Clinical and Epidemiologic Research Racial Disparities in Uncorrected and Undercorrected Refractive Error in the United States Mary Qiu,1 Sophia Y. Wang,1 Kuldev Singh,2 and Shan C. Lin1 1Department of Ophthalmology, University of California, San Francisco, San Francisco, California, United States 2Department of Ophthalmology, Stanford University, Stanford, California, United States Correspondence:ShanC.Lin,10 PURPOSE. To identify risk factors for inadequately corrected refractive error in the United Koret Street, Room K301, San Fran- States. cisco, CA 94143-0730, USA;
[email protected]. METHODS. This cross-sectional study included 12,758 participants 12 years of age and older from the 2005 to 2008 National Health and Nutrition Examination Survey. The primary Submitted: June 24, 2013 outcome was the proportion of individuals with inadequate refractive correction for whom Accepted: September 13, 2014 refractive correction would result in a visual acuity of 20/40 or better. The primary predictor Citation: Qiu M, Wang SY, Singh K, Lin was race/ethnicity. Secondary predictors included age, sex, annual household income, SC. Racial disparities in uncorrected education, insurance, type of refractive error, current corrective lens use, presenting and best and undercorrected refractive error in corrected visual acuity, cataract surgery, glaucoma, and age-related macular degeneration. the United States. Invest Ophthalmol Vis Sci. 2014;55:6996–7005. DOI: RESULTS. Overall, 50.6% of subjects had a refractive error which was correctable to 20/40 or 10.1167/iovs.13-12662 better with refraction. The percentage of subjects with correctable refractive error who were inadequately corrected was 11.7%. Odds of inadequate refractive correction were significantly greater in Mexican Americans and non-Hispanic blacks than in their non- Hispanic white counterparts in all age groups, with the greatest disparity in the 12- to 19-year- old group.