Eye care utilization by older Americans -: The SEE project
Eye care utilization by older Americans -: The SEE project
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DOI：
10.1016/s0161-6420(99)00508-4
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发表时间：
1999-05-01
期刊：
影响因子：
13.7
通讯作者：
West, SK
中科院分区：
文献类型：
--
作者：
Orr, P;Barrón, Y;West, SK
目的：确定美国老年人的眼科护理利用模式，特别是那些寻求不同类型提供者的特征，以及寻求眼科护理服务的预测因素，以及糖尿病患者和视力丧失患者。设计和参与者：SEE项目是对马里兰州索尔兹伯里市2520名年龄在65至84岁之间的人进行的基于人群的调查，提供了关于眼部护理使用的横截面数据。关于眼部护理使用，人口统计学，病史和其他因素的问题被问到了家庭interview.Main结果测量：在过去的一年中使用的眼部护理提供者，与使用不同类型的眼部护理提供者的额外结果，结果：黑人显着不太可能看到任何类型的眼部护理提供者超过1年：50%对69%的白人。那些报告有视力问题的人，那些受过更多教育的人，以及那些年龄较大的人更有可能去看眼科医生或验光师。糖尿病和开车是看眼科医生的预测因素，但不是看验光师的预测因素。自我报告的糖尿病和眼部护理问题，并作为一个当前的驱动程序，是预测看到一个眼部护理专业人士之间的那些visual impairment.Conclusions：虽然黑人是已知的几个年龄相关的眼部疾病的风险更大，他们是不太可能看到一个眼部护理提供者。应考虑采取干预措施，消除眼科保健服务的障碍。
Objective: To determine eye care utilization patterns among older Americans, particularly characterizing those who sought different types of providers, and the predictive factors for seeking eye care services in general and among those with diabetes and those with visual loss.Design and Participants: The SEE Project, a population-based survey of 2520 persons aged 65 to 84 in Salisbury, Maryland, provided cross-sectional data on eye care use. Questions on eye care use, demographics, medical history, and other factors were asked on the home interview.Main Outcome Measures: Use of an eye care provider in the previous year, with additional outcomes of use of different types of eye care providers,Results: Blacks were significantly less likely to see any type of eye care provider over 1 year: 50% versus 69% among whites. Those who reported having a vision problem, those with more education, and those in the older age groups were significantly more likely to see either an ophthalmologist or an optometrist. Diabetes and driving a car were predictive factors for seeing an ophthalmologist but not for seeing an optometrist. Self-report of diabetes and eye care problems, and being a current driver, were predictive of seeing an eye care professional among those with visual impairment.Conclusions: Although blacks are known to be at greater risk for several age-related eye diseases, they are much less likely to see an eye care provider. Interventions that remove barriers to eye care services should be considered.