Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort study
Background/aims To examine the association between sociodemographic characteristics and attendance at Hospital Eye Service (HES) referrals from the Diabetic Eye Screening Programme (DESP), in a large, ethnically diverse urban population.Methods Retrospective cohort study (4 January 2016–12 August 20...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open Ophthalmology |
| Online Access: | https://bmjophth.bmj.com/content/10/1/e001969.full |
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| author | James Banks Adnan Tufail Ling Zhi Heng Josef Huemer Christopher G Owen Alicja R Rudnicka Yasir Khan Abraham Olvera-Barrios Michael Seltene Mumina Khatun Catherine A Egan Zoe Ockrim Matilda Pitt Daisy Williams Celestine Rutowska |
| author_facet | James Banks Adnan Tufail Ling Zhi Heng Josef Huemer Christopher G Owen Alicja R Rudnicka Yasir Khan Abraham Olvera-Barrios Michael Seltene Mumina Khatun Catherine A Egan Zoe Ockrim Matilda Pitt Daisy Williams Celestine Rutowska |
| author_sort | James Banks |
| collection | DOAJ |
| description | Background/aims To examine the association between sociodemographic characteristics and attendance at Hospital Eye Service (HES) referrals from the Diabetic Eye Screening Programme (DESP), in a large, ethnically diverse urban population.Methods Retrospective cohort study (4 January 2016–12 August 2019) of people with diabetic retinopathy (DR) referred from an English DESP to a tertiary referral eye hospital. We conducted a multivariable logistic regression with attendance as the primary outcome, controlling for age, sex, ethnicity, Index of Multiple Deprivation, best eye visual acuity and baseline DR grade.Results Of 7793 people referred (mean age 64 years, 62.6% male, 13.9% white, 12.5% black, 25.3% South Asian, 6.5% any other Asian background, 19.3% no recorded ethnicity and 20.9% of ‘Other’ ethnic origin), 69% attended. Compared with white individuals, people of black ethnic origin were similarly likely to attend. South Asians and those of other Asian backgrounds were more likely, and people with ‘Other’ or missing ethnicity were less likely to attend. Those with higher levels of deprivation, younger (aged 18–45 years) and older (76–90 years) age groups and worse visual acuity were less likely to attend, whereas people identified as having proliferative DR in both eyes were more likely to attend.Conclusion Sociodemographic patterns in attendance after referral from the DESP to the HES exist, and these do not appear to explain ethnic differences in more severe sight-threatening DR, suggesting other explanations. More work is needed to understand and reduce inequalities in HES attendance. |
| format | Article |
| id | doaj-art-ab2b87cb1cfd43579c29a70d83b893bf |
| institution | Kabale University |
| issn | 2397-3269 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Ophthalmology |
| spelling | doaj-art-ab2b87cb1cfd43579c29a70d83b893bf2025-01-23T07:50:09ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692025-01-0110110.1136/bmjophth-2024-001969Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort studyJames Banks0Adnan Tufail1Ling Zhi Heng2Josef Huemer3Christopher G Owen4Alicja R Rudnicka5Yasir Khan6Abraham Olvera-Barrios7Michael Seltene8Mumina Khatun9Catherine A Egan10Zoe Ockrim11Matilda Pitt12Daisy Williams13Celestine Rutowska14Population Health Research Institute, City St George`s, University of London , London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKPopulation Health Research Institute, City St George`s, University of London , London, UKPopulation Health Research Institute, City St George`s, University of London , London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKPopulation Health Research Institute, City St George`s, University of London , London, UKPopulation Health Research Institute, City St George`s, University of London , London, UKMedical Retina, Moorfields Eye Hospital NHS Foundation Trust, London, UKBackground/aims To examine the association between sociodemographic characteristics and attendance at Hospital Eye Service (HES) referrals from the Diabetic Eye Screening Programme (DESP), in a large, ethnically diverse urban population.Methods Retrospective cohort study (4 January 2016–12 August 2019) of people with diabetic retinopathy (DR) referred from an English DESP to a tertiary referral eye hospital. We conducted a multivariable logistic regression with attendance as the primary outcome, controlling for age, sex, ethnicity, Index of Multiple Deprivation, best eye visual acuity and baseline DR grade.Results Of 7793 people referred (mean age 64 years, 62.6% male, 13.9% white, 12.5% black, 25.3% South Asian, 6.5% any other Asian background, 19.3% no recorded ethnicity and 20.9% of ‘Other’ ethnic origin), 69% attended. Compared with white individuals, people of black ethnic origin were similarly likely to attend. South Asians and those of other Asian backgrounds were more likely, and people with ‘Other’ or missing ethnicity were less likely to attend. Those with higher levels of deprivation, younger (aged 18–45 years) and older (76–90 years) age groups and worse visual acuity were less likely to attend, whereas people identified as having proliferative DR in both eyes were more likely to attend.Conclusion Sociodemographic patterns in attendance after referral from the DESP to the HES exist, and these do not appear to explain ethnic differences in more severe sight-threatening DR, suggesting other explanations. More work is needed to understand and reduce inequalities in HES attendance.https://bmjophth.bmj.com/content/10/1/e001969.full |
| spellingShingle | James Banks Adnan Tufail Ling Zhi Heng Josef Huemer Christopher G Owen Alicja R Rudnicka Yasir Khan Abraham Olvera-Barrios Michael Seltene Mumina Khatun Catherine A Egan Zoe Ockrim Matilda Pitt Daisy Williams Celestine Rutowska Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort study BMJ Open Ophthalmology |
| title | Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort study |
| title_full | Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort study |
| title_fullStr | Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort study |
| title_full_unstemmed | Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort study |
| title_short | Effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a Diabetic Eye Screening Programme: a retrospective cohort study |
| title_sort | effect of ethnicity and other sociodemographic factors on attendance at ophthalmology appointments following referral from a diabetic eye screening programme a retrospective cohort study |
| url | https://bmjophth.bmj.com/content/10/1/e001969.full |
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