UNASSIGNED: This literature review evaluates evidence for an association between socioeconomic situation and ophthalmic/orthoptic conditions and their treatment outcomes, specifically within the UK.
UNASSIGNED: Keyword searches were conducted on Google Scholar and the University of Liverpool library catalogue. Results for the main analyses were limited to full papers, specific to the UK, written in English. Literature was only included from pre-2000 if more recent evidence was insufficient.
UNASSIGNED: There is evidence of socioeconomic disadvantage being associated with the following: reduced visual acuity; reduced attendance at diabetic retinopathy screening appointments; and delayed presentation of glaucoma, cataracts, and diabetic retinopathy. However, evidence linking socioeconomic disadvantage to AMD is mixed. There is limited evidence of the increased prevalence of amblyopia and subsequent barriers to its treatment for socioeconomically underserved children. There is also evidence of a reduction in quality of life for socioeconomically underserved adults with strabismus.
UNASSIGNED: Health inequalities within ophthalmology and orthoptics are reported, but with confounding results for some conditions. Further research should explore the reasons behind the inequalities that are found and identify methods of reducing them.
■本文献综述评估了社会经济状况与眼科/矫正状况及其治疗结果之间的关联的证据。特别是在英国。
■在GoogleScholar和利物浦大学图书馆目录上进行了关键字搜索。主要分析的结果仅限于全文,具体到英国,用英语写的。如果最近的证据不足,则仅包括2000年前的文献。
■有证据表明,社会经济劣势与以下因素有关:视力下降;糖尿病视网膜病变筛查预约的出勤率降低;以及青光眼的延迟表现,白内障,和糖尿病视网膜病变。然而,将社会经济劣势与AMD联系起来的证据好坏参半。有有限的证据表明,弱视的患病率增加,以及随后对社会经济服务不足的儿童的治疗障碍。也有证据表明,社会经济服务不足的斜视成年人的生活质量降低。
■据报道,但在某些情况下结果令人困惑。进一步的研究应该探索发现的不平等背后的原因,并确定减少它们的方法。