Blindness Disparities Between Racial/Ethnic Groups in the State of Texas

Authors

DOI:

https://doi.org/10.5195/ijms.2024.2044

Keywords:

Ethnicity, Quality of life , Prevalence, Cultural Diversity, Texas, Centers for Disease Control and Prevention, Outcome Assessment, Health Care, Blindness, Health Disparities , Disparities, Racial/Ethnic Groups, Health Outcomes, Crude Prevalence, Hispanic, Age Groups , Socioeconomic Status, Vision Health , Retrospective Study, Statistical Significance

Abstract

Background: There are disparities in health outcomes between races. Blindness is associated with decreased quality of life and negative health outcomes. There is little published data investigating the difference in the prevalence of blindness between races/ethnicities nationally and in Texas.

Methods: This retrospective observational study investigates the differences in crude prevalence of blindness between different race/ethnicities in Texas. Data was gathered from the Centers for Disease Control and Prevention (CDC) website Vision and Eye Health Surveillance System (VEHSS) using the most recently available Compositive Estimate data from the state of Texas. The variables compared were age groups and race/ethnicity categories of Black, non-Hispanic, Hispanic, any race and White, non-Hispanic, referred to as “Black,” “Hispanic,” and “White” respectively. The logs of the relative ratios and Z scores were used to compare each age group.

Results: The Black group consistently had the highest crude prevalence of blindness across age groups; The White group had the lowest prevalence. The Hispanic group consistently had prevalence rates that were between the Black and White groups. No differences were found to be statistically significant.

Conclusion: This data shows that, despite ongoing diversity and inclusion efforts, ongoing inequalities exist in healthcare outcomes. In the state of Texas, this is made apparent by the difference in blindness prevalence between Black, Hispanic, and White populations. These data can be used to bring about change that needs to be addressed at the state and institutional level. 

Metrics

Metrics Loading ...

References

Berisha E, Dubey RS, Olson E. Monetary policy and the racial wage gap. Empir Econ. 2022;63:3045-9.

Hoang T, Suh J, Sabharwal M. Beyond a Numbers Game? Impact of Diversity and Inclusion on the Perception of Organizational Justice. Public Administration Review. 2022;82(3):537–55.

Nguemeni Tiako MJ, Ray V, South EC. Medical Schools as Racialized Organizations: How Race-Neutral Structures Sustain Racial Inequality in Medical Education—a Narrative Review. J Gen Intern Med. 2022;37(9):2259–66.

United States Department of Health and Human Services. HHS Action Plan to Reduce Racial and Ethnic Health Disparities: A Nation Free of Disparities in Health and Health Care. American Psychological Association. Available from: http://doi.apa.org/get-pe-doi.cfm?doi=10.1037/e553842012-001. Cited 2022 Sep 24.

2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy. 2015. Available from: http://admin.ahrq.gov/research/findings/nhqrdr/nhqdr15/index.html. cited 2022 Sep 24

World Health Organization. Social determinants of health. WHO Regional Office for South-East Asia; 2008. Available from: https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

Nelson A. Unequal treatment: confronting racial and ethnic disparities in health care. J Natl Med Assoc. 2002;94(8):666–8.

De Lew N, Weinick RM. An Overview: Eliminating Racial, Ethnic, and SES Disparities in Health Care. Health Care Financ Rev. 2000;21(4):1–7.

McBean AM, Gornick M. Differences by race in the rates of procedures performed in hospitals for Medicare beneficiaries. Health Care Financ Rev. 1994;15(4):77–90.

Mustard CA, Mayer T, Black C, Postl B. Continuity of Pediatric Ambulatory Care in a Universally Insured Population. Pediatrics. 1996;98(6):1028–34.

Schoendorf KC, Hogue CJR, Kleinman JC, Rowley D. Mortality among Infants of Black as Compared with White College-Educated Parents. N Engl J Med. 1992;326(23):1522–6.

Centers for Disease Control and Prevention. Burden of Vision Loss | CDC. 2020. Available from: https://www.cdc.gov/visionhealth/risk/burden.htm. cited 2022 Dec 6.

Centers for Disease Control and Prevention (CDC). Prevalence of disabilities and associated health conditions among adults--United States, 1999. MMWR Morb Mortal Wkly Rep. 2001;50(7):120–5.

Assi L, Chamseddine F, Ibrahim P, Sabbagh H, Rosman L, Congdon N, et al. A Global Assessment of Eye Health and Quality of Life: A Systematic Review of Systematic Reviews. JAMA Ophthalmology. 2021;139(5):526–41.

Hamedani AG, VanderBeek BL, Willis AW. Blindness and Visual Impairment in the Medicare Population: Disparities and Association with Hip Fracture and Neuropsychiatric Outcomes. Ophthalmic Epidemiol. 2019;26(4):279–85.

