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We conducted a retrospective, cross-sectional study during the baseline (2020\u20132022) and teleophthalmology (2022\u20132024) periods and used logistic regression to identify factors associated with screening receipt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      During the baseline period, patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1,094) had a mean age of 54 years, with 24.0% self-identifying as Black\/African American and 44.8% as Hispanic\/Latino, and 30.0% were uninsured. Screening increased from 14.4% to 40.3% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) in the teleophthalmology period, with the largest increases observed among Hispanic\/Latinos (+32.1%) and the uninsured (+33.6%). In the multivariable analysis, men and uninsured patients became equally likely to receive screening in the teleophthalmology period as women and Medicare patients, respectively. However, those with Medicaid or commercial insurance remained less likely to obtain screening (OR: 0.63\u20130.69, 95% CI: 0.44\u20130.99) than those with Medicare. Those obtaining care at Clinic B were less likely to obtain screening than those at Clinic A in the baseline period but were more likely to obtain screening in the teleophthalmology period (OR: 1.75, 95% CI: 1.37\u20132.23).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Teleophthalmology increased diabetic eye screening equity based on sex and insurance status. Clinic-level strategies to enhance patient outreach, clinical staff engagement, and clinic resource allocation may allow for further advances in telemedicine screening equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627261477819","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T04:41:43Z","timestamp":1786682503000},"page":"1283-1292","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Teleretinal Imaging Enhances Equity in Diabetic Eye Screening at Urban Community Health Clinics"],"prefix":"10.1177","volume":"32","author":[{"given":"Jacob","family":"Khoussine","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiana","family":"Fowlkes","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinthya","family":"Maldonado","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnson","family":"Hoang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Emmet","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Mora Pinzon","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3454-7667","authenticated-orcid":false,"given":"Yohualli","family":"Anaya","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roomasa","family":"Channa","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0700-0148","authenticated-orcid":false,"given":"Yao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11237120"},{"key":"e_1_3_3_3_1","unstructured":"2.Office of Disease Prevention and Health Promotion. 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