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云南省儿童青少年近视危险因素列线图判别分析

张金娇 常利涛 肖洁 李佩谦 谢雪妮 马子雪 李茜茜 罗筱 陈茂森 黄莹

张金娇, 常利涛, 肖洁, 李佩谦, 谢雪妮, 马子雪, 李茜茜, 罗筱, 陈茂森, 黄莹. 云南省儿童青少年近视危险因素列线图判别分析[J]. 中国学校卫生, 2023, 44(9): 1387-1391. doi: 10.16835/j.cnki.1000-9817.2023.09.024
引用本文: 张金娇, 常利涛, 肖洁, 李佩谦, 谢雪妮, 马子雪, 李茜茜, 罗筱, 陈茂森, 黄莹. 云南省儿童青少年近视危险因素列线图判别分析[J]. 中国学校卫生, 2023, 44(9): 1387-1391. doi: 10.16835/j.cnki.1000-9817.2023.09.024
ZHANG Jinjiao, CHANG Litao, XIAO Jie, LI Peiqian, XIE Xueni, MA Zixue, LI Xixi, LUO Xiao, CHEN Maosen, HUANG Ying. Discriminante analysis of risk factors Nomograms of myopia in children and adolescents in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1387-1391. doi: 10.16835/j.cnki.1000-9817.2023.09.024
Citation: ZHANG Jinjiao, CHANG Litao, XIAO Jie, LI Peiqian, XIE Xueni, MA Zixue, LI Xixi, LUO Xiao, CHEN Maosen, HUANG Ying. Discriminante analysis of risk factors Nomograms of myopia in children and adolescents in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1387-1391. doi: 10.16835/j.cnki.1000-9817.2023.09.024

云南省儿童青少年近视危险因素列线图判别分析

doi: 10.16835/j.cnki.1000-9817.2023.09.024
基金项目: 

国家自然科学基金项目 81960593

详细信息
    作者简介:

    张金娇(1995-), 女, 河南洛阳人, 在读硕士, 主要研究方向为社区健康促进

    通讯作者:

    黄莹, E-mail: huangying02@163.com

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: R778.1+1  R179

Discriminante analysis of risk factors Nomograms of myopia in children and adolescents in Yunnan Province

  • 摘要:   目的  探讨云南省儿童青少年近视的相关因素,并对影响因素进行预测评估,为近视防控提供科学依据。  方法  2023年3月9—14日,采用多阶段分层整群随机抽样方法,抽取云南省大理和丽江两个地区6所中小学校的848名学生进行视力检测和近视相关影响因素的问卷调查,使用多因素Logistic回归分析将筛选出的影响因素建立列线图(Nomogram)预测模型。  结果  调查对象总体近视率为68.3%,男生近视率(63.4%)低于女生(72.9%),小学生近视率(46.7%)低于初中生(81.1%),差异有统计学意义(χ2=值分别为8.71,108.07,P值均<0.05)。每天坚持做眼保健操、课间休息在教学楼外活动、每天睡眠时间7~9和>9 h、父母双方均不近视与云南省儿童青少年近视发生呈负相关(OR值分别为0.64,0.63,0.56,0.28,0.48,P值均<0.05);每天放学后读写时间≥3 h、家长不限制玩电子游戏时间与近视发生呈正相关(OR值分别为1.94,1.78,P值均<0.05)。在影响因素基础上建立Nomogram预测模型定量评价近视风险,结果显示,对于云南省儿童青少年来说发生近视风险较大的3个因素分别是每天睡眠时间、父母近视情况、每天放学后读写时间。  结论  遗传因素和环境因素与儿童青少年近视发生均相关,列线图预测模型有利于筛查近视高风险因素及采取相应防治措施。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 图  1  预测儿童青少年近视发生风险的列线图模型

    Figure  1.  A Nomogram predicting model for the risk of myopia among children and adolescents

    图  2  列线图预测儿童青少年近视风险的验证结果

    Figure  2.  Validation of the Nomogram model for predicting myopia risk among children and adolescents

    表  1  儿童青少年近视发生的多因素Logistic回归分析(n=848)

    Table  1.   Multivariate Logistic regression analysis of myopia occurrence in children and adolescents(n=848)

    自变量与常量 β P OR值(95%CI)
    是否每天坚持做眼保健操
      否 1.00
      是 -0.45 0.03 0.64(0.42~0.95)
    按准确的穴位完成眼保健操
      否 1.00
      是 -0.13 0.53 0.88(0.58~1.32)
    课间休息在哪活动
      教学楼内 1.00
      教学楼外 -0.47 0.01 0.63(0.45~0.88)
    每天放学后读写时间/h
      <1 1.00
      1~<2 0.20 0.36 1.22(0.80~1.88)
      2~<3 0.33 0.17 1.39(0.87~2.22)
      ≥3 0.66 0.04 1.94(1.03~3.64)
    家长是否限制玩电子游戏时间
      是 1.00
      否 0.58 0.01 1.78(1.12~2.82)
    平时读写姿势情况
      较好 1.00
      中等 -0.01 0.96 0.99(0.66~1.49)
      较差 -0.13 0.66 0.88(0.49~1.57)
    天黑后在昏暗光线下看电子屏幕
      经常及以上 1.00
      偶尔及以下 0.02 0.94 1.02(0.59~1.78)
    躺着或趴着看书或电子屏幕
      经常及以上 1.00
      偶尔及以下 -0.09 0.75 0.91(0.53~1.58)
    每周上体育课次数/节
      ≤2 1.00
      3 -0.39 0.05 0.68(0.47~1.00)
      ≥4 -0.42 0.18 0.66(0.36~1.20)
    每天睡眠时间/h
      <7 1.00
      7~9 -0.58 0.04 0.56(0.33~0.96)
      >9 -1.29 <0.01 0.28(0.15~0.50)
    父母近视情况
      一方近视 1.00
      父母双方均近视 0.04 0.88 1.04(0.59~1.84)
      父母双方均不近视 -0.74 <0.01 0.48(0.33~0.69)
    常量 2.46 <0.01 11.74
    下载: 导出CSV
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出版历程
  • 收稿日期:  2023-05-15
  • 修回日期:  2023-07-05
  • 网络出版日期:  2023-09-28
  • 刊出日期:  2023-09-25

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