Health disparities in ophthalmology black americans m roy wilson md ms
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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

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


Disclosure
Disclosure

  • The presenter has no financial interest in the topics discussed


The conceptual framework
The Conceptual Framework

African Eve

Race vs. Ethnicity

Lack of objective physiological or anatomical verification of race

Genetic polymorphisms and human variation


Origins of modern human populations the phylogeography of y chromosome binary haplotypes
Origins of Modern Human PopulationsThe Phylogeography of Y Chromosome Binary Haplotypes

1062 Men from 21 Populations 218 Polymorphisms from NRY


The eurasian heartland a continental perspective on y chromosome diversity
The Eurasian HeartlandA Continental Perspective on Y-Chromosome Diversity

1935 Men from 49 Populations 23 Polymorphisms from NRY


Vision impairment
Vision Impairment

Higher rates in black-Americans compared to non-Hispanic white-Americans

Open-angle glaucoma, age-related cataract, diabetic retinopathy


Diabetes
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


Diabetic retinopathy
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


Open angle glaucoma
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


Contributing factors for eye health disparity
Contributing Factors for Eye Health Disparity

Differential access to care

Quality of care

Use of services

Patient beliefs


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