The Impact of Social Determinants of Health on Successful Bioptic Licensure in West Tennessee.

Background: Health inequity impacts patients with visual disabilities. Patients with visual impairments may use bioptics to meet state licensing requirements; however, successful completion of licensure may be confounded by non-visual factors. Understanding non-visual barriers to bioptic licensure c...

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Publicado en:Optometry & Visual Performance Vol. 13; no. 2; pp. 118 - 124
Autor principal: Squier, Karen
Formato: research tables/charts Journal Article
Publicado: Optometric Extension Program Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: The Impact of Social Determinants of Health on Successful Bioptic Licensure in West Tennessee.
      aug:
        au: Squier, Karen
        affil: Southern College of Optometry, Memphis, Tennessee
      sug:
        subj:
          Social Determinants of Health
          Licensure
          Vision, Subnormal
          Eyeglasses
          Automobile Driving
          Human
          Male
          Female
          Tennessee
          Retrospective Design
          Record Review
          Descriptive Statistics
          Adult
          Middle Age
          Race Factors
          Employment Status
          Access to Healthy Foods
          Educational Status
          Automobile Driver Examination
          Visual Acuity
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Health inequity impacts patients with visual disabilities. Patients with visual impairments may use bioptics to meet state licensing requirements; however, successful completion of licensure may be confounded by non-visual factors. Understanding non-visual barriers to bioptic licensure can help optometrists better advocate for their patients. Addressing health inequities can be aided by assessing social determinants of health (SDOH). For visually impaired individuals in the state of Tennessee, the use of bioptic lenses for driving may be affected by certain social determinants of health. This study aimed to identify the SDOH most closely aligned with the completion of bioptic licensure. Methods: A record review of patients seen at The Eye Center at Southern College of Optometry between 2019 and 2023 was completed. Age, sex, access to care (distance to clinic), race, payor status, and employment status were recorded. Results: Several factors affected the successful completion of bioptic licensure. Payor status (grant applicants) and race were factors more likely to impact one's ability to complete licensure. Conclusion: The influence of health equity on health outcomes remains a concern. Assessing how factors such as social determinants of health impact successful treatment plans--in this case, bioptic licensure--is important. Employability, access to healthy food, and education are all affected by the ability to travel. Addressing the health inequities found in this study should improve visually impaired individuals' ability to complete bioptic driving licensure, and thus improve employability, access to healthy food, and education among this population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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