Volume 42 Issue 2
Apr.  2021
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LUO Chunyan, QI Wenjuan, HE Xiangui, YANG Dongling, WANG Jingjing, YAN Qiong, FENG Xiaogang. Analysis of myopia related factors among primary and secondary school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(2): 185-189. doi: 10.16835/j.cnki.1000-9817.2021.02.007
Citation: LUO Chunyan, QI Wenjuan, HE Xiangui, YANG Dongling, WANG Jingjing, YAN Qiong, FENG Xiaogang. Analysis of myopia related factors among primary and secondary school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(2): 185-189. doi: 10.16835/j.cnki.1000-9817.2021.02.007

Analysis of myopia related factors among primary and secondary school students in Shanghai

doi: 10.16835/j.cnki.1000-9817.2021.02.007
  • Received Date: 2020-11-15
  • Rev Recd Date: 2021-01-25
  • Available Online: 2021-04-06
  • Publish Date: 2021-02-25
  •   Objective  To analyze myopia related factors among students in Shanghai, to explore associated risky behaviors associated with mild, moderate, high myopia, so as to provide the evidence for the implementation of home and school combination intervention measures.  Methods  Six primary and secondary schools (2 primary schools, 2 middle schools and 2 high schools) were selected from each district of Shanghai. The primary schools began to investigate from the fourth grade. All the students in the selected classes participated in the vision test and questionnaire survey. Chi square test was used for categorical data analysis. The relationship between myopia and related behaviors was analyzed by multivariate Logistic analysis.  Results  The prevalence of visual-related risky behaviors such as short outdoor time during the day, lack of sleep, long after-school reading and writing time, poor reading and writing posture, and longtime-using mobile electronic screen was higher in girls than in boys (P < 0.05), boys were more likely than girls to use computer for long time and read books/electronic screen in sunlight (P < 0.05). The group with 3 hours or more than of reading and writing compared with the less than 2 hours, the OR value of mild myopia model was 1.31(1.20-1.44), moderate myopia model was 1.78(1.62-1.96), severe myopia model was 2.37(2.07-2.71). In the model of moderate and high myopia, reading and writing posture, frequency of eye relax, outdoor activity time and watching TV time were also included.  Conclusion  The prevalence of myopia related behaviors among primary and secondary school students is high, and there are significant gender differences among different behaviors. Students' reading and writing time should be strictly controlled after school. Intervention strategies and measures should be carried out according to the characteristics of different ages and genders.
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  • [1]
    上海市眼病防治中心/上海市眼科医院. 2019爱眼日, 这些动作是预防孩子近视的关键[EB/OL]. [2019-10-22]. http://www.shsyf.com/Content/News/1380.

    Shanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital. On Eye Day 2019, these actions are key to preventing myopia in children[EB/OL]. [2019-10-22]. http://www.shsyf.com/Content/News/1380.
    HOLDEN B A, FRICKE T R, WILSON D A, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology (Rochester, Minn), 2016, 123(5): 1036-1042. doi: 10.1016/j.ophtha.2016.01.006
    方晖, 林芳宇, 韩伟. 近视眼遗传机制的研究现状与展望[J]. 医学分子生物学杂志, 2014, 11(2): 119-124. doi: 10.3870/j.issn.1672-8009.2014.02.012

    FANG H, LIN F Y, HAN W. Research status and prospects of myopia genetics[J]. J Med Molecul Biol, 2014, 11(2): 119-124. doi: 10.3870/j.issn.1672-8009.2014.02.012
    王军良, 龚莹莹, 辜臻晟. 环境和遗传因素对近视眼的影响[J]. 国际眼科纵览, 2015, 39(2): 134-139. doi: 10.3760/cma.j.issn.1673-5803.2015.02.014

    WANG J L, GONG Y Y, GU Z S. Effects of environmental and genetic factors on myopia[J]. Int Rev Ophthalmol, 2015, 39(2): 134-139. doi: 10.3760/cma.j.issn.1673-5803.2015.02.014
    金涵, 罗荣, 陈娟, 等. 高度近视的分子遗传学研究进展[J]. 江西医药, 2020, 55(4): 491-492. doi: 10.3969/j.issn.1006-2238.2020.04.044

    JIN H, LUO R, CHEN J, et al. Recent advances in molecular genetic study on high myopia[J]. Jiangxi Med J, 2020, 55(4): 491-492. doi: 10.3969/j.issn.1006-2238.2020.04.044
    国家卫生和计划生育委员会. 标准对数视力表GB/T 11533—2011[S]. 2011.

