Volume 46 Issue 8
Aug.  2025
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ZHANG Jingji, LUO Chunyan, YANG Huijuan, YANG Dongling, HUANG Shenglei, ZHENG Keyang, QU Shuangxiao. Relationship between home reading-writing illuminance and screening myopia among children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(8): 1190-1193. doi: 10.16835/j.cnki.1000-9817.2025225
Citation: ZHANG Jingji, LUO Chunyan, YANG Huijuan, YANG Dongling, HUANG Shenglei, ZHENG Keyang, QU Shuangxiao. Relationship between home reading-writing illuminance and screening myopia among children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(8): 1190-1193. doi: 10.16835/j.cnki.1000-9817.2025225

Relationship between home reading-writing illuminance and screening myopia among children and adolescents

doi: 10.16835/j.cnki.1000-9817.2025225
  • Received Date: 2025-03-20
  • Rev Recd Date: 2025-04-07
  • Available Online: 2025-08-30
  • Publish Date: 2025-08-25
  •   Objective  To understand the home reading-writing levels among children and adolescents in Shanghai after school, and to explore its association with screening myopia, so as to provide a scientific basis for the prevention and control of myopia.  Methods  From April to December 2024, 641 primary and middle school students were recruited from 2 urban schools and 1 rural school in Shanghai to participate in the survey. An illuminance meter was used to measure the illuminance of home reading-writing activities after school. Screening myopia was determined through visual acuity examination and refractive detection under non ciliary muscle paralysis conditions among children and adolescents. A binary Logistic regression model was used to analyze the association between home reading-writing illuminance and screening myopia.  Results  The detection rate of screening myopia among children and adolescents in Shanghai was 59.9%. The median home reading-writing illuminance after school was 340.9(112.2, 753.5) lx, and 45.4% was found of less than 300 lx. The family illuminance in the primary school stage [432.0 (136.9, 837.0) lx] was higher than that in the junior high school stage [113.1(53.7, 375.1) lx], and main urban area group [503.9 (212.6, 969.5) lx] was higher than that in the rural group [141.6 (53.7, 416.9) lx], the differences were statistically significant (Z=-7.56, -9.95, both P < 0.05). The results of Logistic regression analysis showed that compared with the family illuminance of 150-500 lx, children and adolescents with family illuminance < 150 and >500 lx had increased risks of screening myopia detection[OR(95%CI)=1.56(1.01-2.42), 1.74(1.15-2.62), both P < 0.05].  Conclusions  The home reading-writing illuminance after school is suboptimal. Both excessively low and high home reading-writing illuminance levels are associated with screen-detected myopia. It is necessary for children and adolescents to improve lighting conditions during evening reading-writing activities, and strengthen health education according to different regions and school stages.
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