In order to increase public awareness of the individual and societal burdens and costs of eye conditions and visual impairment, data are urgently needed on the numbers and characteristics of people with eye conditions as well as information on their eye health care resource use. Since children are at particular risk for undetected problems and because both undetected and detected problems can become exacerbated over time, potentially seriously impacting on their development, there is a need to examine these characteristics especially for children. This purpose of this project is to present an analysis of the trends in access to, utilization of, and expenditures on eye care services for children. We will also estimate the number of children with diagnosed eye conditions and quantify the associations between the presence of eye conditions and use of eye care services and child, family, and insurance characteristics.
The specific aims of this project are: (1) to characterize the population of children (<18 years old) in the United States who have diagnosed eye conditions with respect to socioeconomic (SES), clinical, and insurance factors (trends over time will also be examined); (2) to estimate utilization and expenditure patterns and sources of payment for eye care, including eyeglasses, and contact lenses by child, family, and insurance coverage for children (trends over time will also be examined); and (3) to estimate the relationship between family health characteristics, such as exposure to passive smoking and history of parental eye conditions and children's eye conditions and use of services. We will use data from the 1996 through the 2000 Medical Expenditure Panel Surveys (MEPS), supplemented with information from the 1995 though the 1999 National Health Interview Surveys (NHIS), to pursue these goals.

Agency
National Institute of Health (NIH)
Institute
National Eye Institute (NEI)
Type
Small Research Grants (R03)
Project #
1R03EY015431-01
Application #
6756710
Study Section
Special Emphasis Panel (ZEY1-VSN (06))
Program Officer
Redford, Maryann
Project Start
2004-05-01
Project End
2006-04-30
Budget Start
2004-05-01
Budget End
2005-04-30
Support Year
1
Fiscal Year
2004
Total Cost
$163,875
Indirect Cost
Name
Harvard University
Department
Social Sciences
Type
Schools of Public Health
DUNS #
149617367
City
Boston
State
MA
Country
United States
Zip Code
02115
Ganz, Michael; Xuan, Ziming; Hunter, David G (2007) Patterns of eye care use and expenditures among children with diagnosed eye conditions. J AAPOS 11:480-7
Ganz, Michael L; Xuan, Ziming; Hunter, David G (2006) Prevalence and correlates of children's diagnosed eye and vision conditions. Ophthalmology 113:2298-306