Investigative Ophthalmology & Visual Science Cover Image for Volume 65, Issue 7
June 2024
Volume 65, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2024
Disparities in Healthcare Utilization and Access for Hispanic Uveitis Patients: A Retrospective Observational Study
Author Affiliations & Notes
  • Ruth Sanchez
    California University of Science and Medicine School of Medicine, Colton, California, United States
  • Clarisa Marie Bloemhof
    California University of Science and Medicine School of Medicine, Colton, California, United States
  • Breana Nguyen
    California University of Science and Medicine School of Medicine, Colton, California, United States
  • Joseph Dhahbi
    California University of Science and Medicine School of Medicine, Colton, California, United States
  • Footnotes
    Commercial Relationships   Ruth Sanchez None; Clarisa Marie Bloemhof None; Breana Nguyen None; Joseph Dhahbi None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2024, Vol.65, 3003. doi:
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      Ruth Sanchez, Clarisa Marie Bloemhof, Breana Nguyen, Joseph Dhahbi; Disparities in Healthcare Utilization and Access for Hispanic Uveitis Patients: A Retrospective Observational Study. Invest. Ophthalmol. Vis. Sci. 2024;65(7):3003.

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

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Abstract

Purpose : This study examines disparities in healthcare utilization and access between Hispanic and non-Hispanic White populations in the context of uveitis, an inflammatory eye condition that can threaten vision. Our goal was to understand healthcare usage patterns, identify barriers, and offer insights for interventions to improve health access for Hispanics affected by uveitis.

Methods : Utilizing data from the NIH “All of Us” Research Program, we investigated the relationship between healthcare access and utilization among Hispanics and Non-Hispanic Whites diagnosed with uveitis.

Results : Our findings indicate that Hispanics with a history of uveitis are 2.31 times more likely to forgo necessary follow-up care due to affordability issues (OR = 2.31, 95% CI: 1.12 - 4.50, p = 0.01). Additionally, they are 2.26 times more likely to delay seeking medical care due to work-related time constraints (OR = 2.26, 95% CI: 1.22 - 4.03, p = 0.01). Compared to non-Hispanic Whites, Hispanic uveitis patients place higher importance on healthcare provider diversity regarding race or religion but frequently encounter difficulties in accessing such providers.

Conclusions : The study corroborates that Hispanic individuals with uveitis are disproportionately impacted by financial and work-related barriers in healthcare utilization compared to their non-Hispanic White counterparts. These findings emphasize the urgent need to address these barriers, particularly those related to economic constraints and job commitments. The study also highlights the critical need for greater diversity among healthcare providers to meet the unique needs of the Hispanic population with uveitis. Future research should focus on the broader impact of these disparities and the development of specific interventions to mitigate them.

This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.

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