Division of Ophthalmology Informatics and Data Science, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA.
UCSD Health Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, USA.
Transl Vis Sci Technol. 2023 Mar 1;12(3):14. doi: 10.1167/tvst.12.3.14.
To ascertain specific barriers of care among patients with diabetic retinopathy (DR) from different racial/ethnic groups.
In this cross-sectional study, we included adult participants in the National Institutes of Health All of Us Research Program with DR who answered questions in the Healthcare Access & Utilization survey and Social Determinants of Health (SDoH) survey. Logistic regression was used to study the association between barriers to care and race/ethnicity.
Our cohort included 885 DR patients who answered the Healthcare Access & Utilization survey and 385 DR patients who responded to the SDoH survey. After adjusting for confounders, Hispanic individuals were more likely than non-Hispanic White individuals to report delaying getting medical care due to not being able to get child care (odds ratio [OR] = 6.57 [95% confidence interval {CI}, 1.67-27.8]). Furthermore, compared to non-Hispanic White individuals, non-Hispanic Black individuals were significantly more likely to report being treated with less respect (OR = 2.62 [95% CI, 1.15-5.80]), treated with less courtesy (OR = 2.51 [95% CI, 1.01-5.92]), and receive poorer service than other people (OR = 2.85 [95% CI, 1.25-6.34]) when they go to a doctor's office or other healthcare provider.
We found that Hispanic and non-Hispanic Black individuals with DR reported greater delays/barriers to care compared to non-Hispanic White individuals even after controlling for individualized socioeconomic factors.
This study highlights the importance of taking steps to promote health equity, such as increasing access to child care resources and reducing implicit bias among eye care providers, to increase access to care and prevent vision loss from DR.
确定不同种族/族裔的糖尿病视网膜病变 (DR) 患者的具体护理障碍。
在这项横断面研究中，我们纳入了美国国立卫生研究院“所有人”研究计划中患有 DR 的成年参与者，他们在医疗保健获取和利用调查以及社会决定因素健康 (SDoH) 调查中回答了问题。使用逻辑回归来研究护理障碍与种族/族裔之间的关系。
我们的队列包括 885 名回答医疗保健获取和利用调查的 DR 患者和 385 名回答 SDoH 调查的 DR 患者。在调整混杂因素后，与非西班牙裔白人相比，西班牙裔个体更有可能因无法获得儿童保育而延迟就医（比值比 [OR] = 6.57 [95%置信区间 {CI}，1.67-27.8]）。此外，与非西班牙裔白人相比，非西班牙裔黑人更有可能报告受到的治疗不够尊重（OR = 2.62 [95% CI，1.15-5.80]）、不够礼貌（OR = 2.51 [95% CI，1.01-5.92]），并且在去医生办公室或其他医疗保健提供者处就诊时，服务质量比其他人差（OR = 2.85 [95% CI，1.25-6.34]）。
我们发现，即使在控制个体社会经济因素后，患有 DR 的西班牙裔和非西班牙裔黑人个体报告的护理延迟/障碍也比非西班牙裔白人个体更多。
本文是机器翻译，仅供参考。
