Michele Zaman, Chris Zajner, Jim Xie, Nikhil S Patil, Lana Moayad, Marko Popovic, Peter J Kertes, Rajeev H Muni, Radha P Kohly
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Multivariable analysis found a significant association between DR prevalence and the following social determinants of health:, poorer health status (OR = 5.9; 95% CI = 3.6-9.7; P < .001), disability (OR 2.1; 95% CI 1.3-3.2; P = .001), no employment status (OR = 1.8; 95% CI = 1.2-2.9; P = .009), and living in Southern regions of the US (OR = 1.9; 95% CI = 1.1-3.3; P = .020). Not having a usual place for healthcare (OR 0.3; 95% CI 0.1-0.7; P = .006) and female sex (OR = 0.6; 95% CI = 0.4-0.8; P = .002) were negatively associated with self-reported DR prevalence.</p><p><strong>Conclusion: </strong>Multiple sociodemographic factors are associated with self-reported DR prevalence. Health care providers and policymakers should tailor future interventions to address SDH in a holistic model of DR screening and care.</p>","PeriodicalId":7568,"journal":{"name":"American Journal of Ophthalmology","volume":" ","pages":"138-148"},"PeriodicalIF":4.1000,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association Between Sociodemographic Factors and Self-Reported Diabetic Retinopathy: A Cross-sectional, Population-Based Analysis.\",\"authors\":\"Michele Zaman, Chris Zajner, Jim Xie, Nikhil S Patil, Lana Moayad, Marko Popovic, Peter J Kertes, Rajeev H Muni, Radha P Kohly\",\"doi\":\"10.1016/j.ajo.2024.11.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aimed to investigate the relationship between sociodemographic and healthcare access factors with self-reported diabetic retinopathy (DR) prevalence in a nationally representative sample of the United States.</p><p><strong>Design: </strong>This is a population based, cross-sectional analysis.</p><p><strong>Methods: </strong>Data from those who answered the question, \\\"Have you ever been told by a doctor or other health professional that you had diabetic retinopathy?\\\" from the 2017 National Health Interview Survey (NHIS) was analyzed through logistic regression to examine the association between DR prevalence and social determinants of health (SDH).</p><p><strong>Results: </strong>Of 26,966 eligible NHIS respondents (81.4%), 26,699 participants answered the DR question, of whom 266 (1.0%) self-reported a DR diagnosis. Multivariable analysis found a significant association between DR prevalence and the following social determinants of health:, poorer health status (OR = 5.9; 95% CI = 3.6-9.7; P < .001), disability (OR 2.1; 95% CI 1.3-3.2; P = .001), no employment status (OR = 1.8; 95% CI = 1.2-2.9; P = .009), and living in Southern regions of the US (OR = 1.9; 95% CI = 1.1-3.3; P = .020). Not having a usual place for healthcare (OR 0.3; 95% CI 0.1-0.7; P = .006) and female sex (OR = 0.6; 95% CI = 0.4-0.8; P = .002) were negatively associated with self-reported DR prevalence.</p><p><strong>Conclusion: </strong>Multiple sociodemographic factors are associated with self-reported DR prevalence. 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引用次数: 0
摘要
目的:本研究旨在调查具有全国代表性的美国样本中,社会人口和医疗服务获取因素与自我报告的糖尿病视网膜病变(DR)患病率之间的关系:这是一项基于人群的横断面分析 方法:通过逻辑回归分析 2017 年全国健康访谈调查(NHIS)中回答 "医生或其他医疗专业人士是否曾告诉您患有糖尿病视网膜病变?"问题的受访者数据,以研究 DR 患病率与健康的社会决定因素(SDH)之间的关联:在 26966 名符合条件的 NHIS 受访者(81.4%)中,有 26699 名参与者回答了 DR 问题,其中 266 人(1.0%)自我报告了 DR 诊断。多变量分析发现,DR 患病率与以下健康社会决定因素之间存在显著关联:健康状况较差(OR=5.9;95%CI=3.6-9.7;p):多种社会人口因素与自我报告的 DR 患病率相关。医疗服务提供者和政策制定者应在 DR 筛查和护理的整体模式中调整未来干预措施,以解决 SDH 问题。
Association Between Sociodemographic Factors and Self-Reported Diabetic Retinopathy: A Cross-sectional, Population-Based Analysis.
Purpose: This study aimed to investigate the relationship between sociodemographic and healthcare access factors with self-reported diabetic retinopathy (DR) prevalence in a nationally representative sample of the United States.
Design: This is a population based, cross-sectional analysis.
Methods: Data from those who answered the question, "Have you ever been told by a doctor or other health professional that you had diabetic retinopathy?" from the 2017 National Health Interview Survey (NHIS) was analyzed through logistic regression to examine the association between DR prevalence and social determinants of health (SDH).
Results: Of 26,966 eligible NHIS respondents (81.4%), 26,699 participants answered the DR question, of whom 266 (1.0%) self-reported a DR diagnosis. Multivariable analysis found a significant association between DR prevalence and the following social determinants of health:, poorer health status (OR = 5.9; 95% CI = 3.6-9.7; P < .001), disability (OR 2.1; 95% CI 1.3-3.2; P = .001), no employment status (OR = 1.8; 95% CI = 1.2-2.9; P = .009), and living in Southern regions of the US (OR = 1.9; 95% CI = 1.1-3.3; P = .020). Not having a usual place for healthcare (OR 0.3; 95% CI 0.1-0.7; P = .006) and female sex (OR = 0.6; 95% CI = 0.4-0.8; P = .002) were negatively associated with self-reported DR prevalence.
Conclusion: Multiple sociodemographic factors are associated with self-reported DR prevalence. Health care providers and policymakers should tailor future interventions to address SDH in a holistic model of DR screening and care.
期刊介绍:
The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect.
The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports.
Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.