Details:

Alternative Title:
Curr Eye Res
Publisher's site:
http://dx.doi.org/10.3109/02713683.2012.733054
Personal Author:
MacLennan, Paul A.; McGwin, Gerald; Searcey, Karen; Owsley, Cynthia;
MacLennan, Paul A.; McGwin, Gerald; Searcey, Karen; Owsley, Cynthia; Less -
Description:
Purpose Vision impairment is an important public health concern. Accurate information regarding visual health and eye care utilization is essential to monitor trends and inform health policy interventions aimed at addressing at-need populations. National surveys provide annual prevalence estimates but rely on self-report. The validity of self-reported information regarding eye disease has not been adequately explored. Methods This cross-sectional study compared self-report of eye care utilization and eye disease with information obtained from medical records. The study population was 2,001 adults aged 70 years and older who completed the Behavioral Risk Factor Surveillance System’s Visual Impairment and Access to Eye Care Module. Cohen’s kappa (κ) was used to assess agreement. Results Agreement between self-report and medical records was substantial for eye care utilization (κ=0.64) and glaucoma (κ=0.73), moderate for macular degeneration (κ=0.40) and diabetic retinopathy (κ=0.47), and slight for cataracts (κ=0.18). Self-report tended to overestimate the number of subjects who visited an eye care provider in the previous year, and underestimated the prevalence in all but one (glaucoma) of the four eye diseases evaluated. Conclusions Though agreement was substantial for self-report of eye care utilization, results of the current study suggest that national estimates based on self-report overestimate eye care utilization.
Subject:
[+]
Aged
Aged, 80 And Over
Article
Behavioral Risk Factor Surveillance System
Cross-Sectional Studies
Delivery Of Health Care
Eye Diseases
Female
Humans
Male
Medical Records
Prevalence
Retrospective Studies
Self Report

Source:
Curr Eye Res. 38(1):1-8.;
Pubmed ID:
23078191
Pubmed Central ID:
PMC3633443
Document Type:
Journal Article;
Funding:
5U58DP002651/DP/NCCDPHP CDC HHS/United States; R01 EY018966/EY/NEI NIH HHS/United States; R01EY18966/EY/NEI NIH HHS/United States;
5U58DP002651/DP/NCCDPHP CDC HHS/United States; R01 EY018966/EY/NEI NIH HHS/United States; R01EY18966/EY/NEI NIH HHS/United States; Less -
Place as Subject:
United States;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:98bbd88fdde72abd4be1592b0567c0bb7a8eae6c7b97a0e9b6960047ef47ea8f
File Type:

Supporting Files

• nihms451843.nxml

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