCLUSIONSAddressing concerns about cost or lack of insurance for adults under 65 years and no perceived need among those 65 years and older could help improve eye care service utilization among people with diabetes.
引用
收藏
页码:180 / 188
页数:9
相关论文
共 36 条
[1]  
Alexander RL, 2008, AM J HEALTH BEHAV, V32, P547, DOI 10.5555/ajhb.2008.32.5.547
[2]   Achievement of Goals in U.S. Diabetes Care, 1999-2010 [J].
Ali, Mohammed K. ;
Bullard, Kai McKeever ;
Saaddine, Jinan B. ;
Cowie, Catherine C. ;
Imperatore, Giuseppina ;
Gregg, Edward W. .
NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (17) :1613-1624
[3]  
[Anonymous], 2012, DIABETES CARE, V35, pS11, DOI [10.2337/dc35-S011, 10.2337/dc12-s004]
[4]  
[Anonymous], 2011 NAT DIAB FACT S
[5]  
[Anonymous], 2012, HIGH COST DIABETES D
[6]  
[Anonymous], 2012, STATE HLTH CARE QUAL
[7]   Variation in diabetes care among states - Do patient characteristics matter? [J].
Arday, DR ;
Fleming, BB ;
Keller, DK ;
Pendergrass, PW ;
Vaughn, RJ ;
Turpin, JM ;
Nicewander, DA .
DIABETES CARE, 2002, 25 (12) :2230-2237
[8]   Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence [J].
Boyle, James P. ;
Thompson, Theodore J. ;
Gregg, Edward W. ;
Barker, Lawrence E. ;
Williamson, David F. .
POPULATION HEALTH METRICS, 2010, 8
[9]  
BRFSS annual survey data, 2006, SUMMARY DATA QUALITY
[10]   Prevalence and causes of visual impairment and blindness among 9980 Scandinavian adults - The Copenhagen City Eye Study [J].
Buch, H ;
Vinding, T ;
la Cour, M ;
Appleyard, M ;
Jensen, GB ;
Nielsen, NV .
OPHTHALMOLOGY, 2004, 111 (01) :53-61