    National Health and Family Planning Commission. standard for logarithmic visual acuity charts GB/T 11533-2011[S]. 2011.
    国家卫生和计划生育委员会. 学生健康检查技术规范GB/T 26343—2010[S]. 2011.

    National Health and Family Planning Commission. Technical standard for physical examination for students GB/T 26343-2010[S]. 2011.
    疾病预防控制局. 国家卫生健康委办公厅关于印发2019年全国学生常见病和健康影响因素监测与干预工作方案的通知[EB/OL]. [2019-10-10]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac014c7d.shtml.

    Agency for Disease Control and Prevention. The Office of the National Health and Wellness Commission has issued a notice on the 2019 National Programme for monitoring and intervention of common student diseases and health effects[EB/OL]. [2019-10-10]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac014c7d.shtml.
    中国国家标准化管理委员会. 中小学生一日学习时间卫生要求GB/T 17223—2012[S]. 2012-12-31.

    China National Standardization Management Committee. Health requirements of daily learning time for secondary and elementary school students GB/T 17223-2012[S]. 2012-12-31.
    王幼生, 廖瑞瑞, 刘泉, 等. 现代眼视光学[M]. 广州: 广东科技出版社, 2004.

    WANG Y S, LIAO R R, LIU Q, et al. Modern optometry[M]. Guangzhou: Guangdong Science and Technology Press, 2004.
    亓祥顺, 周广英, 王艳. 关于视疲劳诊断、病因及其治疗方法的探讨[J]. 临床医药文献电子杂志, 2017, 4(29): 5733-5736. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201729150.htm

    YU X S, ZHOU G Y, WANG Y. Discussion on the diagnosis, causes and treatment of visual fatigue[J]. J Clin Med Literat (Electronic Edition), 2017, 4(29): 5733-5736. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201729150.htm
    王立书, 陈如利, 吴飞. 青少年看近视疲劳的检查、分析与处理[J]. 中国眼镜科技杂志, 2019, 317(7): 98-102. https://www.cnki.com.cn/Article/CJFDTOTAL-YJKJ201907041.htm

    WANG L S, CHEN L R, WU F. Examination, analysis and treatment of youth myopia fatigue[J]. J China Opt Technol, 2019, 317(7): 98-102. https://www.cnki.com.cn/Article/CJFDTOTAL-YJKJ201907041.htm
    FRENCH A N, MORGAN I G, MITCHELL P, et al. Risk factors for incident myopia in Australian school children[J]. Ophthalmology, 2013, 120(10): 2100-2108. doi: 10.1016/j.ophtha.2013.02.035
    JONES-JORDAN L A, MITCHELL G L, COTTER S A, et al. Visual activity before and after the onset of juvenile myopia[J]. Invest Ophthalmol Vis Sci, 2011, 52(3): 1841-1850. doi: 10.1167/iovs.09-4997
    MUHAMEDAGIC L, MUHAMEDAGIC B, HALILOVIC E A, et al. Relation between near work and myopia progression in student population[J]. Materia Socio Med, 2014, 26(2): 100-103. doi: 10.5455/msm.2014.26.100-103
    吕敏之, 何鲜桂, 王明进. 学生读写姿势研究进展[J]. 中国学校卫生, 2017, 38(5): 795-798. http://2269799.s21d-2.faiusrd.com/61/ABUIABA9GAAg0MjlyAUo74PasAY.pdf

