The association between socioeconomic status and visual impairments among primary glaucoma

The results from Nationwide Korean National Health Insurance Cohort from 2004 to 2013

Haejune Sung, Hyun Ho Shin, Yunseng Baek, Gyu Ah Kim, Jae Sang Koh, Euncheol Park, Jaeyong Shin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Glaucoma is one of the most leading causes of permanent visual impairments in Korea, and social expenses spent for the glaucoma are increasing. This study is to identify association between socioeconomic status and the visual impairments caused by primary glaucoma in Korea. Methods: This study is based on a cohort study using stratified representative samples in the National Health Insurance claim data from 2002 to 2013 with 1,025,340 representative subjects. Target subjects were patients who are newly diagnosed with primary glaucoma from 2004 to 2013. We conducted a multiple logistic regression analysis depending on the occurrence of visual impairment and its temporal order compared to the glaucoma diagnosis. Results: Among 1728 patients with primary glaucoma, those with low and middle income shows higher odds ratio (OR) of the visual impairments than those with high income group (low income; OR = 3.42, 95% Confidential Interval (CI):2.06-5.66, middle income; OR = 2.13, 95% CI: 1.28-3.55), in case of the occurrence of the visual impairments preceded the diagnosis of glaucoma. Conclusions: Glaucoma patients without pre-existing glaucoma history before visual impairment have higher association between socioeconomic status and the occurrence of visual impairments by primary glaucoma. Since glaucoma had not been diagnosed and recognized yet, the differences may have been derived from the disparities of the awareness of the glaucoma. These findings call attention to the correlation between socioeconomic factors and the visual impairments by glaucoma, and raise public health needs over the importance of glaucoma awareness and eye screening for glaucoma, especially for low socioeconomic status.

Original languageEnglish
Article number153
JournalBMC Ophthalmology
Volume17
Issue number1
DOIs
Publication statusPublished - 2017 Aug 23

Fingerprint

Vision Disorders
National Health Programs
Social Class
Glaucoma
Odds Ratio
Korea

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

@article{23f2dbd1c96145db89744bc3a8805543,
title = "The association between socioeconomic status and visual impairments among primary glaucoma: The results from Nationwide Korean National Health Insurance Cohort from 2004 to 2013",
abstract = "Background: Glaucoma is one of the most leading causes of permanent visual impairments in Korea, and social expenses spent for the glaucoma are increasing. This study is to identify association between socioeconomic status and the visual impairments caused by primary glaucoma in Korea. Methods: This study is based on a cohort study using stratified representative samples in the National Health Insurance claim data from 2002 to 2013 with 1,025,340 representative subjects. Target subjects were patients who are newly diagnosed with primary glaucoma from 2004 to 2013. We conducted a multiple logistic regression analysis depending on the occurrence of visual impairment and its temporal order compared to the glaucoma diagnosis. Results: Among 1728 patients with primary glaucoma, those with low and middle income shows higher odds ratio (OR) of the visual impairments than those with high income group (low income; OR = 3.42, 95{\%} Confidential Interval (CI):2.06-5.66, middle income; OR = 2.13, 95{\%} CI: 1.28-3.55), in case of the occurrence of the visual impairments preceded the diagnosis of glaucoma. Conclusions: Glaucoma patients without pre-existing glaucoma history before visual impairment have higher association between socioeconomic status and the occurrence of visual impairments by primary glaucoma. Since glaucoma had not been diagnosed and recognized yet, the differences may have been derived from the disparities of the awareness of the glaucoma. These findings call attention to the correlation between socioeconomic factors and the visual impairments by glaucoma, and raise public health needs over the importance of glaucoma awareness and eye screening for glaucoma, especially for low socioeconomic status.",
author = "Haejune Sung and Shin, {Hyun Ho} and Yunseng Baek and Kim, {Gyu Ah} and Koh, {Jae Sang} and Euncheol Park and Jaeyong Shin",
year = "2017",
month = "8",
day = "23",
doi = "10.1186/s12886-017-0551-y",
language = "English",
volume = "17",
journal = "BMC Ophthalmology",
issn = "1471-2415",
publisher = "BioMed Central",
number = "1",

}

The association between socioeconomic status and visual impairments among primary glaucoma : The results from Nationwide Korean National Health Insurance Cohort from 2004 to 2013. / Sung, Haejune; Shin, Hyun Ho; Baek, Yunseng; Kim, Gyu Ah; Koh, Jae Sang; Park, Euncheol; Shin, Jaeyong.

