Gwira Jane A, Vistamehr Setareh, Shelsta Heather, Bashford Kent, Forster Susan, Palmisano Phillip, Shafranov George, Shields M Bruce
Department of Ophthalmology and Visual Sciences, Yale University School of Medicine, New Haven, Connecticut 06520-8061, USA.
Ophthalmology. 2006 Aug;113(8):1315-9. doi: 10.1016/j.ophtha.2006.04.017. Epub 2006 Jun 12.
To evaluate variables associated with failure to access free eye care after participating in glaucoma screening.
Review of responses to a survey completed by participants during glaucoma screening.
Two hundred seventy-three surveys completed by participants of African descent during screening.
African Americans 40 years or older participated in community glaucoma screening clinics, which included a survey with demographic and social variables. Each participant was given a preliminary diagnosis and encouraged to attend a free eye clinic for a complete examination. Survey results were correlated with attendance at the follow-up examination, using Student's t test, chi-square test, and logistic regression analysis.
Noncompliance with follow-up after glaucoma screening.
When adjusting for risk factors in logistic regression analysis, noncompliance was associated with living alone (P = 0.008), smoking (P = 0.0005), and lacking a car (P<0.01). Odds of noncompliance for participants living alone were 2.2 times higher than those for participants not living alone. Odds of noncompliance for participants who smoked were 3.0 times greater than those for participants who did not smoke. Odds of noncompliance for participants who did not have access to a car for their last eye examination were 2.1 times greater than those for participants who did.
Socioeconomic factors such as smoking, lack of access to a car for eye examinations, and living alone are associated with noncompliance to follow-up after glaucoma screening clinics. Identifying persons with these variables may facilitate improved compliance.
评估参与青光眼筛查后未能获得免费眼部护理的相关变量。
回顾参与者在青光眼筛查期间完成的调查问卷的回复。
273份由非洲裔参与者在筛查期间完成的调查问卷。
40岁及以上的非裔美国人参加社区青光眼筛查诊所，其中包括一项关于人口统计学和社会变量的调查。每位参与者都得到了初步诊断，并被鼓励前往免费眼科诊所进行全面检查。使用学生t检验、卡方检验和逻辑回归分析，将调查结果与后续检查的出勤率相关联。
青光眼筛查后未遵医嘱进行后续检查。
在逻辑回归分析中对风险因素进行调整后，未遵医嘱与独居（P = 0.008）、吸烟（P = 0.0005）和没有汽车（P<0.01）相关。独居参与者未遵医嘱的几率比非独居参与者高2.2倍。吸烟参与者未遵医嘱的几率比不吸烟参与者高3.0倍。上次眼科检查没有汽车的参与者未遵医嘱的几率比有汽车的参与者高2.1倍。
吸烟、眼科检查没有汽车以及独居等社会经济因素与青光眼筛查诊后未遵医嘱进行后续检查有关。识别具有这些变量的人可能有助于提高依从性。
