|
|
|
| Influencing factors for myopia among primary and secondary schoolstudents in Suzhou |
| HU Jia*, DING Ziyao, HAN Di, HAI Bo, YIN Jieyun, SHEN Hui
|
| *Department of School Health, Suzhou Center for Disease Prevention and Control, Suzhou, Jiangsu 215004, China |
|
|
|
|
Abstract Objective To investigate the influencing factors for myopia among primary and secondary school students in Suzhou, so as to provide basis for myopia prevention and control. Methods The students in Grade 4-12 were recruited by stratified cluster random sampling method. Gender, grade, parents＇ myopia history, outdoor activity time and video display terminal time were collected through the questionnaire of National Surveillance Program of Influencing Factors for Common Diseases and Health in Students. Uncorrected visual acuity and cycloplegic refraction were tested. Multivariate logistic regression analysis was performed to explore myopia-related factors. Results A total of 990 questionnaires were distributed, and 882 valid questionnaires were recovered, with an effective rate of 89.09%. The prevalence rate of myopia was 78.23% ( 690 cases ). Multivariate logistic regression analysis showed that females ( OR=1.703, 95%CI: 1.173-2.474 ) , middle school students ( OR:5.597-11.949, 95%CI: 3.573-28.349 ) , both parents＇myopia ( OR=2.445, 95%CI: 1.597-3.742 ) , video display terminal time over 3 hours per day ( OR=2.026, 95%CI: 1.235-3.325 ) were risk factors for myopia; outdoor activity time over 2 hours per day ( OR: 0.493-0.510, 95%CI: 0.273-0.943 ) was a protective factor for myopia. Conclusion The prevalence of myopia among primary and secondary school students in Suzhou is 78.23%. Gender, grade, parents＇ myopia history, outdoor activity time and video display terminal time are influencing factors for myopia.
|
|
Received: 23 September 2020
Revised: 27 October 2020
Published: 16 March 2021
|
|
|
|
|
|
[1] 中华人民共和国国家卫生健康委员会宣传司. 国家卫生健康委员会2019年4月29日例行新闻发布会文字实录[EB/OL] . [2020-10-27] . http://www.nhc.gov.cn/xcs/s7847/201904/e9117ea8b6b84f48962e84401d305292.shtml.
[2] 董彦会,刘慧彬,王政和,等. 中国2005—2014年7~18岁汉族儿童青少年近视现状和增长速度趋势分析[J] . 中华流行病学杂志,2017,38(5):583-587.
[3] GRZYBOWSKI A,KANCLERZ P,TSUBOTA K,et al. A review on the epidemiology of myopia in school children worldwide[J/OL] . BMC Ophthalmol,2020,20(1)[2020-10-27] . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961361/. DOI:10.1186/s12886-019-1220-0.
[4] WANG S K,GUO Y,LIAO C,et al.Incidence of and factors associated with myopia and high myopia in Chinese children,based on refraction without cycloplegia[J] . JAMA Ophthalmol,2018,136(9):1017-1024.
[5] 张凤云,张锡彦,杨婕,等. 儿童青少年近视筛查3种方案比较[J] . 中国学校卫生,2019,40(10):1542-1544.
[6] 中华人民共和国疾病预防控制局. 关于印发全国学生常见病和健康影响因素监测方案(2018年版)的通知[EB/OL] . (2018-04-09)[2020-10-27] . http://www.nhc.gov.cn/jkj/s5898bm/201804/88cec86c347c4c48aa508b742c7abd1a.shtml.
[7] 董彦会,刘慧彬,王政和,等. 2005—2014年中国7~18岁儿童青少年近视流行状况与变化趋势[J] . 中华预防医学杂志,2017,51(4):285-289.
[8] 黄坤,李秀红. 青少年近视影响因素及机制研究进展[J] . 预防医学,2020,32(6):578-582.
[9] WANG J,YING G S,FU X,et al. Prevalence of myopia and vision impairment in school students in Eastern China[J/OL] . BMC Ophthalmol,2020,20(1)[2020-10-27] . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941318/. DOI:10.1186/s12886-019-1281-0.
[10] PAN C W,WU R K,LI J,et al. Low prevalence of myopia among school children in rural China[J/OL] . BMC Ophthalmol,2018,18(1)[2020-10-27] . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5996540/. DOI:10.1186/s12886-018-0808-0.
[11] 官文清,金佳怡,沈春霞,等. 杭州市小学生用眼卫生知信行调查[J] . 预防医学,2019,31(4):416-419.
[12] 张艳青,张茜,刘洁,等. 家庭因素对初中生近视状态的影响分析[J] . 中国儿童保健杂志,2018,26(8):110-113.
[13] 何鲜桂,朱剑锋,邹海东,等. 上海市小学生近视相关读写姿势现况及影响因素分析[J] . 临床眼科杂志,2017,25(3):214-218.
[14] DENG L,PANG Y.Effect of outdoor activities in myopia control:meta-analysis of clinical studies[J] . Optom Vis Sci,2019,96(4):276-282.
[15] VAGGE A,FERRO DESIDERI L,NUCCI P,et al. Prevention of progression in myopia:a systematic review[J/OL] . Diseases,2018,6(4)[2020-10-27] . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313317/. DOI:10.3390/diseases6040092.
[16] HA J J,HE M.Preventing myopia in East Asia[J] . Community Eye Health,2019,32(105):13-14.
[17] 谌丁艳,李晓恒,周丽,等. 深圳市中小学生近视影响因素分析[J] .中国学校卫生,2020,41(4):583-587.
[18] 王琴,王春芳. 山西省高平市青少年儿童近视现状及影响因素分析[J] . 国际眼科杂志,2020,20(6):1054-1058.
[19] 张欣. 重视儿童青少年近视环境危险因素的防控[J] . 中国学校卫生,2018,39(1):6-8,12.
[20] 陶芳标. 学校—学生—学业联动是打好儿童青少年近视防控攻坚战的基石[J] . 中国学校卫生,2019,40(1):3-6. |
|
|
|
