Expert interpretation of Comprehensive Public Health Intervention Technical Guidelines for Prevention and Control of Myopia among Children and Adolescents

TAO Fangbiao

doi:10.16835/j.cnki.1000-9817.2023.10.002

Volume 44 Issue 10

Oct. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(10): 1445-1449

TAO Fangbiao. Expert interpretation of Comprehensive Public Health Intervention Technical Guidelines for Prevention and Control of Myopia among Children and Adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1445-1449. doi: 10.16835/j.cnki.1000-9817.2023.10.002

Citation:

TAO Fangbiao. Expert interpretation of Comprehensive Public Health Intervention Technical Guidelines for Prevention and Control of Myopia among Children and Adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1445-1449. doi: 10.16835/j.cnki.1000-9817.2023.10.002

Citation:

TAO Fangbiao. Expert interpretation of Comprehensive Public Health Intervention Technical Guidelines for Prevention and Control of Myopia among Children and Adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1445-1449. doi: 10.16835/j.cnki.1000-9817.2023.10.002

PDF( 533 KB)

Expert interpretation of Comprehensive Public Health Intervention Technical Guidelines for Prevention and Control of Myopia among Children and Adolescents

doi: 10.16835/j.cnki.1000-9817.2023.10.002

TAO Fangbiao

Department of Maternal with Child and Adolescent Health, School of Public Health, Anhui Medical University/Key Laboratory of Population Health across Life Cycle/Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei (230032), China

Received Date: 2023-10-02
Available Online: 2023-10-27
Publish Date: 2023-10-25

Abstract

Abstract

The National Bureau of Disease Control and Prevention has issued the Guidelines for Comprehensive Public Health Intervention Techniques for Prevention and Control of Myopia in Children and Adolescents, which summarizes and evaluates the practical experience of the Comprehensive National Children's Myopia Management Plan in the past 5 years, examines the causes and develops evidence-based interventions for myopia. The Guidelines recommend eight public health intervention techniques based on a three-tier prevention strategy, and propose three practical measures. The article interprets the Guidelines in terms of their background, theoretical basis, practical significance, content, and further examines their organization and implementation, so as to enhance understanding among professionals in public health institutions and related departments involved in the prevention and control of myopia in youth, while facilitating their application and promotion.
- Myopia,
- Public health,
- Intervention,
- Child,
- Adolescent

FullText(HTML)

References(38)

