Role of Socioeconomic Status (SES) in Globe Injuries: A Review

Kousiouris, Panagiotis; Klavdianou, Olga; Douglas, Konstantinos A A; Gouliopoulos, Nikolaos; Chatzistefanou, Klio; Καντζάνου, Μαρία; Dimtsas, Georgios S; Moschos, Marilita M.

doi:10.2147/opth.s317017

Cited by 14 publications

(13 citation statements)

References 55 publications

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“…Overall, greater neighborhood-level SVI is associated with a greater likelihood of non-adherence to ophthalmology appointments, and the largest difference in adherence was observed with the socioeconomic status SVI theme. Low socioeconomic status is associated with a higher incidence of open globe injury, 25 presenting at a more advanced stage of age-related macular degeneration, 26 a greater risk of developing glaucoma, 27 and higher rates of blindness. 28 Residency in more disadvantaged neighborhoods is associated with poor adherence to both diabetic retinopathy screening 29, 30 and physician recommended urgent ophthalmology appointments.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Relationship between Neighborhood-Level Social Vulnerability and Patient Adherence to Ophthalmology Appointments

Scanzera

Kravets

Hallak

et al. 2022

Preprint

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Objective: Little is known about the association between neighborhood characteristics and non-adherence to attending scheduled ophthalmology appointments. The purpose of this study was to examine the association between neighborhood-level social vulnerability and adherence to scheduled ophthalmology appointments. Design: Retrospective cohort study. Participants: Adults aged 18 years and older with scheduled ophthalmology appointments between September 12, 2020, and February 8, 2021. Methods: A single-center study was conducted at the University of Illinois Chicago Illinois Eye and Ear Infirmary, an urban tertiary care referral center in Chicago, Illinois. Primary exposure is neighborhood-level Social Vulnerability Index (SVI), based on patient address of residence. The SVI ranks (possible range 0 to 1) each census tract on 15 social factors into four related themes (socioeconomic status, household composition & disability, minority status & language, and housing type & transportation). Higher SVI rankings indicate higher levels of social vulnerability. The overall SVI ranking and rankings for each of the four themes were analyzed separately as the primary exposure of interest in multivariable logistic regression models that controlled for age, sex, status (new or established appointment), race, and distance from clinic. Main Outcome Measure: Non-adherence to attending scheduled ophthalmology appointments, defined as missing more than 25% of scheduled appointments. Results: A total of 8,322 unique patients (41% non-Hispanic Black, 24% Hispanic, 22% non-Hispanic White) had scheduled appointments during the five-month study period (range 1 to 23 appointments). Of those, 28% of patients were non-adherent to appointments. In multivariable logistic regression models, non-adherence to appointments was associated with living in higher SVI ranking neighborhoods (socioeconomic status: (adjusted odds ratio [95% confidence interval]) 2.38 [1.94, 2.91]; household composition/disability: 1.51 [1.26, 1.81]; minority status/language: 2.03 [1.55, 2.68]; housing type/transportation: 1.41 [1.16, 1.73]; and overall SVI: 2.46 [1.99, 3.06]). Conclusions: Neighborhood-level measures of social vulnerability are associated with greater risk of non-adherence to scheduled ophthalmology appointments. Studies to better understand these neighborhood-level vulnerabilities are needed to inform the design and evaluation of multi-level (individual and neighborhood) strategies to reduce disparities in access to ophthalmology care.

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Section: Discussionmentioning

confidence: 99%

Evaluating the Relationship between Neighborhood-Level Social Vulnerability and Patient Adherence to Ophthalmology Appointments

Scanzera

Kravets

Hallak

et al. 2022

Preprint

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“…5,6 According to the American Academy of Ophthalmologists (AAO), three of the main risk factors for OFBs consist of metal-on-metal tasks, male gender, and lack of ocular protection. 6 It has been also postulated that the alteration in many factors, such as decrease in manual labour, rise of awareness, and improvements at the offered health services and safety, have led to a decrease in the incidence of OFBs in the developed countries. 23 In our study, 10.5% of the almost 5200 registered cases of our department in a three-month period had a foreign body in the eye.…”

Section: Discussionmentioning

confidence: 99%

“…It has been suggested that 55 million ocular injuries occur every year worldwide resulting in 16 million cases of bilateral blindness and 19 million cases of unilateral blindness. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

