Killen_Aging Summit Presentation.pdf

1、Age Related Macular DegenerationChad Killen OD,FAAOKillen.31osu.edu1and Social Determinants of Health 2A progressive retinal disorder affecting the macula.The macula is responsible for central,high detailed vision What is AMD?320 million people affected in the U.S.and 196 million people worldwide Le

2、ading cause of severe vision impairment in older people Expected to affect up to 288 million people worldwide by 2040The Statistics 4Identifying Symptoms“I cant read my medicine bottles”“I cant see signs when Im driving”“I cant tell who someone is until I get close”“I have to close one eye when Im r

3、eading”“Sidewalks and curbs dont look straight,and I tripped last week”Center for Disease Control5Social Determinants of Health(SDOH)6Insured vs uninsuredType of insuranceBurden on emergency care*Vision 2030 goal:to increase access to vision services in Community Health Centers*Health Care&its Quali

4、tyEducation Access&its Quality Studies show lower levels of education are associated with less eye care utilization.In Columbus,for those over the age of 25,89.8%have a HS Diploma and 38.2%have a bachelors degree(US Census)7Health Literacy Lower levels of health literacy can lead to worse vision hea

5、lthConsideration for how we educate patients Avg US citizen:8th grade reading level Medicare beneficiaries:5th grade reading level(US Govt Accountability Office)8Neighborhood&Built EnvironmentViolence Rates Air&Water SafetyWorkplace Safety Relationship to Income9Social Community and ContextKey issue

6、s:cohesion within community,civic participation,discrimination,etc.Examples:those feeling socially isolated may find it hard to build a support network,those who have experienced discrimination or racism may distrust the recommendations from that individual10E