    LYU M Z, HE X G, WANG M J. Recent advances in students' reading and writing posture[J]. Chin J Sch Health, 2017, 38(5): 795-798. http://2269799.s21d-2.faiusrd.com/61/ABUIABA9GAAg0MjlyAUo74PasAY.pdf
    YOU Q S, WU L J, DUAN J L, et al. Factors associated with myopia in school children in China: the beijing childhood eye study[J]. PLoS One, 2012, 7(12): e52668. http://pubmedcentralcanada.ca/pmcc/articles/PMC3531363/
    WU L, WANG Y, YOU Q, et al. Risk factors of myopic shift among primary school children in Beijing, China: a prospective study[J]. Int J Med Sci, 2015, 12(8): 633-638. doi: 10.7150/ijms.12133
    黄剑辉, 段佳丽, 宋玉珍, 等. 北京市9~22岁学生视力不良影响因素分析[J]. 中国学校卫生, 2016, 37(7): 1019-1021. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201607018.htm

    HUANG J H, DUAN J L, SONG Y Z, et al. Influencing factors of myopia among students aged 9-22 in Beijing[J]. Chin J Sch Health, 2016, 37(7): 1019-1021. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201607018.htm
    HEALTH D O A A, AIDS N C F H, HEPATITIS V, et al. Trends in the prevalence of physical activity and sedentary behaviors National YRBS: 1991-2019[EB/OL]. [2020-10-10]. https://www.cdc.gov/healthyyouth/data/yrbs/factsheets/2019_physical_trend_yrbs.htm.
    罗冬梅, 闫晓晋, 雷园婷, 等. 1953—2010年中国10~24岁青少年全死因死亡率趋势和地区差异分析[J]. 中华流行病学杂志, 2020, 41(2): 184-189. http://med.wanfangdata.com.cn/Paper/Detail?id=PeriodicalPaper_zhlxbx202002009

    LUO D M, YAN X J, LEI Y T, et al. Secular trends and geographic disparities of all-cause mortality among Chinese adolescents aged 10-24 years, between 1953 and 2010[J]. Chin J Epidemiol, 2020, 41(2): 184-189. http://med.wanfangdata.com.cn/Paper/Detail?id=PeriodicalPaper_zhlxbx202002009
    徐荣彬, 温勃, 宋逸, 等. 1990—2016年中国青少年死亡率及主要死因变化[J]. 中华预防医学杂志, 2018, 52(8): 802-808. doi: 10.3760/cma.j.issn.0253-9624.2018.08.006

    XU R B, WEN B, SONG Y, et al. The change in mortality and major causes of death among Chinese adolescents from 1990 to 2016[J]. Chin J Prev Med, 2018, 52(8): 802-808. doi: 10.3760/cma.j.issn.0253-9624.2018.08.006
    郭玲, 宋逸, 马军. 1991—2010年中国5个少数民族7~18岁学生肥胖率动态变化分析[J]. 中国儿童保健杂志, 2017, 25(4): 338-341. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201704005.htm

    GUO L, SONG Y, MA J. Secular trend on prevalence of obesity among students aged 7-18 years old of 5 minorities in china from 1991 to 2010[J]. Chin J Child Heal Care, 2017, 25(4): 338-341. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201704005.htm
    陈露. 上海市少年儿童屈光发育现状及进展的纵向调查研究[D]. 上海: 复旦大学, 2012.

    CHEN L. The study of refractive development status and longitudinal changes of children and juveniles in Shanghai[D]. Shanghai: Fudan University, 2012.
    宋逸, 胡佩瑾, 董彦会, 等. 2014年全国各省、自治区、直辖市汉族学生视力不良现况分析[J]. 北京大学学报(医学版), 2017, 49(3): 433-438. doi: 10.3969/j.issn.1671-167X.2017.03.010

    SONG Y, HU P J, DONG Y H, et al. Prevalence of reduced visual acuity among Chinese Han students in 2014[J]. J Peking University(Health Sci), 2017, 49(3): 433-438. doi: 10.3969/j.issn.1671-167X.2017.03.010
    宋超, 郭海军, 宫伟彦, 等. 2010—2012年中国中小学生闲暇静态活动[J]. 卫生研究, 2017, 46(5): 705-709. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201705006.htm

    SONG C, GUO H J, GONG W Y, er al. Status of sedentary activities in the leisure time in Chinese pupils in 2010-2012[J]. J Hyg Res, 2017, 46(5): 705-709. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ201705006.htm
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