References

[1]	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, 2016, 123(5): 1036-1042. doi: 10.1016/j.ophtha.2016.01.006
[2]	JAN C, XU R, LUO D, et al. Association of visual impairment with economic development among Chinese schoolchildren[J]. JAMA Pediatr, 2019, 173(7): e190914. doi: 10.1001/jamapediatrics.2019.0914
[3]	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. doi: 10.3760/cma.j.issn.0254-6450.2017.05.005 DONG Y H, LIU H B, WANG Z H, et al. Prevalence of myopia and increase trend in children and adolescents aged 7-18 years in Han ethnic group in China, 2005-2014[J]. Chin J Epidemiol, 2017, 38(5): 583-587. (in Chinese) doi: 10.3760/cma.j.issn.0254-6450.2017.05.005
[4]	中华人民共和国教育部等八部门关于印发《综合防控儿童青少年近视实施方案》的通知[EB/OL]. (2018-08-31)[2023-10-02]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201808/t20180830_346672.htm. Eight Departments including the Ministry of Education of the PRC issued a circular on the Implementation Plan for the Comprehensive Prevention and Control of Myopia in Children and Adolescents[EB/OL]. (2018-08-31)[2023-10-02]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/201808/t20180830_346672.htm.(in Chinese)
[5]	国家疾控局综合司关于印发《儿童青少年近视防控公共卫生综合干预技术指南》的通知[EB/OL]. (2023-08-30)[2023-10-02]. https://mp.weixin.qq.com/s/6xf6gb_vVLtDtQRJS_j5XQ. Department of General Affairs of the National Bureau of Disease Control and Prevention issued a circular on the Technical Guidelines for Comprehensive Public Health Intervention for Myopia Prevention and Control in Children and Adolescents[EB/OL]. (2023-08-30)[2023-10-02]. https://mp.weixin.qq.com/s/6xf6gb_vVLtDtQRJS_j5XQ. (in Chinese)
[6]	MA Y, WEN Y, ZHONG H, et al. Healthcare utilization and economic burden of myopia in urban China: a nationwide cost-of-illness study[J]. J Glob Health, 2022, 12: 11003. doi: 10.7189/jogh.12.11003
[7]	中国学生营养与健康促进会视力健康分会, 中华预防医学会公共卫生眼科分会. 中国儿童青少年近视防控公共卫生综合干预行动专家共识[J]. 中华医学杂志, 2023, 103(38): 3002-3009. Vision Health Branch of Chinese Association for Student Nutrition and Health Promotion, Public Health Ophthalmology Branch of Chinese Preventive Medicine Association. Chinese expert consensus on comprehensive public health intervention for myopia prevention and control in children and adolescents[J]. Natl Med J China, 2023, 103(38): 3002-3009. (in Chinese)
[8]	HYSI P G, CHOQUET H, KHAWAJA A P, et al. Meta-analysis of 542 934 subjects of European ancestry identifies new genes and mechanisms predisposing to refractive error and myopia[J]. Nat Genet, 2020, 52(4): 401-407. doi: 10.1038/s41588-020-0599-0
[9]	THOMSON K, GAME J, KAROUTA C, et al. Correlation between small-scale methylation changes and gene expression during the development of myopia[J]. FASEB J, 2022, 36(1): e22129.
[10]	XIAO J, LIU M, HUANG Q, et al. Analysis and modeling of myopia-related factors based on questionnaire survey[J]. Comput Biol Med, 2022, 150: 106162. doi: 10.1016/j.compbiomed.2022.106162
[11]	TANG S M, KAM K W, FRENCH A N, et al. Independent influence of parental myopia on childhood myopia in a dose-related manner in 2, 055 trios: the Hong Kong children eye study[J]. Am J Ophthalmol, 2020, 218: 199-207. doi: 10.1016/j.ajo.2020.05.026
[12]	LONG E. Evolutionary medicine: why does prevalence of myopia significantly increase?[J]. Evol Med Public Health, 2018, 2018(1): 151-152. doi: 10.1093/emph/eoy017
[13]	GUGGENHEIM J A, CLARK R, ZAYATS T, et al. Assessing the contribution of genetic nurture to refractive error[J]. Eur J Hum Genet, 2022, 30(11): 1226-1232. doi: 10.1038/s41431-022-01126-6
[14]	LI S M, LI H, LI S Y, et al. Time outdoors and myopia progression over 2 years in Chinese children: the Anyang childhood eye study[J]. Invest Ophthalmol Vis Sci, 2015, 56(8): 4734-4740. doi: 10.1167/iovs.14-15474
[15]	HE X, SANKARIDURG P, WANG J, et al. Time outdoors in reducing myopia: a school-based cluster randomized trial with objective monitoring of outdoor time and light intensity[J]. Ophthalmology, 2022, 129(11): 1245-1254. doi: 10.1016/j.ophtha.2022.06.024
[16]	WU P C, CHEN C T, LIN K K, et al. Myopia prevention and outdoor light intensity in a school-based cluster randomized trial[J]. Ophthalmology, 2018, 125(8): 1239-1250. doi: 10.1016/j.ophtha.2017.12.011
[17]	LI S M, LI S Y, KANG M T, et al. Near work related parameters and myopia in Chinese children: the Anyang childhood eye study[J]. PLoS One, 2015, 10(8): e0134514. doi: 10.1371/journal.pone.0134514
[18]	HUANG P C, HSIAO Y C, TSAI C Y, et al. Protective behaviours of near work and time outdoors in myopia prevalence and progression in myopic children: a 2-year prospective population study[J]. Br J Ophthalmol, 2020, 104(7): 956-961. doi: 10.1136/bjophthalmol-2019-314101
