Document Detail

Government-insured routine eye examinations and prevalence of nonrefractive vision problems among elderly.
MedLine Citation:
PMID:  23769777     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To assess whether lack of government-insured annual routine eye examinations was associated with reduced vision health status among elderly Canadians.
DESIGN: Cross-sectional survey.
PARTICIPANTS: Respondents aged≥65 years in the Canadian Community Health Survey 2000-2001.
METHODS: The prevalence of nonrefractive vision problems (i.e., unable to see close or distance when wearing glasses or contact lenses) between Canadians with and without government-insured annual eye examinations was compared.
RESULTS: Uninsured white individuals had a greater prevalence rate of vision problems (8.5%; 95% CI 6.8-10.2) than insured white individuals (6.4%; 95% CI 5.2-7.6) if their household incomes were less than the midlevel. In those with household incomes at the midlevel or higher, the prevalence rate was similar between the insured (4.3%) and uninsured (3.6%; p>0.05). Compared with elderly adults in the mid- to high-income level and living in insured provinces, white elderly adults residing in provinces with no insurance had 50% higher odds of reporting vision problems (adjusted odds ratio [OR] 1.5; 95% CI 1.1-2.0) if their income was less than the midlevel, but a 30% lower likelihood of having vision problems if their income was in the midlevel or higher (adjusted OR 0.7; 95% CI 0.6-1.0). The mean age at diagnosis of glaucoma and cataracts was about 2 years older for uninsured versus insured white individuals. Analyses among non-white individuals were not permitted because of small sample size.
CONCLUSIONS: Lack of government-funded annual routine eye examinations is associated with increased levels of nonrefractive vision problems among low-income elderly adults.
Ya-Ping Jin; Yvonne M Buys; Juan Xiong; Graham E Trope
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of ophthalmology. Journal canadien d'ophtalmologie     Volume:  48     ISSN:  0008-4182     ISO Abbreviation:  Can. J. Ophthalmol.     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-06-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0045312     Medline TA:  Can J Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  167-72     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
Department of Ophthalmology and Vision Sciences; Dalla Lana School of Public Health, University of Toronto, Toronto. Electronic address:
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