Purpose: To identify the prevalence and determinants of self-reported eye care use in Latinos.
Design: Population-based ocular epidemiologic study in Latinos aged 40+ years living in La Puente, California.
Participants: A total of 5455 participants.
Methods: Univariate, multivariable, and stepwise logistic regression analyses were conducted to identify predisposing, enabling, and need variables associated with self-reported eye care use.
Main Outcome Measures: Prevalence of self-reported use: eye care visit, having had a dilated examination in the past 12 months, ever having had a dilated examination, and odds ratios for factors associated with self-reported use.
Results: Overall, 36% of participants reported an eye care visit and 19% reported having a dilated examination in the past year. Fifty-seven percent reported ever having had a dilated eye examination. Greater eye care use was associated with older age, female gender, bilingual language proficiency (English and Spanish), more education, having health insurance, having a usual place for care, having a regular provider of care, a greater number of comorbidities, visual impairment, and lower vision-specific quality of life scores.
Conclusions: Multiple modifiable factors are associated with greater use and access to eye care for Latinos. Modification of these factors should be a priority because visual impairment has significant impacts on well-being and mortality.
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| http://dx.doi.org/10.1016/j.ophtha.2009.07.015 | DOI Listing |
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