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Comment & Response
May 13, 2021

Vision Impairment and Its Association With Preventive Care Use—Reply

Author Affiliations
  • 1Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
  • 3Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
  • 4The Johns Hopkins Disability Health Research Center, Johns Hopkins University, Baltimore, Maryland
JAMA Ophthalmol. 2021;139(7):810-811. doi:10.1001/jamaophthalmol.2021.1236

In Reply In our study on vision impairment and preventive care use,1 we used 2 nationally representative surveys of adults 50 years and older living in the community. As Yang noted, adults living in institutions were not included in our samples. Therefore, our results are only generalizable to adults living in the community. Although functional impairments, including vision impairment, may be more prevalent among adults living in institutions, these individuals represent a small percentage of the population, as only 3.1% of adults 65 years and older were living in institutions in 2017.2 The fact that vision loss has been found to be a predictor of institutionalization, as Yang indicates, does not erode the generalizability of our findings to adults living in the community.

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