December 2002
Volume 43, Issue 13
Free
ARVO Annual Meeting Abstract  |   December 2002
Eye Care in African-Americans with Type 1 Diabetes: The New Jersey 725
Author Affiliations & Notes
  • MS Roy
    Department of Ophthalmology UMD New Jersey Medical School Newark NJ
  • Footnotes
    Commercial Relationships   M.S. Roy, None. Grant Identification: NEI Grant EY09860, Research to Prevent Blindness
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 3479. doi:
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      MS Roy; Eye Care in African-Americans with Type 1 Diabetes: The New Jersey 725 . Invest. Ophthalmol. Vis. Sci. 2002;43(13):3479.

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Abstract

Abstract: : Purpose: To examine frequency of eye care and characteristics associated with having a dilated eye examination among African-Americans with type 1 diabetes who participated in the New Jersey 725 study. Methods: A detailed structured interview was conducted to determine patients' use of eye and medical care services, and health insurance coverage. Also recorded were patient's socio-demographic factors, medical and ophthalmological histories, and life-style variables. Presence of either cataract, glaucoma, or diabetic retinopathy was documented. Logistic regression analyses were used to examine characteristics associated with having had a dilated eye examination during the previous year. Blind patients were excluded. Results: Of the 722 patients, 33.8% had never been examined by an ophthalmologist and only 33.0% had a regular ophthalmologist although 77.3% had been told to have a dilated eye examination. Of those who had ever been examined by an ophthalmologist, only 50.9% were examined at least once a year. Only 41.6% of patients were examined by an eye care professional during the previous year. Most (72%) of patients had insurance coverage for eye examinations. Multiple logistic regression showed that factors significantly and independently associated with having had a dilated eye examination during the previous year included being married, having been told to have an eye examination, having either cataract or proliferative retinopathy, and higher socioeconomic status. Conclusion: These findings indicate that a large proportion of African-Americans with type 1 diabetes do not receive recommended eye care to detect retinopathy and support the need for community-based public health education and screening.

Keywords: 351 clinical (human) or epidemiologic studies: health care delivery/economics/manpower • 388 diabetic retinopathy 
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