Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey.
Factors Associated with Annual Vision Screening in Diabetic Adults: Analysis of the 2019 National Health Interview Survey.
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DOI：
10.2147/opth.s402082
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发表时间：
2023
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确定接受年度眼科检查与2019年全国健康访谈调查中评估的各种经济、社会和地理因素之间的关联(S)。从2019年NHIS数据集中提取了18岁及以上成年人的数据，这些数据与自我报告的非妊娠期糖尿病诊断和过去12个月内的眼睛检查相关。多元Logistic回归模型被用来确定前12个月接受眼科检查与各种经济、保险相关、地理和社会因素之间的关联。结果报告为优势比(OR)，可信区间(CI)为95%。在美国的成年糖尿病患者中，在最近12个月内接受眼科检查与女性性别(OR 1.29；95%CI 1.05-1.58)、在美国中西部居住(OR 1.39；95%CI 1.01-1.92)、使用退伍军人健康管理局医疗保健(OR 2.15；95%CI 1.34-3.44)、有通常的医疗保健去处(OR 3.89；与没有保险的人相比，使用私人保险、联邦医疗保险优势或其他保险(OR 3.66；95%CI 2.42-5.53)、仅使用不包括联邦医疗保险优势的联邦医疗保险(OR 3.18；95%CI 1.95-5.30)、获得联邦医疗保险和医疗补助的双重资格(OR 3.88；95%CI 2.21-6.79)以及使用医疗补助和其他公共健康保险(OR 3.04；95%CI 1.89-4.88)。高中以下的教育程度(OR 0.66；95%CI 0.48-0.92)和高中或没有任何大学的GED教育程度(OR 0.62；95%CI 0.47-0.81)降低了每年进行眼科检查的几率。经济、社会和地理因素与糖尿病成人接受年度眼科检查有关。
To determine the association(s) between receiving an annual eye exam and various economic, social, and geographic factors assessed in the 2019 National Health Interview Survey (NHIS) among adults with diabetes. Data from adults 18 years of age and older relevant to self-reported non-gestational diabetes diagnosis and eye exam within the last 12 months were extracted from the 2019 NHIS dataset. A multivariate logistic regression model was used to determine associations between receiving an eye exam in the preceding 12 months and various economic, insurance-related, geographic, and social factors. Outcomes were reported as odds ratios (OR) with 95% confidence intervals (CI). Among diabetic adults in the US, receiving an eye exam within the last 12 months was significantly associated with female sex (OR 1.29; 95% CI 1.05–1.58), residence in the Midwestern United States (OR 1.39; 95% CI 1.01–1.92), use of Veteran’s Health Administration healthcare (OR 2.15; 95% CI 1.34–3.44), having a usual place to go for healthcare (OR 3.89; 95% CI 2.16–7.01), and the use of Private, Medicare Advantage, or other insurance (OR 3.66; 95% CI 2.42–5.53), use of Medicare only excluding Medicare Advantage (OR 3.18; 95% CI 1.95–5.30), dual eligibility for Medicare and Medicaid (OR 3.88; 95% CI 2.21–6.79), and use of Medicaid and other public health insurance (OR 3.04; 95% CI 1.89–4.88) compared to those without insurance. An educational attainment of less than high school (OR 0.66; 95% CI 0.48–0.92), and an educational attainment of high school or GED without any college (OR 0.62; 95% CI 0.47–0.81) reduced the odds of having an annual eye exam. Economic, social, and geographic factors are associated with diabetic adults receiving an annual eye exam.