学校近视防控卫生监督工作调查

于玲; 刘金东; 张婧; 潘德鸿

doi:10.16835/j.cnki.1000-9817.2021.09.036

学校近视防控卫生监督工作调查

doi: 10.16835/j.cnki.1000-9817.2021.09.036

辽宁省卫生健康监督中心学校卫生监督室, 沈阳 110005

详细信息

作者简介:
于玲(1987-)，女，辽宁大连人，硕士，营养中级，主要从事学校卫生监督工作

通讯作者:
刘金东，E-mail：cmuliu1982@126.com

中图分类号: R778.11 G478 R19-0
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- 被引次数: 0
出版历程
- 收稿日期: 2021-04-27
- 修回日期: 2021-06-20
- 网络出版日期: 2021-09-24
- 刊出日期: 2021-09-24

Health supervision of school-based myopia prevention and control

School Health Supervision Office, Liaoning Provincial Health Supervision Center, Shengyang(110005), China

摘要

摘要: 目的探讨《关于开展2019年托幼机构、校外培训机构、学校采光照明"双随机"抽检工作的通知》(国卫办监督函〔2019〕314号)(以下简称《方案》)在实施中的影响因素, 为更好执行《方案》的实施提供参考依据。方法在全国23省、市、县区3级102家卫生监督机构围绕《方案》出台、落实、实施情况等开展近视防控工作调查。结果《方案》落实是否顺畅，与由卫生健康行政部门牵头负责组织协调具体工作、明确各部门各机构工作职责、教育行政部门对此项工作的配合有关[OR值(OR值95%CI)分别为1.57(1.05~2.36)，0.05(0.03~0.10)，0.31(0.19~0.52)，0.03(0.01~0.09)，0.12(0.04~0.37)，P值均 < 0.05]；方案的实施与设立独立学校卫生监督科、配备专职学校卫生监督工作人员数、卫生监督机构现场快检、学校是否自检等有关[OR值分别为1.87(1.33~2.62)，0.62(0.40~0.97)，2.37(1.82~3.09)，1.62(1.09~2.40)，P值均 < 0.05]。结论《方案》的实施效果与多部门、多因素有关, 加强部门合作、明确各部门职责对卫生监督近视眼防控专项行动至关重要。
- 近视 /
- 卫生政策 /
- 组织和管理 /
- 学生保健服务
Abstract: Objective To explore the associated factors in the implementation of the "random" sampling inspection of the lighting institutions in kindergartens, out-of-school training institutions and primary and secondary schools in 2019 (Supervision Letter [2019] No. 314 of National Health Office) (hereinafter referred to as the "Plan"), and to provide reference for better implementation of the Plan. Methods A survey of school-based myopia prevention and control was conducted in 23 provincial, municipal and county-level health supervision institutions in China. The main contents of the survey focused on the introduction, implementation and implementation of the program. Results The implementation of the "plan" was significantly associated with the specific work organized and coordinated by the health administrative department, clear responsibility of various departments, and collaboration with educational institutions[OR(95%CI)=1.57(1.05-2.36), 0.05(0.03-0.10), 0.31(0.19-0.52), 0.03(0.01-0.09), 0.12(0.04-0.37), P < 0.05]. It was also associated with independent school health supervision department, one and two full-time school health supervision staff equipment, on-site quick inspection of health supervision institutions, school self-examination[OR=1.87(1.33-2.62), 0.62(0.40-0.97), 2.37(1.82-3.09), 1.62(1.09-2.40), P < 0.05]. Conclusion The program needs to be implemented through multiple departments and is associated with multiple factors. It is of great importance to strengthen multi-sector collaboration and clarify the responsibility of various departments for the health supervision of school-based myopia prevention and control.
- Myopia /
- Health policy /
- Organization and administration /
- Student health services

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表 1 影响《方案》顺畅落实的多因素有序Logistic回归分析(n=1 002)

Table 1. Logistic regression analysis of multiple factors influencing smooth implementation of the plan(n=1 002)

自变量	选项	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
卫生部门是否牵头协调	否	0.45	0.21	4.80	0.03	1.57(1.05~2.36)
是否与教育行政部门联合下发	否	0.13	0.19	0.44	0.51	1.14(0.78~1.65)
是否明确各部门工作职责	十分明确	-2.92	0.29	98.61	< 0.01	0.05(0.03~0.10)
	不是很明确	-1.17	0.26	20.51	< 0.01	0.31(0.19~0.52)
教育行政部门对工作的配合	全力主动配合	-3.68	0.62	34.72	< 0.01	0.03(0.01~0.09)
	配合较好	-2.16	0.59	13.29	< 0.01	0.12(0.04~0.37)
	勉强配合	-0.72	0.58	1.54	0.22	0.49(0.16~1.52)
方案出台是否缓慢	否	-0.33	0.19	2.92	0.09	0.72(0.50~1.05)
是否底数不清，无效数据过多	否	-0.72	0.20	13.40	< 0.01	0.49(0.33~0.72)
是否教育部门不协调通知	否	-0.17	0.20	0.74	0.39	0.85(0.58~1.24)
其他原因	否	-0.34	0.22	2.51	0.11	0.71(0.47~1.08)

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表 2 影响单位顺利完成双随机抽检的多因素有序Logistic回归分析(n=1 002)

Table 2. Logistic Regression analysis of multiple factors influencing the successful completion of double random sampling(n=1 002)

自变量	选项	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
是否单独设有学校卫生监督科	无	0.62	0.17	13.06	<0.01	1.87(1.33~2.62)
专职学校卫生监督人员数/名	无	-0.03	0.22	0.02	0.90	0.97(0.63~1.50)
专职学校卫生监督人员数/名	1	-0.48	0.23	4.43	0.04	0.62(0.40~0.97)
	2	0.14	0.21	0.46	0.50	1.15(0.76~1.74)
是否有协管员配合抽检工作	无	0.60	0.38	2.50	0.11	1.82(0.87~3.82)
是否有协管员配合抽检工作	有，辅助	0.11	0.37	0.08	0.78	1.11(0.53~2.32)
卫生健康委是否协调疾控中心开展工作	否	0.13	0.13	1.02	0.31	1.14(0.88~1.48)
卫生健康委是否组织招标购买卫生技术	否	0.29	0.16	3.43	0.06	1.34(0.98~1.83)
卫生健康委是否有专项资购买卫生技术	否	0.20	0.15	1.67	0.20	1.22(0.90~1.64)
卫生监督是否现场快速检测	否	0.86	0.14	40.89	< 0.01	2.37(1.82~3.09)
学校是否自检	否	0.48	0.20	5.75	0.02	1.62(1.09~2.40)
是否了解方案开展背景	否	0.21	0.18	1.31	0.25	1.23(0.86~1.76)
标准规范知识了解度	熟悉	-1.34	0.55	5.92	0.02	0.26(0.09~0.77)
	了解一些不全面	-0.26	0.54	0.23	0.63	0.77(0.27~2.22)
	了解一点很多不懂	-0.06	0.56	0.01	0.92	0.95(0.32~2.84)

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参考文献(7)

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