Socioeconomic deprivation and serious ocular trauma in Scotland

a national prospective study

Liying Low (Lead / Corresponding author), James Hodson, Daniel Morris, Parul Desai, Caroline MacEwen

    Research output: Contribution to journalArticle

    1 Citation (Scopus)
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    Abstract

    Objective: To identify the population at risk of serious ocular trauma by exploring relationships with socioeconomic factors.

    Design: National, prospective, population-based, cross-sectional and follow-up study.

    Participants: Patients with serious ocular trauma requiring hospital admission in Scotland.

    Methods: Case definition and ascertainment—cases of serious ocular trauma necessitating admission to hospital under the care of a consultant ophthalmologist were identified using the British Ophthalmological Surveillance Unit reporting scheme. Using the postcode of residence, we assigned a Scottish Index of Multiple Deprivation (SIMD) score, SIMD quintile ( 0%–20% most deprived; 20%–40%, 40%–60%, 60%–80%, 80%–100% least deprived areas), geographical access score as well as the estimated travel time to the nearest general practitioner (GP) practice using either car or public transport for each patient. Population estimates were obtained from the General Register Office for Scotland.

    Main outcome measure: Serious ocular trauma requiring hospital admission.

    Results: A total of 104 patients (85.6% male) were reported as being admitted with ocular trauma with a median age of 32 years (IQR 24–54). There was a trend for increasing incidence of serious ocular injury with increasing socioeconomic deprivation (p=0.034). Patients from the most deprived areas (SIMD: 0%–20%) were twice as likely to sustain ocular injury compared with those from the least deprived (SIMD: 80%–100%) areas (relative risk: 2.19, 95% CI 1.02 to 4.81). There was no significant difference in the drive/public transport time to GP practices across the SIMD quintiles.

    Conclusions: Increasing socioeconomic deprivation was associated with a higher incidence of serious ocular injury. Targeted interventions are needed to address inequality in eye healthcare in deprived areas.
    Original languageEnglish
    Pages (from-to)1395-1398
    Number of pages4
    JournalBritish Journal of Ophthalmology
    Volume101
    Issue number10
    Early online date8 Mar 2017
    DOIs
    Publication statusPublished - Oct 2017

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    Scotland
    Prospective Studies
    Eye Injuries
    Wounds and Injuries
    General Practice
    General Practitioners
    Incidence
    Consultants
    Population
    Outcome Assessment (Health Care)
    Delivery of Health Care

    Cite this

    Low, Liying ; Hodson, James ; Morris, Daniel ; Desai, Parul ; MacEwen, Caroline. / Socioeconomic deprivation and serious ocular trauma in Scotland : a national prospective study . In: British Journal of Ophthalmology. 2017 ; Vol. 101, No. 10. pp. 1395-1398.
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    title = "Socioeconomic deprivation and serious ocular trauma in Scotland: a national prospective study",
    abstract = "Objective: To identify the population at risk of serious ocular trauma by exploring relationships with socioeconomic factors.Design: National, prospective, population-based, cross-sectional and follow-up study.Participants: Patients with serious ocular trauma requiring hospital admission in Scotland.Methods: Case definition and ascertainment—cases of serious ocular trauma necessitating admission to hospital under the care of a consultant ophthalmologist were identified using the British Ophthalmological Surveillance Unit reporting scheme. Using the postcode of residence, we assigned a Scottish Index of Multiple Deprivation (SIMD) score, SIMD quintile ( 0{\%}–20{\%} most deprived; 20{\%}–40{\%}, 40{\%}–60{\%}, 60{\%}–80{\%}, 80{\%}–100{\%} least deprived areas), geographical access score as well as the estimated travel time to the nearest general practitioner (GP) practice using either car or public transport for each patient. Population estimates were obtained from the General Register Office for Scotland.Main outcome measure: Serious ocular trauma requiring hospital admission.Results: A total of 104 patients (85.6{\%} male) were reported as being admitted with ocular trauma with a median age of 32 years (IQR 24–54). There was a trend for increasing incidence of serious ocular injury with increasing socioeconomic deprivation (p=0.034). Patients from the most deprived areas (SIMD: 0{\%}–20{\%}) were twice as likely to sustain ocular injury compared with those from the least deprived (SIMD: 80{\%}–100{\%}) areas (relative risk: 2.19, 95{\%} CI 1.02 to 4.81). There was no significant difference in the drive/public transport time to GP practices across the SIMD quintiles.Conclusions: Increasing socioeconomic deprivation was associated with a higher incidence of serious ocular injury. Targeted interventions are needed to address inequality in eye healthcare in deprived areas.",
    author = "Liying Low and James Hodson and Daniel Morris and Parul Desai and Caroline MacEwen",
    note = "This study was funded by the WH Ross Foundation (Scotland). LL is funded by a Fight for Sight Clinical Fellowship award.",
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    Socioeconomic deprivation and serious ocular trauma in Scotland : a national prospective study . / Low, Liying (Lead / Corresponding author); Hodson, James; Morris, Daniel ; Desai, Parul; MacEwen, Caroline.

