National Center for Chronic Disease Prevention & Health Promotion, Centers for Disease Control and Prevention, 2990 Brandywine Road, Atlanta, GA 30341, USA.
J Rural Health. 2010 Winter;26(1):30-5. doi: 10.1111/j.1748-0361.2009.00262.x.
Rural residents are more likely to be uninsured and have low income.
To determine if rural residents in Arkansas have decreased access to eye care services and use them less frequently than urban residents.
Data from the 2006 Visual Impairment and Access to Eye Care Module from the Arkansas Behavioral Risk Factor Surveillance System (BRFSS) were used in the analysis. Adults age 40 years and older were included (n = 4,289). Results were weighted to reflect the age, race, and gender distribution of the population of Arkansas. Multiple logistic regression was used to adjust for demographic differences between rural and urban populations.
Significantly fewer rural residents (45%) reported having insurance coverage for eye care services compared with residents living in urban areas (55%). Rural residents were less likely (45%) than urban residents (49%) to have had a dilated eye exam within the past year. Among residents aged 40-64, those from rural areas were more likely than their urban counterparts to report cost/lack of insurance as the main reason for not having a recent eye care visit.
In 2006, rates of eye care insurance coverage were significantly lower for rural residents while use of eye care services differed slightly between rural and urban residents. Rural residents in Arkansas age 40-64 would benefit from having increased access to eye care insurance and/or low cost eye care services.
农村居民更有可能没有保险，收入较低。
确定阿肯色州的农村居民是否获得眼科保健服务的机会减少，并且使用频率低于城市居民。
分析中使用了来自 2006 年阿肯色州行为风险因素监测系统（BRFSS）视觉障碍和眼科保健服务模块的数据。纳入年龄在 40 岁及以上的成年人（n=4289）。结果经过加权处理，以反映阿肯色州人口的年龄、种族和性别分布。采用多因素逻辑回归来调整农村和城市人口之间的人口统计学差异。
与居住在城市地区的居民（55%）相比，农村居民（45%）报告称有眼科保健服务保险的比例明显较低。农村居民（45%）比城市居民（49%）更有可能在过去一年中进行过散瞳眼部检查。在 40-64 岁的居民中，农村地区的居民比城市地区的居民更有可能将费用/缺乏保险作为最近没有进行眼科保健检查的主要原因。
2006 年，农村居民的眼科保健保险覆盖率明显较低，而农村和城市居民的眼科保健服务使用率略有不同。阿肯色州 40-64 岁的农村居民将受益于增加获得眼科保健保险和/或低成本眼科保健服务的机会。