[19]	HARRINGTON S, O'DWYER V. The association between time spent on screens and reading with myopia, premyopia and ocular biometric and anthropometric measures in 6-to 7-year-old schoolchildren in Ireland[J]. Ophthalmic Physiol Opt, 2023, 43(3): 505-516. doi: 10.1111/opo.13116
[20]	ENTHOVEN C A, TIDEMAN J, POLLING J R, et al. The impact of computer use on myopia development in childhood: the Generation R study[J]. Prev Med, 2020, 132: 105988. doi: 10.1016/j.ypmed.2020.105988
[21]	PAN C W, WU R K, LIU H, et al. Types of lamp for homework and myopia among Chinese school-aged children[J]. Ophthalmic Epidemiol, 2018, 25(3): 250-256. doi: 10.1080/09286586.2017.1420204
[22]	HUA W J, JIN J X, WU X Y, et al. Elevated light levels in schools have a protective effect on myopia[J]. Ophthalmic Physiol Opt, 2015, 35(3): 252-262. doi: 10.1111/opo.12207
[23]	HUSSAIN A, GOPALAKRISHNAN A, SCOTT H, et al. Associations between systemic melatonin and human myopia: a systematic review[J/OL]. Ophthalmic Physiol Opt, 2023. (2023-08-11)[2023-10-01]. https://onlinelibrary.wiley.com/doi/epdf/10.1111/opo.13214.
[24]	WEI S F, LI S M, LIU L, et al. Sleep duration, bedtime, and myopia progression in a 4-year follow-up of Chinese children: the Anyang childhood eye study[J]. Invest Ophthalmol Vis Sci, 2020, 61(3): 37. doi: 10.1167/iovs.61.3.37
[25]	XU S, ZONG Z, ZHU Y, et al. Association between sleep-wake schedules and myopia among Chinese school-aged children and adolescents: a cross-sectional study[J]. BMC Ophthalmol, 2023, 23(1): 135. doi: 10.1186/s12886-023-02874-9
[26]	陶芳标. 认识时代变迁的推手作用创新儿童青少年近视防控策略[J]. 中华预防医学杂志, 2021, 55(4): 435-439. doi: 10.3760/cma.j.cn112150-20200724-01055 TAO F B. Prevention and control of myopia needs to integrate the cultural and social-economic spatiotemporal factors among children and adolescents in China[J]. Chin J Prev Med, 2021, 55(4): 435-439. (in Chinese) doi: 10.3760/cma.j.cn112150-20200724-01055
[27]	FLITCROFT D I, HARB E N, WILDSOET C F. The spatial frequency content of urban and indoor environments as a potential risk factor for myopia development[J]. Invest Ophthalmol Vis Sci, 2020, 61(11): 42. doi: 10.1167/iovs.61.11.42
[28]	DADVAND P, SUNYER J, ALVAREZ-PEDREROL M, et al. Green spaces and spectacles use in schoolchildren in Barcelona[J]. Environ Res, 2017, 152: 256-262. doi: 10.1016/j.envres.2016.10.026
[29]	HUANG L, SCHMID K L, ZHANG J, et al. Association between greater residential greenness and decreased risk of preschool myopia and astigmatism[J]. Environ Res, 2021, 196: 110976. doi: 10.1016/j.envres.2021.110976
[30]	MOUNTJOY E, DAVIES N M, PLOTNIKOV D, et al. Education and myopia: assessing the direction of causality by mendelian randomisation[J]. BMJ, 2018, 361: k2022.
[31]	HE X, SANKARIDURG P, XIONG S, et al. Prevalence of myopia and high myopia, and the association with education: Shanghai Child and Adolescent Large-scale Eye Study (SCALE): a cross-sectional study[J]. BMJ Open, 2021, 11(12): e048450. doi: 10.1136/bmjopen-2020-048450
[32]	FOREMAN J, SALIM A T, PRAVEEN A, et al. Association between digital smart device use and myopia: a systematic review and Meta-analysis[J]. Lancet Digit Health, 2021, 3(12): e806-e818. doi: 10.1016/S2589-7500(21)00135-7
[33]	徐星, 许韶君, 梁莉, 等. 紫光与近视关联的研究进展[J]. 中国学校卫生, 2023, 44(5): 782-785. doi: 10.16835/j.cnki.1000-9817.2023.05.032 XU X, XU S J, LIANG L, et al. Research progress on the association between violet light and myopia[J]. Chin J Sch Health, 2023, 44(5): 782-785. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.05.032
[34]	ZHAO F, ZHANG D, ZHOU Q, et al. Scleral HIF-1α is a prominent regulatory candidate for genetic and environmental interactions in human myopia pathogenesis[J]. EBioMedicine, 2020, 57: 102878. doi: 10.1016/j.ebiom.2020.102878
[35]	BEAGLEHOLE R, BONITA R, HORTON R, et al. Public health in the new era: improving health through collective action[J]. Lancet, 2004, 363(9426): 2084-2086. doi: 10.1016/S0140-6736(04)16461-1
[36]	WIRZ-JUSTICE A, SKENE D J, MÜNCH M. The relevance of daylight for humans[J]. Biochem Pharmacol, 2021, 191: 114304. doi: 10.1016/j.bcp.2020.114304
[37]	全球慢病联盟中-加抑郁研究团队, 陶芳标. 推动实施性研究在中国公共卫生领域的应用[J]. 中华预防医学杂志, 2020, 54(1): 8-12. The Global Alliance for Chronic Diseases Canada China Depression Research Teams, TAO F B. Promoting the application of implementation research in the field of public health in China[J]. Chin J Prev Med, 2020, 54(1): 8-12. (in Chinese)
[38]	曹钰璇, 陶芳标, 伍晓艳. 实施性研究理论框架在学校卫生中的应用及启示[J]. 中国学校卫生, 2023, 44(8): 1125-1129. doi: 10.16835/j.cnki.1000-9817.2023.08.002 CAO Y X, TAO F B, WU X Y. Application and implications of implementation science framework in school health[J]. Chin J Sch Health, 2023, 44(8): 1125-1129. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.08.002