Access to eye care and prevalence of refractive error and eye conditions at a high school–based eye clinic in southeastern Michigan

Killeen, Olivia J.; Zhou, Yunshu; Musch, David C.; Woodward, Maria A.; Newman-Casey, Paula Anne; Moroi, Sayoko E.; Speck, Nicole; Mukhtar, Ali; Dewey, Courtney

doi:10.1016/j.jaapos.2022.04.009

Cited by 8 publications

(3 citation statements)

References 21 publications

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“…29 Because youth value their eyesight highly, eye care programs that improve access for marginalized youth, such as high school-based eye clinics, may help to address these external barriers. 30 School-based vision programs may also improve students' academic performance. Receiving eyeglasses through school led to improved reading performance for students in grades 3 to 7 in Baltimore, Maryland, 31 and improved mathematics scores for students in grades 4 and 5 in China.…”

Section: Discussionmentioning

confidence: 99%

“…For example, in the 2005 to 2008 National Health and Nutrition Examination Survey cohort, the most recent cohort to include both vision-related questionnaires and eye examinations of adolescents, 12- to 18-year-olds who identified as Black, Mexican American, low-income, and non-U.S. citizens were more likely to have worse subjective and objective visual functioning 29 . Because youth value their eyesight highly, eye care programs that improve access for marginalized youth, such as high school–based eye clinics, may help to address these external barriers 30 . School-based vision programs may also improve students' academic performance.…”

Section: Discussionmentioning

confidence: 99%

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A Qualitative Assessment of the Experiences with Eye Health and Barriers to Eyeglasses among U.S. Youth

et al. 2023

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SIGNIFICANCE:Uncorrected refractive error is the main cause of visual impairment in U.S. youth and has profound impacts on individuals and society. Identifying and addressing barriers to eyeglasses in this population are critical to maximize youth academic performance, workplace productivity, and quality of life. PURPOSE: We aimed to understand youth experiences with eye health, assess the value that youth place on vision, and identify barriers to refractive correction directly from a nationwide sample of youth to inform interventions to address uncorrected refractive error in this population. METHODS: An open-ended poll was distributed to the MyVoice Text Message Cohort of U.S. youth eliciting youth experiences with eye health and barriers to wearing eyeglasses. Text message responses were coded using grounded theory. RESULTS: Of 1204 recipients, 88.3% (n = 1063) responded. The mean age ± standard deviation was 20.3 ± 2.4 years, 58.8% (n = 625) were male, 74.0% (n = 787) were White, and 41.4% (n = 440) reported low socioeconomic status. Four major themes emerged from the open-ended responses: (1) many youth have experienced problems with their eyes or eyesight (n = 699 [65.8%]); (2) many youth value their eyesight highly (n = 905 [85.1%]; e.g., "Eyesight is one of the most important aspects of my health, particularly in our digital world…"); (3) common reasons youth might not wear glasses even if they need them include concerns over appearance (n = 553 [52.0%]; e.g., "I thought every pair made me look ugly…"), cost (n = 171 [16.1%]), inconvenience (n = 166 [15.6%]), and discomfort (n = 104 [9.8%]); and (4) youth are open to purchasing eyeglasses online (n = 539 [50.7%]).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Qualitative Assessment of the Experiences with Eye Health and Barriers to Eyeglasses among U.S. Youth

et al. 2023

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“…Across race and ethnicity, Black and Hispanic children present to vision screenings with higher levels of visual impairment and less prior eye care, respectively [ 32 ]. Other groups disproportionately affected by low rates of vision screening include those with limited access to preventive care or well-child checkups and children living in families living at 200% below the federal poverty line [ 30 , 33 ].…”

Section: Part 1: Rationale and Guidelines For Pediatric Vision Screen...mentioning

confidence: 99%

Pediatric and School-Age Vision Screening in the United States: Rationale, Components, and Future Directions

Ambrosino¹,

Dai²,

Antonio-Aguirre

et al. 2023

Children

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Pediatric vision screening detects children at risk for visual conditions with the goal of connecting those in need with an eye care provider for evaluation and treatment. The primary aim for vision screening in younger children is the detection of those at risk for amblyopia, which can result in irreversible vision loss if left untreated. In older children, screening goals broaden to include the detection of risk for uncorrected refractive error. In the United States, professional organization guidelines and state-mandated requirements for vision screening vary widely across both the timing and components of screening. In this article, we describe the goals and components of pediatric vision screenings, current challenges, novel approaches to providing follow-up services through school-based vision programs, and future directions.

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Visual Impairment from Uncorrected Refractive Error among Participants in a Novel Program to Improve Eye Care Access among Low-Income Adults in Michigan

Killeen,

Niziol,

Elam

et al. 2024

Ophthalmology

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Access to eye care and prevalence of refractive error and eye conditions at a high school–based eye clinic in southeastern Michigan

Cited by 8 publications

References 21 publications

A Qualitative Assessment of the Experiences with Eye Health and Barriers to Eyeglasses among U.S. Youth

A Qualitative Assessment of the Experiences with Eye Health and Barriers to Eyeglasses among U.S. Youth

Pediatric and School-Age Vision Screening in the United States: Rationale, Components, and Future Directions

Visual Impairment from Uncorrected Refractive Error among Participants in a Novel Program to Improve Eye Care Access among Low-Income Adults in Michigan

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