Dataset Information

Trends in Eye Care Use and Eyeglasses Affordability: The US National Health Interview Survey, 2008-2016.

ABSTRACT: Importance:Understanding eye care use over time is essential to estimate continued unmet health care needs and help guide future public health priorities. Objective:To update trends in using eye care and affording eyeglasses in the United States. Design, Setting, and Participants:This analysis of data from the US National Health Interview Survey included adults 18 years and older from 9 annual cross-sectional population-based samples ranging in size from 21?781 to 36?697 participants from 2008 to 2016. Data were analyzed from August 2017 to February 2018. Exposures:Visual impairment, defined as self-reported difficulty seeing despite wearing eyeglasses. Main Outcomes and Measures:Outcome measures included visits to an eye care professional and inability to afford eyeglasses when needed in the past year. Survey logistic regression, adjusted for age, sex, race/ethnicity, visual impairment status, education, employment, general health, poverty-income ratio, and vision insurance, was used to examine associations between survey year and eye care outcomes. Results:Analyses included 9 annual cross-sectional population-based samples pooled from 2008 to 2016, ranging in size from 21?781 to 36?697 participants aged 18 years or older. Compared with 2008, greater proportions of the US population were 65 years or older, Hispanic, or Asian in 2016. There was a significant trend for eye care use and difficulty affording eyeglasses from 2008 to 2016. In fully adjusted models, Americans were less likely to use eye care in 2014 compared with 2008 (odds ratio [OR], 0.90; 99.9% CI, 0.82-0.98; P?

SUBMITTER: Varadaraj V

PROVIDER: S-EPMC6459103 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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Trends in Eye Care Use and Eyeglasses Affordability: The US National Health Interview Survey, 2008-2016.

Varadaraj Varshini V Frick Kevin D KD Saaddine Jinan B JB Friedman David S DS Swenor Bonnielin K BK

JAMA ophthalmology 20190401 4

<h4>Importance</h4>Understanding eye care use over time is essential to estimate continued unmet health care needs and help guide future public health priorities.<h4>Objective</h4>To update trends in using eye care and affording eyeglasses in the United States.<h4>Design, setting, and participants</h4>This analysis of data from the US National Health Interview Survey included adults 18 years and older from 9 annual cross-sectional population-based samples ranging in size from 21 781 to 36 697 pa ...[more]

PMID: 30676634

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Project description:ImportanceDermatologists prescribe more oral antibiotic courses per clinician than any other specialty, and this use puts patients at risk of antibiotic-resistant infections and antibiotic-associated adverse events.ObjectiveTo characterize the temporal trends in the diagnoses most commonly associated with oral antibiotic prescription by dermatologists, as well as the duration of this use.Design, setting, and participantsRepeated cross-sectional analysis of antibiotic prescribing by dermatologists from January 1, 2008, to December 31, 2016. The setting was Optum Clinformatics Data Mart (Eden Prairie, Minnesota) deidentified commercial claims data. Participants were dermatology clinicians identified by their National Uniform Claim Committee taxonomy codes, and courses of oral antibiotics prescribed by these clinicians were identified by their National Drug Codes.ExposuresClaims for oral antibiotic prescriptions were consolidated into courses of therapy and associated with the primary diagnosis from the most recent visit. Courses were stratified into those of extended duration (>28 days) and those of short duration (≤28 days).Main outcomes and measuresFrequency of antibiotic prescribing and associated diagnoses. Poisson regression models were used to assess for changes in the frequency of antibiotic prescribing over time.ResultsBetween 2008 and 2016 among 985 866 courses of oral antibiotics prescribed by 11 986 unique dermatologists, overall antibiotic prescribing among dermatologists decreased 36.6% (1.23 courses per 100 visits) from 3.36 (95% CI, 3.34-3.38) to 2.13 (95% CI, 2.12-2.14) courses per 100 visits with a dermatologist (prevalence rate ratio for annual change, 0.931; 95% CI, 0.930-0.932), with much of this decrease occurring among extended courses for acne and rosacea. Oral antibiotic use associated with surgical visits increased 69.6% (2.73 courses per 100 visits) from 3.92 (95% CI, 3.83-4.01) to 6.65 (95% CI, 6.57-6.74) courses per 100 visits associated with a surgical visit (prevalence rate ratio, 1.061; 95% CI, 1.059-1.063).Conclusions and relevanceContinuing to develop alternatives to oral antibiotics for noninfectious conditions, such as acne, can improve antibiotic stewardship and decrease complications from antibiotic use. In addition, the rising use of postoperative antibiotics after surgical visits is concerning and may put patients at unnecessary risk of adverse events. Future studies are needed to identify the value of this practice and the risk of adverse events.

Dataset Information

Trends in Eye Care Use and Eyeglasses Affordability: The US National Health Interview Survey, 2008-2016.

Publications

Trends in Eye Care Use and Eyeglasses Affordability: The US National Health Interview Survey, 2008-2016.

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