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Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
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Do Immigrants Underutilize Optometry Services?

Fernando A Wilson1, Yang Wang, Jim P Stimpson

  • 1*PhD †MA College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska (FAW, YW). School of Public Health, City University of New York, New York (JPS).

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|September 22, 2015
PubMed
Summary
This summary is machine-generated.

Immigrants, particularly noncitizens, visit optometrists less often than US natives, contributing to vision disparities. Targeted interventions are needed to reduce barriers and promote preventative eye care for immigrants.

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Area of Science:

  • Public Health
  • Ophthalmology
  • Health Services Research

Background:

  • Immigrants often experience poorer clinical vision outcomes compared to US natives.
  • Underutilization of optometry services may contribute to these disparities in vision health.
  • Understanding immigration status differences in eye care access is crucial for health equity.

Purpose of the Study:

  • To analyze the utilization of office-based optometry services based on immigration status.
  • To identify factors influencing disparities in optometry service use among different immigration groups.

Main Methods:

  • Utilized data from the 2007-2011 Medical Expenditure Panel Survey for adults aged 18+.
  • Classified respondents into US natives, naturalized citizens, and noncitizens.
  • Employed multivariate logistic regression and Oaxaca-Blinder decomposition to analyze utilization and disparities.

Main Results:

  • US natives had significantly higher optometry service utilization (7.2%) than noncitizens (2.5%).
  • Noncitizens with vision difficulties were less likely to use corrective lenses (47.9%) compared to US natives (71.6%).
  • Barriers like language, poverty, and lack of insurance accounted for 17% of the utilization disparity between noncitizens and US natives.

Conclusions:

  • Underutilization of optometry services by immigrants, especially noncitizens, likely contributes to poorer vision outcomes.
  • Targeted interventions are necessary to overcome barriers to eye care access for immigrant populations.
  • Promoting regular eye care as preventative is essential for improving immigrant vision health.