التفاصيل البيبلوغرافية
| العنوان: |
Eye Care Utilization among a High-Risk Diabetic Population Seen in a Public Hospital’s Clinics ; JAMA Ophthalmol |
| المساهمون: |
MacLennan, Paul A., McGwin, Gerald, Heckemeyer, Christine, Lolley, Virginia R., Hullett, Sandral, Saaddine, Jinan, Shrestha, Sundar S., Owsley, Cynthia |
| المصدر: |
JAMA Ophthalmol. 132(2):162-167. |
| المجموعة: |
CDC Stacks (Centers for Disease Control and Prevention) |
| مصطلحات موضوعية: |
Article, diabetes, retinopathy, epidemiology, eye exam, Adult, African Americans, Aged, 80 and over, Alabama, Blindness, Diabetes Mellitus, Type 1, Type 2, Diabetic Retinopathy, European Continental Ancestry Group, Female, Follow-Up Studies, Health Services, Health Services Research, Hospitals, Public, Humans, Male, Middle Aged, Ophthalmology, Outpatient Clinics, Hospital, Retrospective Studies, Risk Factors |
| الوصف: |
Objective ; Little is known regarding eye care utilization among low income persons with diabetes, especially African Americans. ; Methods ; A retrospective cohort study with two-years of follow-up examined eye care utilization among adult diabetes patients seen in 2007 in the internal medicine clinic of a large, urban, county hospital that serves primarily low income, non-Hispanic African American patients. Patients with a history of retinopathy and macular edema or a current diagnosis indicating ophthalmic complications were excluded. Eye care utilization was defined dichotomously as whether or not patients had a visit to the eye clinic for any eye care examination or procedure. We estimated crude and adjusted rate ratios (aRRs) and 95% confidence intervals (CIs) for the association between eye care utilization and selected clinical and demographic characteristics. ; Results ; There were 867 patients with diabetes identified: 61.9% women, 76.2% non-Hispanic African American, 61.3% indigent, and average age 51.8 years. Eye care utilization was 33.2% within one-year and 45.0% within two-years. For patients 19–39 years of age compared to those 65+ years, significantly decreased eye care utilization was observed within one-year (aRR=0.48, 95% CI 0.27–0.84) and within two-years (aRR=0.61, 95% CI 0.38–0.99). ; Conclusions ; Overall eye care utilization was low. Additional education efforts to increase the perception of need among urban minority populations may be enhanced if focused on younger people with diabetes. ; 1U58DP002651/DP/NCCDPHP CDC HHS/United States ; U58 DP002651/DP/NCCDPHP CDC HHS/United States ; 2015-06-24T00:00:00Z ; 24310149 ; PMC4479276 |
| نوع الوثيقة: |
other/unknown material |
| اللغة: |
unknown |
| العلاقة: |
http://stacks.cdc.gov/view/cdc/31753Test/ |
| الإتاحة: |
http://stacks.cdc.gov/view/cdc/31753Test/ |
| رقم الانضمام: |
edsbas.F74544B9 |
| قاعدة البيانات: |
BASE |
