To assess changes in vision care availability at Federally Qualified Health Centers (FQHCs) between 2017 and 2021 and whether neighborhood-level demographic social risk factors (SRFs) associated with eye care services provided by FQHCs. Secondary data analysis of the Health Resources and Services Administration (HRSA) data and 2017–2021 American Community Survey (ACS). Federally Qualified Health Centers. Patient and neighborhood characteristics for SRFs were summarized. Differences in FQHCs providing and not providing vision care were compared via Wilcoxon-Mann–Whitney tests for continuous measures and chi-square tests for categorical measures. Logistic regression models were used to test the associations between neighborhood measures and FQHCs providing vision care, adjusted for patient characteristics. Odds ratios (ORs) with 95% confidence intervals (CIs) for neighborhood-level predictors of FQHCs providing vision care services. Overall, 28.5% of FQHCs (n = 375/1318) provided vision care in 2017 versus 32% (n = 435/1362) in 2021 with some increases and decreases in both the number of FQHCs and those with and without vision services. Only 2.6% of people who accessed FQHC services received eye care in 2021. Among the 435 FQHCs that provided vision care in 2021, 27.1% (n = 118) had added vision services between 2017 and 2021, 71.5% (n = 311) had been offering vision services since at least 2017, and 1.4% (n = 6) were newly established. FQHCs providing vision care in 2021 were more likely to be in neighborhoods with a higher percentage of Hispanic/Latino individuals (OR, 1.08, 95% CI, 1.02–1.14, 0.0094), Medicaid-insured individuals (OR, 1.08, 95% CI, 1.02–1.14, 0.0120), and no car households (OR, 1.07, 95% CI, 1.01–1.13, 0.0142). However, FQHCs with vision care, compared to FQHCs without vision care, served a lower percentage of Hispanic/Latino individuals (27.2% vs. 33.9%, 0.0007), Medicaid-insured patients (42.8% vs. 46.8%, 0.0001), and patients living at or below 100% of the federal poverty line (61.3% vs. 66.3%, 0.0001). Vision care services are available at a few FQHCs, localized to a few states. Expanding eye care access at FQHCs would meet patients where they seek care to mitigate vision loss to underserved communities. Proprietary or commercial disclosure may be found after the references.

中文翻译：

---

联邦合格健康中心的眼科护理


评估 2017 年至 2021 年期间联邦合格健康中心 （FQHC） 视力保健可用性的变化，以及社区层面的人口社会风险因素 （SRF） 是否与 FQHC 提供的眼保健服务相关。卫生资源和服务管理局 （HRSA） 数据和 2017-2021 年美国社区调查 （ACS） 的二次数据分析。联邦合格的健康中心。总结了 SRF 的患者和邻里特征。通过连续测量的 Wilcoxon-Mann-Whitney 检验和分类测量的卡方检验比较提供和不提供视力保健的 FQHC 的差异。使用 Logistic 回归模型来检验邻里测量与提供视力保健的 FQHC 之间的关联，并根据患者特征进行调整。提供视力保健服务的 FQHC 的社区级预测因子的比值比 （ORs） 和 95% 置信区间 （CIs）。总体而言，2017 年 28.5% 的 FQHC （n = 375/1318） 提供视力保健，而 2021 年为 32% （n = 435/1362），FQHC 的数量以及有和没有视力服务的数量都有所增加和减少。2.6 年，只有 2.6% 的获得 FQHC 服务的人接受了眼科护理。在 2021 年提供视力保健的 435 家 FQHC 中，27.1% （n = 118） 在 2017 年至 2021 年期间增加了视力服务，71.5% （n = 311） 至少从 2017 年开始提供视力服务，1.4% （n = 6） 是新成立的。2021 年提供视力保健的 FQHC 更有可能位于西班牙裔/拉丁裔个人比例较高的社区 （OR， 1.08， 95% CI， 1.02–1.14， 0.0094）、医疗补助保险个体 （OR， 1.08， 95% CI， 1.02–1.14， 0.0120） 和无汽车家庭 （OR， 1.07， 95% CI， 1.01–1.13， 0.0142）。 然而，与没有视力保健的 FQHC 相比，有视力保健的 FQHC 为西班牙裔/拉丁裔个人（27.2% 对 33.9%，0.0007）、医疗补助保险患者（42.8% 对 46.8%，0.0001）和生活在联邦贫困线 100% 或以下的患者（61.3% 对 66.3%，0.0001）提供服务。少数 FQHC 提供视力保健服务，本地化于少数几个州。扩大 FQHC 的眼科护理服务将满足患者寻求护理的需求，以减轻服务不足社区的视力丧失。专有或商业披露可以在参考文献之后找到。