April 2009
Volume 50, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2009
Self-Reported Utilization of Eye Care Among Latinos in the Los Angeles Latino Eye Study (LALES)
Author Affiliations & Notes
  • L. E. Patty
    Ophthalmology,
    University of Southern California, Los Angeles, California
  • L. S. Morales
    Division of Internal Medicine and Health Services Research, University of California Los Angeles, California
  • M. Lai
    Preventive Medicine,
    University of Southern California, Los Angeles, California
  • R. Varma
    Ophthalmology,
    University of Southern California, Los Angeles, California
  • S. Azen
    Preventive Medicine,
    University of Southern California, Los Angeles, California
  • the LALES Group
    University of Southern California, Los Angeles, California
  • Footnotes
    Commercial Relationships  L.E. Patty, None; L.S. Morales, None; M. Lai, None; R. Varma, None; S. Azen, None.
  • Footnotes
    Support  NIH Grants EY-11753 and EY-03040, unrestricted grant from Research to Prevent Blindness
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 2502. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      L. E. Patty, L. S. Morales, M. Lai, R. Varma, S. Azen, the LALES Group; Self-Reported Utilization of Eye Care Among Latinos in the Los Angeles Latino Eye Study (LALES). Invest. Ophthalmol. Vis. Sci. 2009;50(13):2502.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: : To identify determinants of eye care utilization in the Los Angeles Latino Eye Study (LALES)

Methods: : The LALES is a large population-based study in Los Angeles that collected survey and examination data from a cross-section of Latinos ages 45 years and older, including self-reported survey questions about access to general medical care and eye care. Participants underwent a detailed in-home interview to obtain demographic information, risk factors, history of ocular and medical conditions, utilization of care, acculturation, and insurance status. A subsequent dilated eye examination along with blood pressure, random glucose, and vision testing was performed in a standardized manner at the LALES Local Eye Examination Center. Univariate and multivariate logistic regression analyses were conducted to identify associations between predisposing, enabling, and need variables, as defined by Andersen’s Behavioral model, and determinants of eye care utilization among Latinos living in La Puente, California.

Results: : Overall, 36% of study participants reported an eye care visit in the past 12 months, 57% reported ever having a dilated eye exam, and 19% reported a dilated eye exam in the past 12 months. Increased eye care utilization was associated with greater age (OR 4.33, CI 3.66-5.13), greater number of medical comorbidities (OR 1.42, CI 1.35- 1.49), female gender (OR 1.14, CI 1.02-1.28), bilingual language proficiency (English and Spanish) (OR 1.90, CI 1.59-2.27), more education (OR 2.26, CI 1.87-2.73), having health insurance (OR 2.57, CI 2.27-2.90), having a usual place for care (OR 2.25, CI 1.98-2.56), having a regular provider of care (OR 2.35, CI 2.10-2.64), near and distance vision impairment (OR 0.77, CI 0.67-0.88 and OR 1.49, CI 1.18-1.89, respectively), and lower National Eye Institute Vision Functioning Questionnaire-25 scores (OR 0.99, CI 0.98-0.99).

Conclusions: : In general, Latinos at higher risk for eye disease (older, greater number of comorbidities, impaired near and distance vision) utilize eye care at a much lower level than recommended by American Academy of Ophthalmology guidelines. Health care initiatives with special attention to increasing access to eye care for those with less education and lack of insurance would likely have a large impact on identifying and treating undetected eye disease. Increasing utilization of eye care services should be a priority given the significant impacts of visual impairment on health related quality of life and mortality in this population.

Keywords: clinical (human) or epidemiologic studies: health care delivery/economics/manpower 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×