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Factors Associated With Ocular Health Care Utilization Among Hispanics/Latinos: Results From an Ancillary Study to the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
McClure, Laura A; Zheng, D Diane; Lam, Byron L; Tannenbaum, Stacey L; Joslin, Charlotte E; Davis, Sonia; López-Cevallos, Daniel; Youngblood, Marston E; Zhang, Zhu-Ming; Chambers, Claudia Pulido; Lee, David J.
Afiliação
  • McClure LA; Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, Florida.
  • Zheng DD; Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida.
  • Lam BL; Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida.
  • Tannenbaum SL; Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, Florida.
  • Joslin CE; Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, Florida.
  • Davis S; Department of Biostatistics-Collaborative Studies Coordinating Center, Gillings School of Public Health, University of North Carolina at Chapel Hill.
  • López-Cevallos D; Center for Latino/a Studies and Engagement, Oregon State University, Corvallis7School of Public Health, Universidad San Francisco de Quito, Quito, Ecuador.
  • Youngblood ME; Department of Biostatistics-Collaborative Studies Coordinating Center, Gillings School of Public Health, University of North Carolina at Chapel Hill.
  • Zhang ZM; Epidemiological Cardiology Research Center, Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston Salem, North Carolina.
  • Chambers CP; Department of Psychology, Miller School of Medicine, University of Miami, Miami, Florida.
  • Lee DJ; Department of Public Health Sciences, Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, Florida.
JAMA Ophthalmol ; 134(3): 320-9, 2016 Mar.
Article em En | MEDLINE | ID: mdl-26821791
IMPORTANCE: Regular ocular care is critical to early detection and prevention of eye disease and associated morbidity and mortality; however, there have been relatively few studies of ocular health care utilization among Hispanics/Latinos of diverse backgrounds. OBJECTIVE: To examine factors associated with ocular health care utilization among Cuban, Central American, and South American Hispanics/Latinos in a cohort study. DESIGN, SETTING, AND PARTICIPANTS: An ancillary study to the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) evaluating ocular health, knowledge, risk factors, and health care use was conducted with 1235 HCHS/SOL participants (aged ≥40 years) at the Miami, Florida, study site. Data were collected from October 17, 2011, to September 30, 2013, and analyses were conducted from May 28, 2014, to March 18, 2015. Descriptive and multivariable logistic regression analyses were performed for 3 ocular health care outcomes. Regression models were built sequentially with variables conceptually grouped according to Andersen's Behavioral Model of Health Services Use. MAIN OUTCOMES AND MEASURES: Ever having an eye examination, having an eye examination performed within the past 2 years, and difficulty obtaining needed eye care in the past year. RESULTS: Of the 1235 participants, 478 were men and 757 were women, and they had a mean (SD) age of 53.6 (8.1) years. Those who never had insurance were less likely to have had an eye examination (with data reported as odds ratios [95% CIs]) ever, 0.19 (0.07-0.53) and in the past 2 years, 0.22 (0.15-0.33) and were more likely to have had difficulty obtaining needed eye care in the past year (3.72 [1.75-7.93]). Those with less than excellent or good self-rated eyesight were less likely to ever have had an eye examination (0.26 [0.12-0.56]) and more likely to have had difficulty obtaining care (3.00 [1.48-6.11]). Men were less likely to ever have had an eye examination (0.31 [0.18-0.53]). Older (55-64 years) Hispanics/Latinos (3.04 [1.47-6.31]) and those with a high school degree or general educational development certification (2.06 [1.02-4.13]) or higher levels of education (4.20 [2.12-8.30]) were more likely to ever have had an eye examination. Finally, those living in the United States for more than 15 years (0.42 [0.21-0.82]) were less likely to have had difficulty obtaining care. CONCLUSIONS AND RELEVANCE: Our findings suggest that increasing insurance coverage, decreasing the costs of care, and increasing the availability of care for Hispanics/Latinos with poor self-rated eyesight are relevant issues to address to improve ocular health care use among Hispanics/Latinos of diverse backgrounds.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hispânico ou Latino / Aceitação pelo Paciente de Cuidados de Saúde / Oftalmopatias / Acessibilidade aos Serviços de Saúde Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Hispânico ou Latino / Aceitação pelo Paciente de Cuidados de Saúde / Oftalmopatias / Acessibilidade aos Serviços de Saúde Idioma: En Ano de publicação: 2016 Tipo de documento: Article