دورية أكاديمية
أعرض في EDS

Relationship between Unstable Housing, Food Insecurity, and Vision Status in the MI-SIGHT Community Eye Disease Screening Program.

التفاصيل البيبلوغرافية
العنوان: Relationship between Unstable Housing, Food Insecurity, and Vision Status in the MI-SIGHT Community Eye Disease Screening Program.
المؤلفون: Johnson-Griggs MA; Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan., Hicks PM; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Lu MC; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Sherman E; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Niziol LM; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Elam AR; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Woodward MA; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan., Bicket AK; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Killeen OJ; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Wood S; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., John D; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan., Johnson L; Hamilton Community Health Clinic, Flint, Michigan., Kershaw M; Hope Clinic, Ypsilanti, Michigan., Musch DC; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan; Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan., Newman-Casey PA; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan. Electronic address: panewman@med.umich.edu.
المصدر: Ophthalmology [Ophthalmology] 2024 Feb; Vol. 131 (2), pp. 140-149. Date of Electronic Publication: 2023 Sep 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 7802443 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1549-4713 (Electronic) Linking ISSN: 01616420 NLM ISO Abbreviation: Ophthalmology Subsets: MEDLINE
أسماء مطبوعة: Publication: 2000- : New York : Elsevier
Original Publication: Rochester, Minn., American Academy of Ophthalmology.
مواضيع طبية MeSH: Refractive Errors* , Vision, Low*/complications, Adult ; Humans ; Male ; Middle Aged ; Female ; Quality of Life ; Cross-Sectional Studies ; Housing ; Food Insecurity ; Prevalence ; Vision Disorders
مستخلص: Purpose: Housing and food insecurity are social risk factors that can impact eye health outcomes. This study investigated the association of these social risk factors with vision and ophthalmic pathologic characteristics.
Design: Cross-sectional study from July 28, 2020, through July 27, 2021, for the free clinic and January 27, 2021, through January 26, 2022, for the Federally Qualified Health Center.
Participants: Michigan Screening and Intervention for Glaucoma and Eye Health through Telemedicine program first-year participants.
Methods: Data collected included sociodemographic features, housing and food insecurity status, and results from a comprehensive telemedicine assessment. Individual-level and neighborhood-level characteristics were summarized with descriptive statistics. Differences in participant characteristics between housing and food security status were tested by 2-sample t tests for continuous measures and chi-square or Fisher exact tests for categorical measures. Logistic regression was used to test the independent associations between housing and food insecurity and ophthalmic disease, adjusted for age. The Holm’s procedure was performed to adjust for multiple comparisons.
Main Outcome Measures: Visual impairment (VI; presenting visual acuity [VA], < 20/40), uncorrected or undercorrected refractive error (PVA, < 20/40; and best-corrected VA, ≥ 20/40), glaucoma, diabetic retinopathy, cataract, and macular degeneration.
Results: Participants (n = 1165) were mean ± standard deviation [SD] of 55 ± 14.5 years of age, 62% identified as female, 54% identified as Black or African American, 10% identified as Hispanic or Latino, 49.7% had annual household income of less than $20 000, and 20% reported no medical insurance. Presenting VA was mean ± SD of 0.12 ± 0.19 logarithm of the minimum angle of resolution units (Snellen equivalent, 20/26 ± 1.9 lines). Visual impairment and uncorrected or undercorrected refractive error were identified in 10.3% and 8.3% of participants, respectively. Participants reported housing insecurity (3.4%) and food insecurity (28.9%), and 2.2% reported both. Among participants with unstable housing, 26.3% showed VI and 23.7% showed uncorrected or undercorrected refractive error. Unstable housing was associated with higher odds of VI (odds ratio, 3.53; P = 0.006) and uncorrected or undercorrected refractive error (odds ratio, 3.74; P = 0.006). No associations were observed between unstable housing and other ocular pathologic features or food insecurity and any ocular pathologic features.
Conclusions: Because unstable housing is associated with VI and uncorrected refractive error, future initiatives could focus on interventions to address both unstable housing and the increased need for eye care among those with unstable housing.
Financial Disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
(Copyright © 2023 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
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معلومات مُعتمدة: K12 GM111725 United States GM NIGMS NIH HHS; K23 MD016430 United States MD NIMHD NIH HHS; U01 DP006442 United States DP NCCDPHP CDC HHS
فهرسة مساهمة: Keywords: Food insecurity; Social risk factors; Unstable housing; Vision screening; Vision status
تواريخ الأحداث: Date Created: 20230914 Date Completed: 20240123 Latest Revision: 20240711
رمز التحديث: 20240711
مُعرف محوري في PubMed: PMC11044600
DOI: 10.1016/j.ophtha.2023.09.011
PMID: 37709171
قاعدة البيانات: MEDLINE
الوصف
تدمد:1549-4713
DOI:10.1016/j.ophtha.2023.09.011