Study on risk factors of screening myopia among primary and middle school students in Hainan Province in 2021

BAI Hongmei; HUANG Xiaojun

doi:10.16835/j.cnki.1000-9817.2023.08.028

Volume 44 Issue 8

Aug. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(8): 1242-1246

BAI Hongmei, HUANG Xiaojun. Study on risk factors of screening myopia among primary and middle school students in Hainan Province in 2021[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1242-1246. doi: 10.16835/j.cnki.1000-9817.2023.08.028

Citation:

BAI Hongmei, HUANG Xiaojun. Study on risk factors of screening myopia among primary and middle school students in Hainan Province in 2021[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1242-1246. doi: 10.16835/j.cnki.1000-9817.2023.08.028

Citation:

PDF( 383 KB)

Study on risk factors of screening myopia among primary and middle school students in Hainan Province in 2021

doi: 10.16835/j.cnki.1000-9817.2023.08.028

BAI Hongmei¹,
HUANG Xiaojun^{2
,
,}

1.
School Health Office of Public Health Research Institute, Hainan Center For Disease Control and Prevention, Haikou(570203), China

Received Date: 2023-03-10
Rev Recd Date: 2023-06-29

Available Online: 2023-08-26

Publish Date: 2023-08-25

Abstract

Abstract

Objective To analyze the screening myopia status and risk assessment of influencing factors among primary and secondary school students in Hainan Province in 2021, so as to providea reference for formulating myopia prevention and control intervention strategies and measures of school in Hainan Province. Methods According to the requirements of the national project monitoring plan, the stratified cluster random sampling method was used to investigate the myopia screening and related influencing factors in 5 monitoring points of common diseases monitoring of students in Hainan Province from September to December 2021, and 12 075 valid questionnaires were obtained for analysis. Using stratified random method, all samples were divided into training data set and test data set according to the ratio of 7∶3, and regression analysis was conducted to verify the robustness of the results. Results In 2021, the screening myopia detection rate of primary and secondary school students in Hainan Province was 44.3%, among which the screening myopia detection rate of students in the middle and good districts was higher (53.5%), that of students in urban areas (52.6%) was higher than that of students in suburban counties (34.9%), and that of girls (51.7%) was higher than that of boys (37.3%). The detection rate of Han students (47.7%) was higher than that of ethnic minorities, and the difference between groups was statistically significant(χ²=152.71, 378.77, 167.81, 251.94, P < 0.01); The detection rate of screening myopia increased with the increase of the school level(χ²=1 421.66, P < 0.01). Multivariate Logistic regression analysis showed that the results of the two sets of data were consistent, and being in a higher grade, daily frequency of eye exercises < 2 times, poor habit of short-distance use of eyes (lying or lying on the stomach reading or watching electronic screen), having one or both parents with myopia were positively correlated with screening myopia(P < 0.05). For boys, time spent doing homework/reading and writing after school every day < 2 h, time spent using mobile electronic devices per day < 1 h, students with 1 h and daily sleep duration≥9 h were negatively correlated with the incidence of screening myopia(P < 0.05). Conclusion The risk of screening myopia increases with the increase of school age in Hainan, and relevant departments should strengthen targeted intervention and prevention for students with high risk of screening myopia.
- Myopia,
- Prevalence,
- Regression analysis,
- Students

FullText(HTML)

References(19)

