加强近视行为风险因素研究  弥合应用鸿沟

伍晓艳; 陶芳标

doi:10.16835/j.cnki.1000-9817.2022.03.001

加强近视行为风险因素研究弥合应用鸿沟

doi: 10.16835/j.cnki.1000-9817.2022.03.001

伍晓艳,
陶芳标^,

安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室, 合肥 230032

基金项目:

国家重点研发计划 2021YFC2702100

国家重点研发计划 2021YFC2702105

详细信息

作者简介:
伍晓艳(1985-), 女, 安徽青阳人, 博士, 副研究员, 主要研究方向为儿童青少年行为与健康

通讯作者:
陶芳标, E-mail: fbtao@ahmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R778.11 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2022-01-24
- 修回日期: 2022-02-10
- 网络出版日期: 2022-03-29
- 刊出日期: 2022-03-25

Strengthening research on behavioral risk factors with myopia, bridge the gap between research and practice

WU Xiaoyan,
TAO Fangbiao^,

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

摘要

摘要: 儿童青少年近视已成为全球性公共卫生问题, 当前中国儿童青少年近视患病率居高不下。近视的遗传与环境病因争论已久, 目前研究认为行为与环境因素是儿童青少年近视的主要原因。近视相关的行为风险因素研究仍面临挑战, 研究设计以横断面调查居多, 来自队列研究和干预研究证据较少, 因此未来需重点开展队列和干预研究, 引入实施性研究设计以评价其应用转化的意义, 从而弥合近视研究到防控实践的鸿沟。
- 近视 /
- 行为 /
- 危险因素 /
- 儿童 /
- 青少年
Abstract: Myopia is becoming a global public health problem, the prevalence of myopia among Chinese children and adolescents is high. The nature and nurture etiologies of myopia have been debated for a long time, and current evidence suggests that behavioral and environmental factors are the main causes of myopia in children and adolescents. Challenges in research on behavioral risk factors include cross-sectional design, as well as limited longitudinal and intervention. Therefore, future studies need to highlight cohorts study and intervention study, and bring in implementation research to evaluate the significance of application, so as to bridge gaps between research evidence and practice for prevention and control of myopia.
- Myopia /
- Behavior /
- Risk factors /
- Child /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

表 1 近视相关因素概览

Table 1. Summary of relative factors of myopia

因素	选项	证据/因果关联	混杂因素
主要因素	教育	强/因果关系	户外时间
	户外时间	强/因果关系	光照作用(强度、持续时间、光谱)
	视屏时间	可疑	视近作业
基本出生因素	性别	弱	社会因素
	种族	不一致	文化态度或遗传
	父母近视	强	遗传或近视源性环境
	出生次序	弱	教育年限
	出生季节	弱	教育年限
其他个人因素	身高	弱	社会因素
	智力	中等	教育，户外时间
	体力活动	中等	户外时间
	睡眠	弱	教育压力
家庭特征	社会经济状况(SES)	中等	教育
	吸烟	弱	教育，SES
	饮食	弱	教育，SES
环境	城市/乡村	中等	教育，SES，户外时间
	污染	弱	SES
	住房	弱	教育，SES
	昼夜节律	弱	多巴胺
	夜间照明	阴性
	光谱	弱	数据有限
其他因素	过敏性结膜炎，花粉症，川崎病，发热性疾病	弱	数据有限，户外时间
	生育治疗	弱	数据有限
一般观念	在昏暗的光线下、床上或车上阅读	弱	数据有限
	读写和握笔姿势，书本字体大小	弱	数据有限

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