Cornea eye care coverage based on geographic distribution and population demographics in the United States

Purpose: To correlate the geographic distribution of cornea-specializing ophthalmologists with United States population demographics and identify communities with gaps in cornea care access. Design: Cross-sectional analysis Methods: In June 2024, office addresses of cornea ophthalmologists obtained...

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Main Authors: Riya H. Patel, David Mothy, Hassaam S. Choudhry, Aliya Grinberg, Jayant Bhasin, Mohammad H. Dastjerdi
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:AJO International
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950253525000425
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author Riya H. Patel
David Mothy
Hassaam S. Choudhry
Aliya Grinberg
Jayant Bhasin
Mohammad H. Dastjerdi
author_facet Riya H. Patel
David Mothy
Hassaam S. Choudhry
Aliya Grinberg
Jayant Bhasin
Mohammad H. Dastjerdi
author_sort Riya H. Patel
collection DOAJ
description Purpose: To correlate the geographic distribution of cornea-specializing ophthalmologists with United States population demographics and identify communities with gaps in cornea care access. Design: Cross-sectional analysis Methods: In June 2024, office addresses of cornea ophthalmologists obtained from the Academy of Ophthalmology (AAO) public database and Google searches were geocoded using Esri ArcGIS Pro. Geographic distribution of cornea ophthalmologists within the United States compared to US county-level population demographics, such as county median incomes, educational attainment rates, poverty rates, and health insurance coverage rates. Independent samples t-tests were used for statistical analysis. Results: 1665 cornea ophthalmologists’ office addresses were identified. 85.6 % (n = 2688) of US counties had no practicing cornea ophthalmologists whereas 14.3 % (n = 447) of US counties had at least one cornea ophthalmologist. There was an average of 5.02 cornea ophthalmologists per million people throughout the United States. When correlated with population demographics, counties with at least one cornea ophthalmologist had greater median income [$77,444], educational attainment rates [35.5 %], and health insurance coverage rates [98.6 %] compared to the median household annual income [$60,872], educational attainment rates [21.4 %], and health insurance coverage rates [97.5 %] of counties with no cornea ophthalmologists (p < 0.001). Additionally, counties with at least one cornea ophthalmologist had lower poverty rates [12.0 %] compared to counties with no cornea ophthalmologists [14.2 %] (p < 0.001). Conclusions: Geographic disparities in cornea care access are pronounced in low socioeconomic counties. Addressing these issues is crucial for equitable eye care.
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spelling doaj-art-d20f6fc4389c45d6bb9370769e1e2a652025-08-20T02:30:39ZengElsevierAJO International2950-25352025-10-012310013910.1016/j.ajoint.2025.100139Cornea eye care coverage based on geographic distribution and population demographics in the United StatesRiya H. Patel0David Mothy1Hassaam S. Choudhry2Aliya Grinberg3Jayant Bhasin4Mohammad H. Dastjerdi5Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, United StatesDepartment of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, United StatesDepartment of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, United StatesThe College of New Jersey, Ewing, NJ, United StatesDepartment of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, United StatesDepartment of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, United States; Corresponding author at: 90 Bergen Street, Suite 6100, Newark, NJ 07103, United States.Purpose: To correlate the geographic distribution of cornea-specializing ophthalmologists with United States population demographics and identify communities with gaps in cornea care access. Design: Cross-sectional analysis Methods: In June 2024, office addresses of cornea ophthalmologists obtained from the Academy of Ophthalmology (AAO) public database and Google searches were geocoded using Esri ArcGIS Pro. Geographic distribution of cornea ophthalmologists within the United States compared to US county-level population demographics, such as county median incomes, educational attainment rates, poverty rates, and health insurance coverage rates. Independent samples t-tests were used for statistical analysis. Results: 1665 cornea ophthalmologists’ office addresses were identified. 85.6 % (n = 2688) of US counties had no practicing cornea ophthalmologists whereas 14.3 % (n = 447) of US counties had at least one cornea ophthalmologist. There was an average of 5.02 cornea ophthalmologists per million people throughout the United States. When correlated with population demographics, counties with at least one cornea ophthalmologist had greater median income [$77,444], educational attainment rates [35.5 %], and health insurance coverage rates [98.6 %] compared to the median household annual income [$60,872], educational attainment rates [21.4 %], and health insurance coverage rates [97.5 %] of counties with no cornea ophthalmologists (p < 0.001). Additionally, counties with at least one cornea ophthalmologist had lower poverty rates [12.0 %] compared to counties with no cornea ophthalmologists [14.2 %] (p < 0.001). Conclusions: Geographic disparities in cornea care access are pronounced in low socioeconomic counties. Addressing these issues is crucial for equitable eye care.http://www.sciencedirect.com/science/article/pii/S2950253525000425Geographic distributionGeocodingPopulation demographicsCorneaArcGisSocioeconomics
spellingShingle Riya H. Patel
David Mothy
Hassaam S. Choudhry
Aliya Grinberg
Jayant Bhasin
Mohammad H. Dastjerdi
Cornea eye care coverage based on geographic distribution and population demographics in the United States
AJO International
Geographic distribution
Geocoding
Population demographics
Cornea
ArcGis
Socioeconomics
title Cornea eye care coverage based on geographic distribution and population demographics in the United States
title_full Cornea eye care coverage based on geographic distribution and population demographics in the United States
title_fullStr Cornea eye care coverage based on geographic distribution and population demographics in the United States
title_full_unstemmed Cornea eye care coverage based on geographic distribution and population demographics in the United States
title_short Cornea eye care coverage based on geographic distribution and population demographics in the United States
title_sort cornea eye care coverage based on geographic distribution and population demographics in the united states
topic Geographic distribution
Geocoding
Population demographics
Cornea
ArcGis
Socioeconomics
url http://www.sciencedirect.com/science/article/pii/S2950253525000425
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