Purchase this article with an account.
P.A. Edwards, F. Caloti, R. Schiffman, D. White–Perkins, S. Anderson, K.D. Wisdom; A Population–based Evaluation of Eye Health in Detroit: The African American Initiative for Male Health Improvement Health Screenings . Invest. Ophthalmol. Vis. Sci. 2005;46(13):1941.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose:To evaluate the prevalence of eye disease and level of eye care in Detroit. Methods: We examined a population–based cohort of a majority African Americans (AA) in Detroit (1999 – 2002). Examinations were conducted through mobile screenings . A disease–oriented history of risk factor(s) of eye disease was obtained from participants. They underwent a screening eye exam, measuring acuity, visual field, and IOP. They were then counseled by an eye physician. Those with abnormal screening results were referred for a definitive eye exam. Referrals were arranged according to the participants insurance, or to a free clinic. Referred participants were followed by the AIMHI staff via phone contacts. Results: 1702 participants are included in this analysis. 87% were AA. AA males constituted 33% of the population. Mean age of the population was 51 years. 46% had at least one risk factor of eye disease, 8% had 2 or more risk factors. AA had 1% prevalence of AMD, non–AA had 4%. Hispanics had 27% prevalence of DM, non–Hispanics had 12%. 37% of the population had regular eye exam, 37% never had a dilated eye exam. Only 21% had a dilated eye exam in the previous year. 6% of Hispanics had regular eye exam compared to 38% of non–Hispanics. Hispanics and Caucasians had the highest prevalence of decreased pinhole visual acuity (13%, 12% respectively). Refractive error was the major cause of uncorrected decreased VA in all groups. VF abnormality was more prevalent among Hispanics (13% cf 9% in non–Hispanics) . AA had higher prevalence of high IOP (7%) than non–AA (4%). 70% were referred for definitive eye evxams. 3% were uninsured. There was no difference in the rate and the cause(s) of referral among ethnic groups. Participants with abnormal examinations, 32% of the total population, had phone follow–up. 58% of these had a definitive evaluation. 51% received treatment ranging from observation to surgery. There was a significant difference in the referral rate to an Eye Care Provider; it was higher in AA males (60% vs. 46%).Conclusions: African Americans, especially males, and Hispanics have a higher risk of eye disease and lower level of eye care. Lack of health awareness and low socioeconomic status are the main causes. Raising awareness level and planning community–screening programs should be the goals to the decrease the burden of undetected eye disease in this population.
This PDF is available to Subscribers Only