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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Assi L, Reed NS, Swenor BK. Vision Impairment and Its Association With Preventive Care Use—Reply. JAMA Ophthalmol. 2021;139(7):810–811. doi:10.1001/jamaophthalmol.2021.1236
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