Association of Neighborhood Child Opportunity Index with presenting visual acuity in amblyopic children

Adomfeh, Jean; Chinn, Ryan N.; Michalak, Suzanne M.; Shoshany, Talia N.; Bishop, Kaila; Hunter, David G.; Jastrzembski, Benjamin; Oke, Isdin

doi:10.1016/j.jaapos.2022.11.013

Cited by 3 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Persistent poverty was associated with the greatest increase in odds in the adjusted multivariable model, in which persistent poverty was associated with a 35.6% increased odds of VDB followed by place-based segregation, which was associated with 14.4% increased odds of VDB, and income inequality, which was associated with 15.0% increased odds of VDB. These data contribute to the growing evidence that place-based deprivation is associated with eye health and vision outcomes, including microbial keratitis, glaucoma, amblyopia, and visual impairment and blindness …”

Section: Discussionmentioning

confidence: 68%

“…These data contribute to the growing evidence that place-based deprivation is associated with eye health and vision outcomes, including microbial keratitis, glaucoma, amblyopia, and visual impairment and blindness. [11][12][13]15,26 The use of the THI for racial segregation, the Gini index of income inequality, and persistent poverty within a census tract have been previously explored in the ophthalmic literature in varying capacities. In 1 study, 11 living in an area with a high THI was associated with increased risk for worse presenting visual acuity among people with microbial keratitis (OR of 1.44 per 0.1-unit increase in THI of presenting with worse than 20/40 best-corrected visual acuity).…”

Section: Discussionmentioning

confidence: 99%

“…Individuals from neighborhoods with high deprivation scores may be at increased risk of screening positive for glaucoma and present with worse best-corrected visual acuity when experiencing microbial keratitis . In the pediatric population, living in areas without green space and with low neighborhood opportunity is associated with worsening myopia and amblyopia . Living in areas affected by redlining—the racist practice of systemic denial of mortgages and other financial services to neighborhoods with a large population of Black individuals—is associated with increased self-reported vision difficulty and blindness (VDB) .…”

Section: Introductionmentioning

confidence: 99%

“…11,13 In the pediatric population, living in areas without green space and with low neighborhood opportunity is associated with worsening myopia and amblyopia. 15,16 Living in areas affected by redlining-the racist practice of systemic denial of mortgages and other financial services to neighborhoods with a large population of Black individuals-is associated with increased self-reported vision difficulty and blindness (VDB). 12 The relationship between place-based inequity and VDB in contemporary conditions at the national level remains understudied.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Place-Based Measures of Inequity and Vision Difficulty and Blindness

Hicks,

Lin,

Newman-Casey

et al. 2024

JAMA Ophthalmol

View full text Add to dashboard Cite

ImportanceKnown social risk factors associated with poor visual and systemic health in the US include segregation, income inequality, and persistent poverty.ObjectiveTo investigate the association of vision difficulty, including blindness, in neighborhoods with measures of inequity (Theil H index, Gini index, and persistent poverty).Design, Setting, and ParticipantsThis cross-sectional study used data from the 2012-2016 American Community Survey and 2010 US census tracts as well as Theil H index, Gini index, and persistent poverty measures from PolicyMap. Data analysis was completed in July 2023.Main Outcomes and MeasuresThe main outcome was the number of census tract residents reporting vision difficulty and blindness (VDB) and the association with the Theil H index, Gini index, or persistent poverty, assessed using logistic regression.ResultsIn total, 73 198 census tracts were analyzed. For every 0.1-unit increase in Theil H index and Gini index, there was an increased odds of VDB after controlling for census tract–level median age, the percentage of the population that identified as female sex, the percentage of the population that identified as a member of a racial or ethnic minority group, state, and population size (Theil H index: odds ratio [OR], 1.14 [95% CI, 1.14-1.14; P &lt; .001]; Gini index: OR, 1.15 [95% CI, 1.15-1.15; P &lt; .001]). Persistent poverty was associated with an increased odds of VDB after controlling for census tract–level median age, the percentage of the population that identified as female sex, the percentage of the population that identified as a member of a racial or ethnic minority group, state, and population size compared with nonpersistent poverty (OR, 1.36; 95% CI, 1.35-1.36; P &lt; .001).Conclusions and RelevanceIn this cross-sectional study, residential measures of inequity through segregation, income inequality, or persistent poverty were associated with a greater number of residents living with VDB. It is essential to understand and address how neighborhood characteristics can impact rates of VDB.

show abstract

Section: Discussionmentioning

confidence: 68%