“…It has been suggested that 55 million ocular injuries occur every year worldwide resulting in 16 million cases of bilateral blindness and 19 million cases of unilateral blindness. 5,6 It has been also calculated that the annual rates of ocular injuries range from 490 to 975 per 100,000 persons. 7,8 The yearly incidence of the cases that require hospital admission is 8-57 cases per 100,000, [9][10][11][12][13][14][15] and it has been estimated to be as high as 12.6 in Singapore, 8.1 in Scotland, 8.3 in Tanzania, and 23.9 in Croatia.…”

Section: Introductionmentioning

confidence: 99%

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The Demographic and Social Characteristics of Patients with Ocular Foreign Bodies in a Greek Tertiary Hospital

Kousiouris¹,

Gouliopoulos²,

Kourtesa³

et al. 2022

OPTH

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Purpose To present the demographic and social characteristics of patients with ocular foreign bodies (OFB), who visit the Ophthalmological Outpatient Department of a tertiary hospital in Athens, Greece. Patients and Methods During the period January-March 2019, 5181 patients presented to the Ophthalmological Outpatient Department of our hospital, and 543 of them were diagnosed with an ocular foreign body. Moreover, 106 of them were interviewed about their demographic and social factors, regarding among others data about their occupation, level of education, nationality, family, and insurance status. Results The patients with ocular foreign bodies were significantly younger compared to the rest of the examined patients (49.5±13.9 vs 56.3±17 years, p<0.001). Moreover, the ocular foreign bodies were more frequent in men compared to women (15.5% vs 5.0%, p<0.001) and in non-Greek patients (23.7% vs 9.2%, p<0.001). Regarding the social characteristics of the patients with ocular foreign bodies, we found that the majority of them were married, employed, insured, while their educational status was middle and high school. Furthermore, the vast majority of the patients practiced manual professions (73.1% of them). Conclusion We documented that the introduction of an ocular foreign body is frequently encountered in the Outpatient Department of our tertiary hospital in Athens, Greece. We also demonstrated that these patients are younger, while they are more frequently men, of non-Greek origin, with an educational status of middle and high school, and their occupation is associated with manual labour.

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“…In general, there is an impact on socioeconomic status on the medical conditions that people experience (Chan et al, 2018). For example, a study confirmed that patients with lower SES were more likely to suffer from ocular trauma (Kousiouris et al, 2022).…”

Section: Family Capitalmentioning

confidence: 99%

The mediating effect of geospatial thinking on the relationship between family capital and sense of place

Zhang

Liang²,

Su³

et al. 2022

Front. Psychol.

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Few studies have examined how family capital affects the sense of place, and the effect of spatial thinking on the relationship between the two is unclear. This study constructs a mediation model to examine the impact of family capital on sense of place and the mediation effect of geospatial thinking. A total of 1,004 upper-secondary-school students were surveyed using the Family Capital Questionnaire, the Geospatial Thinking Test, and the Sense of Place Scale. The correlation analysis showed that family capital has a positive effect on both sense of place and geospatial thinking. Moreover, there is also a significant positive correlation between geospatial thinking and sense of place. The results of mediation analysis indicated that geospatial thinking plays mediating and buffering roles in the relationship between family capital and sense of place after controlling for gender and residential address. The direct and indirect effects accounted for 73.31 and 26.69% of the total effect, respectively. Specifically, family capital is a significant positive predictor of both sense of place and geospatial thinking, and geospatial thinking partially mediates the relationship between family capital and sense of place. Students from better family backgrounds are more likely to have a better geospatial thinking and sense of place, as well as geospatial thinking promotes the development of a sense of place. Therefore, both family capital and geospatial thinking should be considered when we want to examine and develop individuals’ level of sense of place.

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Role of Socioeconomic Status (SES) in Globe Injuries: A Review

Cited by 14 publications

References 55 publications

Evaluating the Relationship between Neighborhood-Level Social Vulnerability and Patient Adherence to Ophthalmology Appointments

Evaluating the Relationship between Neighborhood-Level Social Vulnerability and Patient Adherence to Ophthalmology Appointments

The Demographic and Social Characteristics of Patients with Ocular Foreign Bodies in a Greek Tertiary Hospital

The mediating effect of geospatial thinking on the relationship between family capital and sense of place

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