ArticleOphthalmology2023
The Impact of Social Determinants of Health on Eye Care Utilization in a National Sample of People with Diabetes.
Article in Ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 16 citations in OpenAlex.
- Patterns of appointment cancellations and no-shows across and within ophthalmology subspecialties.Eye (London, England) · 2026Article
- Vision in the margins: the association between census tract neighbourhood disadvantage and visual difficulty and blindness in the United States.Eye (London, England) · 2026Article
- Persistent disparities in diabetic retinopathy outcomes among socially deprived individuals despite treatment adherence.Eye (London, England) · 2025Article
- The Role of Urban Residence, Race and Ethnicity, and Glycemic Control in Receiving Standards of Care and Progression to Vision-Threatening Diabetic Retinopathy.Diabetes care · 2025Article
- Patients' Perspectives on Social Barriers to Care and the Acceptability and Impact of a Community Health Worker Program in Outpatient Ophthalmology.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Loss to Follow-Up in Patients With Proliferative Diabetic Retinopathy or Diabetic Macular Edema.JAMA network open · 2024Article
- Sensory Health Among Older Adults in the United States: A Neighborhood Context Approach.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Article
- Social Risk Groups in Patients With Diabetes With Differing Eye Care Utilization and Vision Outcomes.Translational vision science & technology · 2024Article
- Baseline Characteristics and Clinical Outcomes of Patients Seen Through the Free Diabetes Screening (FDS) Program.Clinical ophthalmology (Auckland, N.Z.) · 2024Article
- Social Determinants of Health in Pediatric Ophthalmology Patients: Availability of Data in the Electronic Health Record and Association With Clinic Attendance.Translational vision science & technology · 2023Article
- Relationship between Neighborhood-Level Social Risk Factor Measures and Presenting Glaucoma Severity Utilizing Multilevel Modeling.Ophthalmology scienceArticle
- Vision Need Profiles for the City of Richmond, Virginia: A Pilot Application of Calibration Methods to Vision Surveillance.Ophthalmology scienceArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
purposeTo evaluate the association of social determinants of health (SDoH) with eye care utilization among people with diabetes mellitus using the 2013-2017 National Health Interview Survey (NHIS).
designRetrospective cross-sectional study.
participantsParticipants ≥ 18 years of age with self-reported diabetes.
methodsThe SDoH in the following domains were used: (1) economic stability; (2) neighborhood, physical environment, and social cohesion; (3) community and social context; (4) food environment; (5) education; and (6) health care system. An aggregate SDoH score was calculated and divided into quartiles, with Q4 representing those with the highest adverse SDoH burden. Survey-weighted multivariable logistic regression models evaluated the association of SDoH quartile with eye care utilization in the preceding 12 months. A linear trend test was conducted. Domain-specific mean SDoH scores were calculated, and the performance of domain-specific models was compared using area under the curve (AUC).
main outcome measureEye care utilization in the preceding 12 months.
resultsOf 20 807 adults with diabetes, 43% had not used eye care. Greater adverse SDoH burden was associated with decrements in odds of eye care utilization (P < 0.001 for trend). Participants in the highest quartile of adverse SDoH burden (Q4) had a 58% lower odds (odds ratio [OR], 0.42; 95% confidence interval [CI], 0.37-0.47) of eye care utilization than those in Q1. The domain-specific model using economic stability had the highest performing AUC (0.63; 95% CI, 0.62-0.64).
conclusionsAmong a national sample of people with diabetes, adverse SDoH were associated with decreased eye care utilization. Evaluating and intervening upon the effects of adverse SDoH may be a means by which to improve eye care utilization and prevent vision loss. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
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Registered trials
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.