References

[1]	BOURNE R R A, STEVENS G A, WHITE R A, et al. Causes of vision loss worldwide, 1990-2010:a systematic analysis[J]. Lancet Global Health, 2013, 1(6): e339-e349. doi: 10.1016/S2214-109X(13)70113-X
[2]	陶芳标, 潘臣炜, 伍晓艳, 等. 户外活动防控儿童青少年近视专家推荐[J]. 中国学校卫生, 2019, 40(5): 641-643. doi: 10.16835/j.cnki.1000-9817.2019.05.001 TAO F B, PAN C W, WU X Y, et al. Expert recommendation for outdoors activities as myopia prevention and control in children and adolescents[J]. Chin J Sch Health, 2019, 40(5): 641-643. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.05.001
[3]	崔鹏, 石磊. 共同呵护好孩子的眼睛, 让他们拥有一个光明的未来[N]. 人民日报, 2018-08-28(1). CUI P, SHI L. Take good care of children's eyes and let them have a bright future[N]. People's Daily, 2018-08-28(1). (in Chinese)
[4]	中华人民共和国教育部办公厅等十五部门关于印发《儿童青少年近视防控光明行动工作方案(2021-2025年)》的通知[EB/OL]. (2021-04-28)[2022-12-20]. http://www.gov.cn/zhengce/zhengceku/2021-05/11/content_5605840.htm. Fifteen Departments Including the Office of the Ministry of Education of the PRC had issued a notice on the Tssuance of the Work Plan of Action to Prevent and Control Myopia in Children and Adolescents(2021-2025)[EB/OL]. (2021-04-28)[2022-12-20]. http://www.gov.cn/zhengce/zhengceku/2021-05/11/content_5605840.htm. (in Chinese)
[5]	黎鹏. 今年海南将对公办普通高中3700余间教室进行照明改造进一步提升学生视觉舒适度[N]. 海南日报, 2023-02-07(A5). LI P. This year, Hainan will renovate the lighting of more than 3700 classrooms in public ordinary high schools to further improve the visual comfort of students[N]. Hainan Daily, 2023-02-07(A5). (in Chinese)
[6]	中国疾病预防控制中心儿少/学校卫生中心, 北京大学儿童青少年卫生研究所. 2021年全国学生常见病和健康影响因素监测与干预工作方案[EB/OL]. (2021-06-14)[2023-08-08]. http://www.pingyi.gov.cn/info/5324/130034.htm. Chinese Center for Disease Control and Prevention Children/School Health Center, Institute of Child and Adolescent Health, Peking University. National student common diseases and the factors influencing the health monitoring and intervention work plan in 2021[EB/OL]. (2021-06-14)[2023-08-08]. http://www.pingyi.gov.cn/info/5324/130034.htm. (in Chinese)
[7]	中华人民共和国国家卫生健康委办公厅, 中华人民共和国教育部办公厅, 中华人民共和国财政部办公厅, 等. 关于开展2018年儿童青少年近视调查工作的通知[EB/OL]. (2018-10-25)[2023-08-08]. http://www.nhc.gov.cn/jkj/s5898bm/201810/08e2b45092d346a8a8c960d3e3d98b62.shtml. Notice of the General Office of the National Health Commission of the PRC, General Office of the Ministry of Education of the PRC, General Office of the Ministry of Finance of the PRC, et al. Launching the myopia survey of children and adolescents in 2018[EB/OL]. (2018-10-25)[2023-08-08]. http://www.nhc.gov.cn/jkj/s5898bm/201810/08e2b45092d346a8a8c960d3e3d98b62.shtml. (in Chinese).
[8]	中华人民共和国国家卫生健康委员会. 中小学生屈光不正筛查规范: WS/T 663—2020[S]. 2020-01-11. National Health Commission of the PRC. Standard for screening ametropia of primary and secondary school students: WS/T 663-2020[S]. 2020-01-11. (in Chinese)
[9]	刘晓惠. 海南: 学生综合近视率低于全国平均水平[N]. 中国教育报, 2020-11-06(3). LIU X H. Hainan: the comprehensive myopia rate of students is lower than the national average[N]. China Education Daily, 2020-11-06(3). (in Chinese)
[10]	陈蔚林. 海南评定首批儿童青少年近视防控示范学校[N]. 海南日报, 2021-10-20(A6). CHEN W L. Hainan awarded the first batch of demonstration schools for the prevention and control of myopia among children and adolescents[N]. Hainan Daily, 2021-10-20(A6). (in Chinese)