In: BMC Ophthalmology, Vol. 17, No. 1, 153, 23.08.2017.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The association between socioeconomic status and visual impairments among primary glaucoma

T2 - The results from Nationwide Korean National Health Insurance Cohort from 2004 to 2013

AU - Sung, Haejune

AU - Shin, Hyun Ho

AU - Baek, Yunseng

AU - Kim, Gyu Ah

AU - Koh, Jae Sang

AU - Park, Euncheol

AU - Shin, Jaeyong

PY - 2017/8/23

Y1 - 2017/8/23

N2 - Background: Glaucoma is one of the most leading causes of permanent visual impairments in Korea, and social expenses spent for the glaucoma are increasing. This study is to identify association between socioeconomic status and the visual impairments caused by primary glaucoma in Korea. Methods: This study is based on a cohort study using stratified representative samples in the National Health Insurance claim data from 2002 to 2013 with 1,025,340 representative subjects. Target subjects were patients who are newly diagnosed with primary glaucoma from 2004 to 2013. We conducted a multiple logistic regression analysis depending on the occurrence of visual impairment and its temporal order compared to the glaucoma diagnosis. Results: Among 1728 patients with primary glaucoma, those with low and middle income shows higher odds ratio (OR) of the visual impairments than those with high income group (low income; OR = 3.42, 95% Confidential Interval (CI):2.06-5.66, middle income; OR = 2.13, 95% CI: 1.28-3.55), in case of the occurrence of the visual impairments preceded the diagnosis of glaucoma. Conclusions: Glaucoma patients without pre-existing glaucoma history before visual impairment have higher association between socioeconomic status and the occurrence of visual impairments by primary glaucoma. Since glaucoma had not been diagnosed and recognized yet, the differences may have been derived from the disparities of the awareness of the glaucoma. These findings call attention to the correlation between socioeconomic factors and the visual impairments by glaucoma, and raise public health needs over the importance of glaucoma awareness and eye screening for glaucoma, especially for low socioeconomic status.

AB - Background: Glaucoma is one of the most leading causes of permanent visual impairments in Korea, and social expenses spent for the glaucoma are increasing. This study is to identify association between socioeconomic status and the visual impairments caused by primary glaucoma in Korea. Methods: This study is based on a cohort study using stratified representative samples in the National Health Insurance claim data from 2002 to 2013 with 1,025,340 representative subjects. Target subjects were patients who are newly diagnosed with primary glaucoma from 2004 to 2013. We conducted a multiple logistic regression analysis depending on the occurrence of visual impairment and its temporal order compared to the glaucoma diagnosis. Results: Among 1728 patients with primary glaucoma, those with low and middle income shows higher odds ratio (OR) of the visual impairments than those with high income group (low income; OR = 3.42, 95% Confidential Interval (CI):2.06-5.66, middle income; OR = 2.13, 95% CI: 1.28-3.55), in case of the occurrence of the visual impairments preceded the diagnosis of glaucoma. Conclusions: Glaucoma patients without pre-existing glaucoma history before visual impairment have higher association between socioeconomic status and the occurrence of visual impairments by primary glaucoma. Since glaucoma had not been diagnosed and recognized yet, the differences may have been derived from the disparities of the awareness of the glaucoma. These findings call attention to the correlation between socioeconomic factors and the visual impairments by glaucoma, and raise public health needs over the importance of glaucoma awareness and eye screening for glaucoma, especially for low socioeconomic status.

UR - http://www.scopus.com/inward/record.url?scp=85028345627&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85028345627&partnerID=8YFLogxK

U2 - 10.1186/s12886-017-0551-y

DO - 10.1186/s12886-017-0551-y

M3 - Article

VL - 17

JO - BMC Ophthalmology

JF - BMC Ophthalmology

SN - 1471-2415

IS - 1

M1 - 153

ER -