Socioeconomic Status and Vision Care Services in Ontario, Canada: A Population-Based Cohort Study.
J Pediatr
; 241: 212-220.e2, 2022 02.
Article
en En
| MEDLINE
| ID: mdl-34687692
ABSTRACT
OBJECTIVE:
To test the association of material deprivation and the utilization of vision care services for young children. STUDYDESIGN:
We conducted a population-based, repeated measures cohort study using linked health and administrative datasets. All children born in Ontario in 2010 eligible for provincial health insurance were followed from birth until their seventh birthday. The main exposure was neighborhood-level material deprivation quintile, a proxy for socioeconomic status. The primary outcome was receipt of a comprehensive eye examination (not to include a vision screening) by age 7 years from an eye care professional, or family physician.RESULTS:
Of 128 091 children included, female children represented 48.7% of the cohort, 74.4% lived in major urban areas, and 16.2% lived in families receiving income assistance. Only 65% (n = 82 833) had at least 1 comprehensive eye examination, with the lowest uptake (56.9%; n = 31 911) in the most deprived and the highest uptake (70.5%; n =19 860) in the least deprived quintiles. After adjusting for clinical and demographic variables, children living in the least materially deprived quintile had a higher odds of receiving a comprehensive eye examination (aOR 1.43; 95% CI 1.36, 1.51) compared with children in the most materially deprived areas.CONCLUSIONS:
Uptake of comprehensive eye examinations is poor, especially for children living in the most materially deprived neighborhoods. Strategies to improve uptake and reduce inequities are warranted.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Clase Social
/
Trastornos de la Visión
/
Pruebas de Visión
/
Disparidades en Atención de Salud
/
Utilización de Instalaciones y Servicios
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Pediatr
Año:
2022
Tipo del documento:
Article
País de afiliación:
Canadá