    In: British Journal of Ophthalmology, Vol. 101, No. 10, 10.2017, p. 1395-1398.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Socioeconomic deprivation and serious ocular trauma in Scotland

    T2 - a national prospective study

    AU - Low, Liying

    AU - Hodson, James

    AU - Morris, Daniel

    AU - Desai, Parul

    AU - MacEwen, Caroline

    N1 - This study was funded by the WH Ross Foundation (Scotland). LL is funded by a Fight for Sight Clinical Fellowship award.

    PY - 2017/10

    Y1 - 2017/10

    N2 - Objective: To identify the population at risk of serious ocular trauma by exploring relationships with socioeconomic factors.Design: National, prospective, population-based, cross-sectional and follow-up study.Participants: Patients with serious ocular trauma requiring hospital admission in Scotland.Methods: Case definition and ascertainment—cases of serious ocular trauma necessitating admission to hospital under the care of a consultant ophthalmologist were identified using the British Ophthalmological Surveillance Unit reporting scheme. Using the postcode of residence, we assigned a Scottish Index of Multiple Deprivation (SIMD) score, SIMD quintile ( 0%–20% most deprived; 20%–40%, 40%–60%, 60%–80%, 80%–100% least deprived areas), geographical access score as well as the estimated travel time to the nearest general practitioner (GP) practice using either car or public transport for each patient. Population estimates were obtained from the General Register Office for Scotland.Main outcome measure: Serious ocular trauma requiring hospital admission.Results: A total of 104 patients (85.6% male) were reported as being admitted with ocular trauma with a median age of 32 years (IQR 24–54). There was a trend for increasing incidence of serious ocular injury with increasing socioeconomic deprivation (p=0.034). Patients from the most deprived areas (SIMD: 0%–20%) were twice as likely to sustain ocular injury compared with those from the least deprived (SIMD: 80%–100%) areas (relative risk: 2.19, 95% CI 1.02 to 4.81). There was no significant difference in the drive/public transport time to GP practices across the SIMD quintiles.Conclusions: Increasing socioeconomic deprivation was associated with a higher incidence of serious ocular injury. Targeted interventions are needed to address inequality in eye healthcare in deprived areas.

    AB - Objective: To identify the population at risk of serious ocular trauma by exploring relationships with socioeconomic factors.Design: National, prospective, population-based, cross-sectional and follow-up study.Participants: Patients with serious ocular trauma requiring hospital admission in Scotland.Methods: Case definition and ascertainment—cases of serious ocular trauma necessitating admission to hospital under the care of a consultant ophthalmologist were identified using the British Ophthalmological Surveillance Unit reporting scheme. Using the postcode of residence, we assigned a Scottish Index of Multiple Deprivation (SIMD) score, SIMD quintile ( 0%–20% most deprived; 20%–40%, 40%–60%, 60%–80%, 80%–100% least deprived areas), geographical access score as well as the estimated travel time to the nearest general practitioner (GP) practice using either car or public transport for each patient. Population estimates were obtained from the General Register Office for Scotland.Main outcome measure: Serious ocular trauma requiring hospital admission.Results: A total of 104 patients (85.6% male) were reported as being admitted with ocular trauma with a median age of 32 years (IQR 24–54). There was a trend for increasing incidence of serious ocular injury with increasing socioeconomic deprivation (p=0.034). Patients from the most deprived areas (SIMD: 0%–20%) were twice as likely to sustain ocular injury compared with those from the least deprived (SIMD: 80%–100%) areas (relative risk: 2.19, 95% CI 1.02 to 4.81). There was no significant difference in the drive/public transport time to GP practices across the SIMD quintiles.Conclusions: Increasing socioeconomic deprivation was associated with a higher incidence of serious ocular injury. Targeted interventions are needed to address inequality in eye healthcare in deprived areas.

    U2 - 10.1136/bjophthalmol-2016-309875

    DO - 10.1136/bjophthalmol-2016-309875

    M3 - Article

    VL - 101

    SP - 1395

    EP - 1398

    JO - British Journal of Ophthalmology

    JF - British Journal of Ophthalmology

    SN - 0007-1161

    IS - 10

    ER -