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Health Disparities in Ophthalmology: black – Americans M. Roy Wilson, MD, MS

Health Disparities in Ophthalmology: black – Americans M. Roy Wilson, MD, MS. Disclosure . The presenter has no financial interest in the topics discussed. The Conceptual Framework. African Eve Race vs. Ethnicity Lack of objective physiological or anatomical verification of race

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Health Disparities in Ophthalmology: black – Americans M. Roy Wilson, MD, MS

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  1. Health Disparities in Ophthalmology: black – Americans M. Roy Wilson, MD, MS

  2. Disclosure • The presenter has no financial interest in the topics discussed

  3. The Conceptual Framework African Eve Race vs. Ethnicity Lack of objective physiological or anatomical verification of race Genetic polymorphisms and human variation

  4. Origins of Modern Human PopulationsThe Phylogeography of Y Chromosome Binary Haplotypes 1062 Men from 21 Populations 218 Polymorphisms from NRY

  5. The Eurasian HeartlandA Continental Perspective on Y-Chromosome Diversity 1935 Men from 49 Populations 23 Polymorphisms from NRY

  6. Vision Impairment Higher rates in black-Americans compared to non-Hispanic white-Americans Open-angle glaucoma, age-related cataract, diabetic retinopathy

  7. Diabetes 1.6x higher prevalence in black-Americans compared to non-Hispanic white-Americans Difference in prevalence in black-Americans compared to African blacks Higher rate of severe diabetic complications, including diabetic retinopathy

  8. Diabetic Retinopathy Higher burden of diabetic retinopathy and its complications in black-Americans compared to general population 6x higher risk of blindness or visual impairment in black-Americans compared to non-Hispanic white-Americans

  9. Open-Angle Glaucoma 3-4x higher prevalence in black-Americans compared to white-Americans Prevalence in black-Caribbeans vs. black-Americans Black-Americans develop OAG at younger age Black-Americans often diagnosed at more advanced stage of disease Implications for screening

  10. Contributing Factors for Eye Health Disparity Differential access to care Quality of care Use of services Patient beliefs

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