August 5, 2026 · American journal of ophthalmology · DOI: 10.1016/j.ajo.2026.07.054

Neighborhood Socioeconomic Deprivation and Adherence to Diabetic Retinopathy Screening Guidelines

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The authors aimed to investigate the relationship between neighborhood socioeconomic deprivation, as measured by the Area Deprivation Index (ADI), and adherence to diabetic retinopathy screening guidelines among Medicare beneficiaries. Their findings revealed that higher ADI scores were associated with significantly lower rates of adherence to annual screening, indicating that patients in more deprived neighborhoods are at a greater risk of nonadherence. This study highlights the importance of addressing socioeconomic factors to improve screening outcomes for diabetic retinopathy.

Durga S Borkar, Cassie B Ford, Ailin Song, Jay B Lusk, Alli Bosquet, Kelly W Muir, Bradley G Hammill

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