COVID-19 Testing and Vaccination Among US Older Adults with Vision Impairment: The National Health and Aging Trends Study 2021.
Ophthalmic Epidemiol
; 31(5): 454-459, 2024 Oct.
Article
em En
| MEDLINE
| ID: mdl-38265038
ABSTRACT
PURPOSE:
To examine the associations between vision impairment (VI) and COVID-19 testing and vaccination services in older US adults.METHODS:
This cross-sectional study assessed data from adults ≥ 65 years who participated in the National Health and Aging Trends Study (year 2021), a nationally representative sample of Medicare beneficiaries. Exposure Distance VI (<20/40), near VI (<20/40), contrast sensitivity impairment (CSI) (<1.55 logCS), and any VI (distance, near, or CSI).Outcomes:
Self-reported COVID-19 testing and vaccination.RESULTS:
Of 2,822 older adults, the majority were female (weighted; 55%) and White (82%), and 32% had any VI. In fully-adjusted regression analyses, older adults with any VI had similar COVID-19 vaccination rates to adults without any VI (OR0.77, 95% CI0.54-1.09), but had lower odds of COVID-19 testing (OR0.82, 95% CI0.68-0.97). Older adults with distance (OR0.47, 95% CI0.22-0.99) and near (OR0.68, 95% CI0.47-0.99) VI were less likely to be vaccinated for COVID-19, while those with CSI were less likely to test for COVID-19 (OR0.76, 95% CI0.61-0.95), as compared to peers without respective impairments. The remaining associations were not significant (p > .05). CONCLUSIONS AND RELEVANCE These findings highlight inequities in the COVID-19 pandemic response for people with vision disability and emphasize the need for equitable prioritization of accessibility of healthcare services for all Americans.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtornos da Visão
/
Vacinação
/
Vacinas contra COVID-19
/
COVID-19
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Ophthalmic Epidemiol
Assunto da revista:
EPIDEMIOLOGIA
/
OFTALMOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos