Evidence map›Paper›PMID 36963606›Full record

ArticleAmerican journal of ophthalmology2023

The Impact of Social Determinants of Health on Vision Loss From Cataracts and Cataract Surgery Utilization in the United States-A National Health Interview Survey Analysis.

Abdelhalim A Awidi, Jiangxia Wang, Varshini Varadaraj, Muhammad Ali, Cindy X Cai, Alfred Sommer, Pradeep Y Ramulu, Fasika A Woreta

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In one paragraph

Article in American journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Abdelhalim A AwidiFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine (A.A.A., M.A., C.X.C., A.S., P.Y.R., F.A.W.).
Jiangxia WangDepartment of Biostatistics, Johns Hopkins University School of Public Health Biostatistics Center (J.W.), Baltimore, Maryland, USA.
Varshini VaradarajJohns Hopkins Disability Health Research Center, Johns Hopkins School of Nursing (V.V.), Baltimore, Maryland, USA.
Muhammad AliFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine (A.A.A., M.A., C.X.C., A.S., P.Y.R., F.A.W.).
Cindy X CaiFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine (A.A.A., M.A., C.X.C., A.S., P.Y.R., F.A.W.).
Alfred SommerFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine (A.A.A., M.A., C.X.C., A.S., P.Y.R., F.A.W.).
Pradeep Y RamuluFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine (A.A.A., M.A., C.X.C., A.S., P.Y.R., F.A.W.).
Fasika A WoretaFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine (A.A.A., M.A., C.X.C., A.S., P.Y.R., F.A.W.). Electronic address: fworeta1@jhmi.edu.

Funding

Wilmer Core Grant for Vision ResearchP30EY001765 · NEI · JOHNS HOPKINS UNIVERSITY · PI Ji Yi · 1985 to 2026
$22.1M
Institutional Career Development CoreKL2TR003099 · NCATS · JOHNS HOPKINS UNIVERSITY · PI GEBO, KELLY A · 2019 to 2023
$7.9M
Impact of Social Determinants of Health in Diabetic RetinopathyK23EY033440 · NEI · JOHNS HOPKINS UNIVERSITY · PI Cindy Xinji Cai · 2022 to 2026
$1.1M
NCATS NIH HHS KL2 TR003099NEI NIH HHS K23 EY033440NEI NIH HHS P30 EY001765
6 · The paper itself

Abstract

purposeTo investigate the association of social determinants of health (SDOH) factors and cataract-related outcomes disparities.

designCross-sectional, with a nationally representative sample.

methodsWe used publicly available data from the 2008, 2016, and 2017 National Health Interview Survey data sets. Outcome measures included self-reported prevalence for ever been diagnosed with cataract, vision loss secondary to cataracts, and the likelihood of undergoing cataract surgery. Survey-weighted, multivariable logistic regression models, adjusted for age, race and ethnicity, and other relevant covariates, were used to examine the association between SDOH factors and cataract-related outcomes.

resultsA total of 81,551 participants were included, who were predominantly between 18 and 44 years of age (49.6%), female (51.7%), and White (74.8%). Multivariable regression models with age as a covariate showed that individuals who were not working were more likely to report having cataracts than those who were working (P < .001). Those who needed but could not afford medical care in the past year were more likely to report vision loss secondary to cataracts than their counterparts (P < .001). Uninsured participants were less likely to report undergoing cataract surgery than those with private insurance (P = .03). Individuals with higher income (poverty-income ratio: 1.00-2.99 vs <1.00) were more likely to report undergoing cataract surgery (P = .04).

conclusionsSeveral SDOH factors were associated with disparities in rates of cataract-related outcomes. These findings highlight the importance of ophthalmologists screening for social risks in patients with cataract, as these social factors are important barriers for access to care.

Indexed as

CataractCataract ExtractionCross-Sectional StudiesFemaleHumansSocial Determinants of HealthSocial FactorsUnited StatesVision Disorders

Identifiers

PMID36963606
PMCPMC10514234

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.