Visual impairment in ethnic minorities in the UK

Scase, M. O.; Johnson, Mark Rd

doi:10.1016/j.ics.2005.05.085

Cited by 12 publications

(5 citation statements)

References 15 publications

(17 reference statements)

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“… 33 In the Netherlands, despite the higher rate of awareness and treatment for hypertension and diabetes among ethnic minorities compared with Dutch participants, control rates are lower, which might contribute to the higher rate of complications such as glaucoma (hypertension) or diabetic retinopathy (diabetes) causing different visual abnormalities. 34 , 35 Lastly, a study by Scase and Johnson 36 found a much higher incidence of age-related cataracts among the Asian community in the UK when compared with Europeans. Worldwide cataract is considered the greatest cause of visual problems such as blindness 37 and in developing countries its onset is associated with early poverty and malnourishment and excess exposure to ultraviolet radiation.…”

Section: Discussionmentioning

confidence: 98%

Ethnic differences in functional limitations: a comparison of older migrants and native Dutch older population

Fakiri

Bouwman-Notenboom²,

Agyemang

2021

European Journal of Public Health

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Background Although the older migrants population in Europe is expected to grow substantially in the coming years, there is little information about their health status and particularly functional limitations. This study examined the association of ethnicity and mobility, hearing and visual limitations in comparison to the general population in the Netherlands, and whether relevant characteristics explained the potential differences between older migrants and non-migrants. Methods Secondary data analysis of 12 652 subjects 55 years and older who participated in the health survey in the four largest Dutch cities. To establish limitations in vision, hearing and mobility, the Organization for Economic Co-operation and Development (OECD) questionnaire was used. Logistic regression analysis was used to examine the association between limitations and ethnic background, subsequently adjusting for demographic and socio-economic characteristics and relevant health- and lifestyle-related factors. Results Older migrants had higher prevalences of functional limitations. The age- and- gender adjusted ORs were 2 to 8-fold compared with older non-migrants. After adjusting for socioeconomic status and health-and lifestyle indicators, Moroccan, Turkish and Surinamese migrants still had increased ORs for visual limitations [ORs (95% CI), respectively: 2.48 (1.49–4.14), 3.08 (1.75–5.41) and 1.97 (1.33–2.91)] compared with the Dutch. For mobility limitations, only the Turkish migrants had an OR twice as high (2.19; 1.08–4.44) as the non-migrants. No significant differences were found between Antillean/Aruban migrants and non-migrants. Conclusions Important ethnic inequalities exist in various functional limitations, particularly in vision. These results underline the importance of tailored preventive interventions in older migrants to detect and prevent these limitations at an early stage.

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Section: Discussionmentioning

confidence: 98%

Ethnic differences in functional limitations: a comparison of older migrants and native Dutch older population

Fakiri

Bouwman-Notenboom²,

Agyemang

2021

European Journal of Public Health

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“…However, the findings still represent a small sample; therefore, these findings may not be representative of all areas or ethnicities in the UK. Black and ethnic minority groups are at an increased risk of lower levels of PA and an increased risk of eye-disease-and eye-related vision loss, making it essential to understand how to increase PA levels among these demographics [39,40]. An additional limitation is that all participations self-reported as being physically active.…”

Section: Discussionmentioning

confidence: 99%

Barriers to and Facilitators of Physical Activity: A Qualitative Study from the Perspective of Individuals Living with Sight Loss in Cambridgeshire

Hillan,

Smith,

Bishop

et al. 2023

Vision

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Physical inactivity is a prevalent concern amongst adults living with sight loss. It is essential to understand why these individuals are inactive and how we can increase physical activity levels among them. Therefore, this study aims to explore the barriers and facilitators to physical activity for individuals living with sight loss. Seven individuals with self-reported sight loss living in Cambridgeshire were recruited for three focus groups. Focus group data were analysed using thematic analysis to identify key themes. Seven themes which represented a barrier, or a facilitator were identified: transport, accessing information, one size fits all, negative previous experience, visually impaired sport, women in disability sport, and taster days. To increase physical activity levels amongst those living with sight loss, interventions need to be focused on the organisational level. This includes producing more accessible environments that can be produced by providing training for sport and physical activity professionals and by ensuring the physical environment is inclusive for those living with sight loss.

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“…There was a lack of Black, Asian and Minority Ethnic (BAME) participants within the study cohort, due to the convenient sampling method used in this explorative research. Previous evidence reported inequalities within this population specifically, when accessing vision care in the UK, such as health information not being available in different languages [42], and an underrepresentation of Asian patients registered partially sighted [43]. Moreover, differences in demographics (namely age) between white British and BAME VI stroke survivors have been reported [44].…”

Section: Limitationsmentioning

confidence: 95%

Perceptions of vision care following neurological impairment: a qualitative study

Hanna,

Lomas,

Rimmer

et al. 2024

BMC Health Serv Res

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Background Visual impairment is a common consequence of neurological impairments, and can impact a person’s ability to undertake everyday tasks, affecting their confidence and mental health. Previous qualitative research in the UK has shown inequalities to exist where patients are accessing vision care after stroke, but little is known around the experiences of accessing vision care following other neurological impairments, and a lack of national guidelines prevent standardised care planning. The aim of this qualitative study is to explore the perceptions of vision care after neurological impairment, and to identify possible inequalities and support mechanisms, where it has been possible to access vision care. Methods University ethical approval was obtained, and adults with a visual impairment as a result of a neurological impairment were offered an in-depth interview to explore their vision care experiences. Data were collected between April and November 2021 and analysed using iterative, thematic analysis (TA), informed by a social constructionist ideology. Results Seventeen participants were recruited. Three overarching themes were conceptualised in relation to the participants’ perception of vision care: Making sense of the visual impairment; The responsibility of vision care; and Influential factors in care quality perception. Conclusion Inequalities were noted by participants, with most reporting a lack of suitable vision care offered as part of their neurological rehabilitation. Participants were thus burdened with the task of seeking their own support online, and encountered inaccurate and worrying information in the process. Participants noted changes in their identity, and the identity of their family carers, as they adjusted to their vision loss. The findings from this research highlight a need for clinicians to consider the long-term impact of vision loss after neurological impairment, and ensure patients are provided with adequate support and information, and appropriate referral pathways, alleviating this patient burden.

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Visual impairment in ethnic minorities in the UK

Cited by 12 publications

References 15 publications

Ethnic differences in functional limitations: a comparison of older migrants and native Dutch older population

Ethnic differences in functional limitations: a comparison of older migrants and native Dutch older population

Barriers to and Facilitators of Physical Activity: A Qualitative Study from the Perspective of Individuals Living with Sight Loss in Cambridgeshire

Perceptions of vision care following neurological impairment: a qualitative study

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