Analysis of referral adherence and associated factors in children and adolescents screened with abnormal refractive error in Huangpu District, Shanghai

CHEN Jian; HE Xiangui; ZHAO Xuefei; ZHU Jing; XIE Hui; PAN Chenwei; WANG Jingjing

doi:10.16835/j.cnki.1000-9817.2022.09.006

Volume 43 Issue 9

Sep. 2022

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(9): 1301-1304

CHEN Jian, HE Xiangui, ZHAO Xuefei, ZHU Jing, XIE Hui, PAN Chenwei, WANG Jingjing. Analysis of referral adherence and associated factors in children and adolescents screened with abnormal refractive error in Huangpu District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1301-1304. doi: 10.16835/j.cnki.1000-9817.2022.09.006

Citation:

CHEN Jian, HE Xiangui, ZHAO Xuefei, ZHU Jing, XIE Hui, PAN Chenwei, WANG Jingjing. Analysis of referral adherence and associated factors in children and adolescents screened with abnormal refractive error in Huangpu District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1301-1304. doi: 10.16835/j.cnki.1000-9817.2022.09.006

Citation:

CHEN Jian, HE Xiangui, ZHAO Xuefei, ZHU Jing, XIE Hui, PAN Chenwei, WANG Jingjing. Analysis of referral adherence and associated factors in children and adolescents screened with abnormal refractive error in Huangpu District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1301-1304. doi: 10.16835/j.cnki.1000-9817.2022.09.006

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Analysis of referral adherence and associated factors in children and adolescents screened with abnormal refractive error in Huangpu District, Shanghai

doi: 10.16835/j.cnki.1000-9817.2022.09.006

1.
School Health and Eye Disease Prevention Department, Center for Disease Prevention and Control of Huangpu Disctrict, Shanghai (200023), China

Received Date: 2021-12-21
Rev Recd Date: 2022-04-26

Available Online: 2022-09-23

Publish Date: 2022-09-25

Abstract

Abstract

Objective To understand the referral rate in children with abnormal refractive error in screening programs and associated factors, aiming to provide evidence for improving the rate and myopia prevention and control in the future. Methods Using cluster sampling, three primary schools and three junior middle schools in Huangpu District, Shanghai were selected. All students were archived for refractive development, including examinations such as visual acuity, non-cycloplegic autorefraction and axial length. The follow-up visit and related factor information were collected through questionnaire, and the influencing factors of referral rate were analyzed by multivariate Logistic regression. Results A total of 2 104 high-risk children and adolescents with suspected refractive abnormalities were suggested follow-up visit, and the actual referral rate was estimated to be 60.4%; the rate of referral to designated hospitals was estimated to be 58.8%. Non-conditional Logistic regression analysis showed that myopic status before the screening(OR=1.37, 95%CI=1.08-1.72), wearing spectacles or ortho contact lens(OR=2.05, 95%CI=1.62-2.59), myopic degree (OR_{below -0.5 D}=2.08, 95%CI=1.48-2.92, OR_{-3.0~-0.5 D}=1.86, 95%CI=1.47-2.36), parents' familiarity with screening results(OR=2.92, 95%CI=1.89-4.50), parents' satisfaction with suggestions after screening (OR=3.54, 95%CI=1.16-10.79) were significant factors associated with the referral rate(P < 0.05). Conclusion The actual referral rate among children and adolescents needs to be improved. It is necessary to further optimize the informatization of refractive archives, strengthen popular science education for key population, standardize the professional interpretation of preliminary screening refractive examination results, improve parents' awareness, participation and satisfaction through health education, and achieve the whole process management of refractive archives.
- Refractive errors,
- Regression analysis,
- Child,
- Adolescent

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References(20)

References

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