ArticleOphthalmic epidemiology2024
Evaluating the Relationship between Neighborhood-Level Social Vulnerability and Patient Adherence to Ophthalmology Appointments.
Article in Ophthalmic epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Association between social vulnerability index and cataract surgery care in medicare beneficiaries: a retrospective cohort study.BMC ophthalmology · 2026Observational
- Social vulnerability and reliability to attend clinic appointments in an urban oculoplastic surgery clinic.Orbit (Amsterdam, Netherlands) · 2025Article
- Seeing the unseen: uncovering health-related social needs through universal screening at an academic ophthalmology practice.Eye (London, England) · 2025Article
- Socioeconomic and Demographic Disparities in Keratoconus Treatment.American journal of ophthalmology · 2025Article
- Is Area-Level Social Vulnerability Index Associated With Patient-Level Health-Related Social Needs in Hand Surgery?The Journal of the American Academy of Orthopaedic Surgeons · 2025Article
- Association Between Greater Social Vulnerability and Delayed Glaucoma Surgery.American journal of ophthalmology · 2024Article
- Socioeconomic Disparities in Glaucoma Severity at Initial Diagnosis: A Nationwide Electronic Health Record Cohort Analysis.American journal of ophthalmology · 2024Article
- Spatial Vision Inequalities: A Literature Review of the Impact of Place on Vision and Eye Health Outcomes.Translational vision science & technology · 2024Review
- Barriers and Facilitators to Ophthalmology Visit Adherence in an Urban Hospital Setting.Translational vision science & technology · 2023Article
- Social Determinants of Health Affecting Retinopathy of Prematurity Follow-up Attendance.Journal of pediatric ophthalmology and strabismusArticle
- Impact of Social Vulnerability Index and Distance to Tertiary Ocular Emergency Department in Patients Presenting with Open Globe Injury.Ophthalmology scienceArticle
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Authors and funding
7 authors.
Funding
Abstract
purposeTo examine the association between neighborhood-level social vulnerability and adherence to scheduled ophthalmology appointments.
methodsIn this retrospective cohort study, records of all patients ≥18 years scheduled for an ophthalmology appointment between September 12, 2020, and February 8, 2021, were reviewed. Primary exposure is neighborhood-level Social Vulnerability Index (SVI) based on the patient's residential location. SVI is a rank score of 15 social factors into four themes (socioeconomic status, household composition/disability, minority status/language, and housing type/transportation), ranging from 0 to 1.0, with higher ranks indicating greater social vulnerability. The overall SVI score and each theme were analyzed separately as the primary exposure of interest in multivariable logistic regression models that controlled for age, sex, appointment status (new or established), race, and distance from clinic. The primary outcome, non-adherence, was defined as missing more than 25% of scheduled appointments.
resultsOf 8,322 patients (41% non-Hispanic Black, 24% Hispanic, 22% non-Hispanic White) with scheduled appointments, 28% were non-adherent. Non-adherence was associated with greater social vulnerability (adjusted odds ratio [aOR] per 0.01 increase in overall SVI = 2.46 [95% confidence interval, 1.99, 3.06]) and each SVI theme (socioeconomic status: aOR = 2.38 [1.94, 2.91]; household composition/disability: aOR = = 1.51 [1.26, 1.81]; minority status/language: aOR = 2.03 [1.55, 2.68]; housing type/transportation: aOR = 1.41 [1.16, 1.73]).
conclusionNeighborhood-level social vulnerability is associated with greater risk of non-adherence to scheduled ophthalmology appointments, controlling for individual characteristics. Multi-level intervention strategies that incorporate neighborhood-level vulnerabilities are needed to reduce disparities in access to ophthalmology care.
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