Socioeconomic Status and Visual Impairment Among Urban Americans

Tielsch, James M.; Sommer, Alfred; Katz, Joanne; Quigley, Harry A.; Ezrine, Sandi

doi:10.1001/archopht.1991.01080050051027

Cited by 187 publications

(117 citation statements)

References 7 publications

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“…9,27 Similarly, the Baltimore Eye Study found that individuals with lower socioeconomic (occupational) status had higher rates of visual impairment. 28,29 This phenomenon was observed in our study showing the lower occupational groups, at the univariate level, have a higher risk of presenting with advanced glaucoma. It is also possible that the increased awareness associated with higher education (by implication higher socioeconomic status) may explain the reduction in risk of advanced glaucoma in the higher occupational groups.…”

Section: Discussionsupporting

confidence: 74%

Evaluation of risk factors for advanced glaucoma in Ghanaian patients

Ntim-Amponsah

Amoaku

Ewusi

et al. 2004

Eye

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Purpose This study was to determine factors associated with individuals presenting late with advanced glaucomatous optic nerve damage. Methods A case-control study recruiting 123 patients with early features of primary open angle glaucoma (control) and 93 patients with advanced glaucoma (cases) was carried out for risk-factor analysis. Exposures of interest included those already established as major risk factors for glaucoma. These were initial intraocular pressure (IOP), age, and family history. In addition, occupation, ethnic origin, history of diagnosis of diabetes mellitus, hypertension, sickle cell disease, and previous eye examination were of interest. Results Univariate analysis showed that initial IOP431 mmHg, age of 4 60 years, absence of family history of glaucoma, occupational grouping, ethnicity, and male sex were associated with advanced glaucoma at presentation. Adjusted odds ratio or by multiple logistic regression model showed that initial IOP431 mmHg in a patient was more likely to present with advanced glaucoma (OR 2.66, 95% confidence interval (CI) 1.45, 4.91; P-value 0.0017) than lower pressures. Patients aged 60-69 years (OR 2.53, 95% CI 1.01, 6.31; P-value 0.0473) and 70-90 years (OR 5.16, 95% CI 1.97, 13.51; P-value 0.0008) were more likely to present with advanced glaucoma than younger ones Conclusions Subjects with initial IOP431 mmHg were nearly three times more likely to present with advanced glaucoma than those with IOPo32 mmHg. Subjects over the age of 60 years were more than two times likely to present with advanced glaucoma than younger subjects.

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Section: Discussionsupporting

confidence: 74%

Evaluation of risk factors for advanced glaucoma in Ghanaian patients

Ntim-Amponsah

Amoaku

Ewusi

et al. 2004

Eye

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“…7 Fraser et al 6 have shown a direct relationship between socioeconomic status and late presentation in glaucoma, and delayed response to visual loss has also been reported for other eye conditions such as amblyopia 8 and cataract. 9 In addition, poor compliance, late presentation, and poor care regimes have been reported in glaucoma patients with lower socioeconomic status. 10 Another potential cause for late presentation is poor case finding by optometrists.…”

Section: Introductionmentioning

confidence: 99%

The influence of socioeconomic and clinical factors upon the presenting visual field status of patients with glaucoma

Sukumar

Spencer

Fenerty

et al. 2008

Eye

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Purpose To investigate the relationship between socioeconomic status and the extent of visual field loss in POAG and treated OHT patients at their first presentation to Manchester Royal Eye Hospital. Methods A cohort of 113 glaucoma patients seen between 1995 and 2005 was reviewed. The clinical parameters intraocular pressure, C : D ratio, family history of glaucoma, visual acuity, extent of visual field loss, and demographic parameters: age, gender, ethnicity, and residential postcode were extracted from hospital records. The socioeconomic status of each patient was estimated from the patient's residential postcode with the ACORN index (group 1: affluent and group 2: socioeconomically deprived). Results In comparison to group 1 (n ¼ 49), patients in group 2 (n ¼ 64) presented with more advanced field loss, lower educational attainment (18 vs 98% with no or unknown qualification), and were less aware of glaucoma in the family (27 vs 17%). Patients with a number of systemic health problems had worse vision, more severe visual field loss, and worse clinical attendance (Po0.05). Conclusions The extent of visual field loss in glaucoma patients at first presentation is related to a combination of clinical and socioeconomic factors including the patient's postcode. This finding could be used to target future case-finding resources.

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“…Segundo dados estatísticos da OMS, o glaucoma responde por cerca de 5,1 milhões de pessoas cegas ou 13,0% da cegueira global (5) . Nos Estados Unidos, o glaucoma representa a segunda maior causa de cegueira na população geral (11,1%) e a principal causa de cegueira na população negra (6)(7)(8) . No Reino Unido, estima-se que 0,2% da população apresenta cegueira bilateral e que o glaucoma seja responsável por 12,0% destes casos, sendo a terceira maior causa (9) .…”

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Características dos pacientes atendidos pela primeira vez no Setor de Glaucoma da Universidade Federal de São Paulo - UNIFESP

Oliveira

Júnior

2003

Arq. Bras. Oftalmol.

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Socioeconomic Status and Visual Impairment Among Urban Americans

Cited by 187 publications

References 7 publications

Evaluation of risk factors for advanced glaucoma in Ghanaian patients

Evaluation of risk factors for advanced glaucoma in Ghanaian patients

The influence of socioeconomic and clinical factors upon the presenting visual field status of patients with glaucoma

Características dos pacientes atendidos pela primeira vez no Setor de Glaucoma da Universidade Federal de São Paulo - UNIFESP

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