[11]	刘力勇, 安欣华, 胡晓凤. 2019年与2021年北京市某区儿童青少年筛查性近视率调查结果分析[J]. 安徽预防医学杂志, 2022, 28(5): 410-413, 424. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYF202205016.htm LIU L Y, AN X H, HU X F. Analysis of the monitoring results of screening myopia rate among children and adolescents in a district of Beijing in 2019 and 2021[J]. Anhui J Prev Med, 2022, 28(5): 410-413, 424. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-AHYF202205016.htm
[12]	张辉, 董洪, 苏继艳, 等. 2019—2021年德阳市儿童青少年视力筛查结果分析[J]. 预防医学情报杂志, 2022, 38(8): 1088-1092. https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX202208009.htm ZHANG H, DONG H, SU J Y, et al. Analysis of visual screening results of childrenand adolescents in Deyang City from 2019 to 2021[J]. J Prev Med Inf, 2022, 38(8): 1088-1092. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YFYX202208009.htm
[13]	田向杰, 李江, 张静, 等. 2019年蒙自市中小学生近视影响因素分析[J]. 国际眼科杂志, 2022, 22(4): 652-656. https://www.cnki.com.cn/Article/CJFDTOTAL-GJYK202204028.htm TIAN X J, LI J, ZHANG J, et al. Analysis of the influencing factors of myopia among primary and middle school students in Mengzi City in 2019[J]. Int Eye Sci, 2022, 22(4): 652-656. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GJYK202204028.htm
[14]	张一, 周高祥, 苗超, 等. 浙江省余姚市中小学生近视流行现况分析[J]. 疾病监测, 2021, 36(12): 1347-1350. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJC202112032.htm ZHANG Y, ZHOU G X, MIAO C, et al. Prevalence of myopia in school students in Yuyao, Zhejiang[J]. Dis Surveill, 2021, 36(12): 1347-1350. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBJC202112032.htm
[15]	陈黎黎, 吴岩, 石荣兴, 等. 2018—2020年北京市丰台区儿童青少年近视筛查结果分析[J]. 中国健康教育, 2021, 37(6): 507-510. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202106007.htm CHEN L L, WU Y, SHI R X, et al. Myopia prevalence in children and adolescents in Fengtai District of Beijing during 2018-2020[J]. Chin J Health Educ, 2021, 37(6): 507-510. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202106007.htm
[16]	常洋, 张宗辉, 苟铁军, 等. 某市2019年中小学生近视现状及影响因素分析[J]. 现代预防医学, 2021, 48(9): 1595-1599. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202109015.htm CHANG Y, ZHANG Z H, GOU T J, et al. The current status and influencing factors of myopia among primary and middle school students in a city, 2019[J]. Mod Prev Med, 2021, 48(9): 1595-1599. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202109015.htm
[17]	WU P C, CHEN C T, LIN K K, et al. Myopia prevention and outdoor iight intensity in a school-based cluster randomized trial[J]. Ophthalmology, 2018, 125(8): 1239-1250.
[18]	DENG L, PANG Y. Effect of outdoor activities in myopia control: Meta-analysis of clinical studies[J]. Optom Vis Sci, 2019, 96(4): 276-282.
[19]	海南省教育厅等八部门. 海南省综合防控儿童青少年近视实施方案[EB/OL]. (2019-02-21)[2022-12-20]. http://www.moe.gov.cn/jyb_xwfb/xw_zt/moe_357/jyzt_2019n/2019_zt7/zcjj/df/201904/t20190430_380248.html. Hainan Provincial Department of Education and other eight departments. Implementation plan of comprehensive prevention and control of myopia among children and adolescents in Hainan Province[EB/OL]. (2019-02-21)[2022-12-20]. http://www.moe.gov.cn/jyb_xwfb/xw_zt/moe_357/jyzt_2019n/2019_zt7/zcjj/df/201904/t20190430_380248.html. (in Chinese)