Attributes associated with eye care use in the United States: a meta-analysis.
Attributes associated with eye care use in the United States: a meta-analysis.
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DOI：
10.1016/j.ophtha.2012.12.030
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发表时间：
2013-07
期刊：
影响因子：
13.7
通讯作者：
Rein DB
中科院分区：
文献类型：
--
作者：
Wagner LD;Rein DB
对美国糖尿病患者和非糖尿病患者使用眼科护理服务的相关因素进行建模，按年龄组分层。荟萃分析.我们分析了三个数据集的数据：2006-2009年的行为风险因素监测系统，2005-2008年的国家健康和营养检查调查，以及2008年的国家健康访谈调查。对于所有三个数据集，我们分析了所有40岁或以上参与视觉相关调查模块的调查参与者的数据。我们进行了多变量逻辑回归分析，以评估前一年内任何眼科护理使用与患者人口统计学和健康的14个指标之间的关联。我们估计了按年龄组分层的糖尿病患者和非糖尿病患者的独立回归。我们使用马尔可夫链蒙特卡罗算法估计的随机效应模型组合了数据集之间的估计值。前一年使用眼保健品的情况以及与眼保健品使用相关的个人因素。非糖尿病患者的年度眼科护理利用率为46%至51%，糖尿病患者为64%至72%。对于糖尿病患者和非糖尿病患者，健康保险，眼科疾病诊断和较高的收入与更高的眼科护理利用率相关。在某些糖尿病状态和年龄组类别中，男性与眼部护理利用率较低相关。其他变量，如更多的教育，已婚，黑人种族，西班牙裔/拉丁裔，健康状况，酗酒，阅读小字的能力有限，与眼睛护理利用仅在一些糖尿病状态和年龄组类别。我们的研究结果表明，经济和眼部健康因素与年度眼部护理利用的最大可能性相关。获得医疗保险和收入水平超过35，000美元（访谈时的价值）与眼科护理使用相关，独立于其他人口因素。
To model the factors that are associated with the use of eye care services among the United States population with and without diabetes, stratifying by age group. Meta-analysis. We analyzed data from three datasets: the Behavioral Risk Factors Surveillance System combined years 2006-2009, the National Health and Nutrition Examination Survey combined years 2005-2008, and the National Health Interview Survey year 2008. For all three datasets, we analyzed data from all survey participants aged 40 or older who participated in vision-related survey modules. We performed multivariate logistic regression analyses to assess associations between any eye care utilization within the previous year and 14 indicators of patient demographics and health. We estimated separate regressions for persons with and without diabetes stratified by age group. We combined estimates across datasets using a random effects model estimated using Markov Chain Monte Carlo algorithms. Use of eye care in the previous year and personal factors associated with eye care use. Annual eye care utilization rates ranged from 46% to 51% in participants without diabetes and 64% to 72% in participants with diabetes. For people with and without diabetes, health insurance, an eye disease diagnosis, and higher income were associated with higher odds of eye care utilization. Being male was associated with lower odds of eye care utilization in some diabetes status and age group categories. Other variables, such as more education, being married, black race, Hispanic/Latino ethnicity, health status, heavy drinking, and limited ability to read small print were associated with eye care utilization in only some diabetes status and age group categories. Our findings indicate that economic and ocular health factors are associated with the greatest odds of annual eye care utilization. Access to health insurance and income levels greater than $35,000 United States Dollars (value at the time of interview), are associated with eye care utilization, independent of other demographic factors.
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影响因子：
3.4
作者：
Rein DB;Wittenborn JS;Zhang X;Allaire BA;Song MS;Klein R;Saaddine JB;Vision Cost-Effectiveness Study Group
通讯作者：
Vision Cost-Effectiveness Study Group
影响因子：
3
作者：
Schaumberg, DA;Christen, WG;Buring, JE
通讯作者：
Buring, JE
影响因子：
13.7
作者：
Orr, P;Barrón, Y;West, SK
通讯作者：
West, SK
影响因子：
16.2
作者：
Narayan, K. M. Venkat;Saaddine, Jinan B.;Geiss, Linda S.
通讯作者：
Geiss, Linda S.
影响因子：
3.4
作者：
Sloan, FA;Brown, DS;Lee, PP
通讯作者：
Lee, PP