Current social determinants of health and social risk factors in conditions of the cornea: a scoping review

Curr Opin Ophthalmol. 2023 Jul 1;34(4):324-333. doi: 10.1097/ICU.0000000000000960. Epub 2023 Apr 25.

Abstract

Purpose of review: To achieve health equity in eye health and vision care, social determinants of health (SDoH) and the associated social risk factors must be addressed. To address SDoH and social risk factors in ophthalmology, they must first be identified. The purpose of this review was to determine the SDoH and social risk factors in conditions of the cornea that have most recently been explored.

Recent findings: This review identified social risk factors associated with all five domains of SDoH, as outlined by Healthy People 2030. The neighborhood and built environment was the domain identified the most for both exploration and observation. The social and community context domain was the least explored, and healthcare access and quality and social and community context domains were the least observed. The cornea condition explored the most in relation to SDoH was dry eye syndrome.

Summary: The findings from this review can inform clinicians on the social risk factors that could be screened for in eye care facilities, so patients can be connected with services to minimize the impact of social risk factors on cornea conditions. Furthermore, the findings have identified cornea conditions and domains of SDoH that are understudied which can be an area for future studies by vision researchers.

Publication types

  • Review

MeSH terms

  • Cornea
  • Corneal Diseases* / epidemiology
  • Health Services Accessibility
  • Humans
  • Risk Factors
  • Social Determinants of Health*