Journal article
Novel Methods of Identifying Individual and Neighborhood Risk Factors for Loss to Follow-Up After Ophthalmic Screening
Journal of glaucoma, v 33(4), pp 288-296
01 Apr 2024
PMID: 37974319
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Residence in a middle-class neighborhood correlated with lower follow-up compared to residence in more affluent neighborhoods. The most common explanations for not following up were the process of making an appointment and lack of symptoms.
Purpose: To explore which individual and neighborhood-level factors influence follow-up as recommended after positive ophthalmic and primary care screening in a vulnerable population using novel methodologies.
Participants and Methods: From 2017 to 2018, 957 participants were screened for ophthalmic disease and cardiovascular risk factors as part of the Real-Time Mobile Teleophthalmology study. Individuals who screened positive for either ophthalmic or cardiovascular risk factors were contacted to determine whether or not they followed up with a healthcare provider. Data from the Social Vulnerability Index, a novel virtual auditing system, and personal demographics were collected for each participant. A multivariate logistic regression was performed to determine which factors significantly differed between participants who followed up and those who did not.
Results: As a whole, the study population was more socioeconomically vulnerable than the national average (mean summary Social Vulnerability Index score=0.81). Participants whose neighborhoods fell in the middle of the national per capita income distribution had lower likelihood of follow-up compared to those who resided in the most affluent neighborhoods (relative risk ratio=0.21, P -value<0.01). Participants cited the complicated process of making an eye care appointment and lack of symptoms as the most common reasons for not following up as instructed within four months.
Conclusions: Residence in a middle-class neighborhood, difficulty accessing eye care appointments, and low health literacy may influence follow up among vulnerable populations.
Metrics
Details
- Title
- Novel Methods of Identifying Individual and Neighborhood Risk Factors for Loss to Follow-Up After Ophthalmic Screening
- Creators
- Noah Heilenbach - New York UniversityTitilola Ogunsola - Howard UniversityCeyhun Elgin - Boğaziçi UniversityDustin Fry - Drexel UniversityMina Iskander - University of MiamiYara Abazah - New York UniversityAhmed Aboseria - SUNY Downstate Health Sciences UniversityRahm Alshamah - New York UniversityJad Alshamah - New York UniversityStephen J. Mooney - University of WashingtonGladys Maestre - The University of Texas Rio Grande ValleyGina S. Lovasi - Drexel UniversityVipul Patel - New York UniversityLama A. Al-Aswad - Penn Presbyterian Medical Center
- Publication Details
- Journal of glaucoma, v 33(4), pp 288-296
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 9
- Grant note
- 1DP1AG069870-011 / National Institute of Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) 5K01TW011782-02; 3K01TW011782-01S1 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA 5R21HD062965-02 / Eunice K. Shriver National Institute of Child Health and Human Development
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health; Epidemiology and Biostatistics
- Web of Science ID
- WOS:001233202500007
- Scopus ID
- 2-s2.0-85185661190
- Other Identifier
- 991021811641504721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Ophthalmology