Lange R, Kumagai A, Weiss S, Zaffke KB, Day S, Wicker D, et al. Vision-related quality of life in adults with severe peripheral vision loss: a qualitative interview study. J Patient Rep Outcomes. 2021;5(1):7.

Flaxman AD, Wittenborn JS, Robalik T, Gulia R, Gerzoff RB, Lundeen EA, Saaddine J, Rein DB; Vision and Eye Health Surveillance System study group. Prevalence of Visual Acuity Loss or Blindness in the US: A Bayesian Meta-analysis. JAMA Ophthalmol. 2021;139(7):717-723.

Kuo PL, Huang AR, Ehrlich JR, Kasper J, Lin FR, McKee MM, Reed NS, Swenor BK, Deal JA. Prevalence of Concurrent Functional Vision and Hearing Impairment and Association With Dementia in Community-Dwelling Medicare Beneficiaries. JAMA Netw Open. 2021;4(3):e211558.

Stevens GA, White RA, Flaxman SR, Price H, Jonas JB, Keeffe J, et al. Global Prevalence of Vision Impairment and Blindness: Magnitude and Temporal Trends, 1990–2010. Ophthalmology. 2013;120(12):2377–84.

Centers for Disease Control and Prevention (CDC). 2018. Template Package 4. Available from: https://www.cdc.gov/index.htm. Cited 2024 Jun 28

Wittenborn JS, Zhang X, Feagan CW, Crouse WL, Shrestha S, Kemper AR, et al. The Economic Burden of Vision Loss and Eye Disorders among the United States Population Younger than 40 Years. Ophthalmology. 2013;120(9):1728–35.

Halbert CH, Armstrong K, Gandy OH, Shaker L. Racial differences in trust in health care providers. Arch Intern Med. 2006;166(8):896–901.

Zhang X, Cotch MF, Ryskulova A, Primo SA, Nair P, Chou CF, et al. Vision Health Disparities in the United States by Race/Ethnicity, Education, and Economic Status: Findings From Two Nationally Representative Surveys. Am J Ophthalmol. 2012;154(6, Suppl):S53-S62.e1

Stein JD, Andrews C, Musch DC, Green C, Lee PP. Sight-Threatening Ocular Diseases Remain Underdiagnosed Among Children Of Less Affluent Families. Health Affairs. 2016;35(8):1359–66.

Unzueta M, Globe D, Wu J, Paz S, Azen S, Varma R, et al. Compliance with recommendations for follow-up care in Latinos: the Los Angeles Latino Eye Study. Ethn Dis. 2004;14(2):285–91.

Cheng Q, Okoro CA, Mendez I, Lundeen EA, Saaddine JB, Stein R, et al. Health Care Access and Use Among Adults With and Without Vision Impairment: Behavioral Risk Factor Surveillance System, 2018. Prev Chronic Dis. 2022;19:E70.

Harris MI, Klein R, Cowie CC, Rowland M, Byrd-Holt DD. Is the Risk of Diabetic Retinopathy Greater in Non-Hispanic Blacks and Mexican Americans Than in Non-Hispanic Whites With Type 2 Diabetes?: A U.S. population study. Diabetes Care. 1998;21(8):1230–5.

Klein R, Chou CF, Klein BEK, Zhang X, Meuer SM, Saaddine JB. Prevalence of Age-Related Macular Degeneration in the US Population. Archives of Ophthalmology. 2011;129(1):75–80

West SK, Munoz B, Schein OD, Duncan DD, Rubin GS. Racial Differences in Lens Opacities: The Salisbury Eye Evaluation (SEE) Project. American Journal of Epidemiology. 1998;148(11):1033–9.

Wang L, Zhu Z, Scheetz J, He M. Visual impairment and ten-year mortality: the Liwan Eye Study. Eye (Lond). 2021;35(8):2173–9.

Ehrlich JR, Ramke J, Macleod D, Burn H, Lee CN, Zhang JH, et al. Association between vision impairment and mortality: a systematic review and meta-analysis. The Lancet Global Health. 2021;9(4):e418–30.

Choi HG, Lee MJ, Lee SM. Mortality and causes of death in a population with blindness in Korea: A longitudinal follow-up study using a national sample cohort. Sci Rep. 2020;10(1):4891.

This line graph shows the prevalence of blindness across different ages and races/ethnicities, with the prevalence increasing with age for all groups. The five lines represent all races, Black non-Hispanic, Hispanic any race, Other, and White non-Hispanic, each following a similar trend with a significant rise in older age groups.

Published

2024-06-07 — Updated on 2024-07-09

How to Cite

Garcia, A., Anderson, K., & Funkhouser, M. (2024). Blindness Disparities Between Racial/Ethnic Groups in the State of Texas. International Journal of Medical Students, 12(2), 141–145. https://doi.org/10.5195/ijms.2024.2044

Issue

Section

Original Article

Categories