A multilevel model analysis of the association between reading and writing posture with myopia in primary and secondary school students

XU Huiyu; QIN Ran; ZHANG Jingshu; WANG Lu; WANG Yan; LUO Huijuan; GUO Xin

doi:10.16835/j.cnki.1000-9817.2023.12.025

Volume 44 Issue 12

Dec. 2023

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(12): 1878-1882

XU Huiyu, QIN Ran, ZHANG Jingshu, WANG Lu, WANG Yan, LUO Huijuan, GUO Xin. A multilevel model analysis of the association between reading and writing posture with myopia in primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1878-1882. doi: 10.16835/j.cnki.1000-9817.2023.12.025

Citation:

XU Huiyu, QIN Ran, ZHANG Jingshu, WANG Lu, WANG Yan, LUO Huijuan, GUO Xin. A multilevel model analysis of the association between reading and writing posture with myopia in primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1878-1882. doi: 10.16835/j.cnki.1000-9817.2023.12.025

Citation:

XU Huiyu, QIN Ran, ZHANG Jingshu, WANG Lu, WANG Yan, LUO Huijuan, GUO Xin. A multilevel model analysis of the association between reading and writing posture with myopia in primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1878-1882. doi: 10.16835/j.cnki.1000-9817.2023.12.025

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A multilevel model analysis of the association between reading and writing posture with myopia in primary and secondary school students

doi: 10.16835/j.cnki.1000-9817.2023.12.025

XU Huiyu^{1, 2},
QIN Ran²,
ZHANG Jingshu²,
WANG Lu²,
WANG Yan^{1, 2},
LUO Huijuan^{1, 2},
GUO Xin^{1, 2
,
,}

1.
School of Public Health, Capital Medical University, Beijing (100069), China

Received Date: 2023-05-09
Rev Recd Date: 2023-10-08

Available Online: 2023-12-26

Publish Date: 2023-12-25

Abstract

Abstract

Objective To explore the association between reading and writing posture with the occurrence of myopia in Chinese children and adolescents, so as to provide a reference for reducing its prevalence among primary and secondary school students. Methods Using data from the 2020 survey on the current status of hyperopia reserve in primary and secondary school students from six provinces/cities, namely Beijing, Zhejiang, Chongqing, Shaanxi, Liaoning, and Henan selected by multi-stage stratified cluster probability sampling method during November 2020 to June 2022. A total 16 782 students who completed the optometry examination of cycloplegia according to the Children and Adolescents Myopia Screening Standard and questionnaire survey were included for analyzing analyze the association between reading and writing posture with myopia. Results The overall detection rate of myopia among primary and secondary school students was 45.7%, of which 35.0% were primary school students, 84.1% junior high school students, and 90.4% senior high school students. Poor reading and writing posture was found in 73.6% of primary and secondary school students. Adjusting for confounding factors such as gender, school period, region, outdoor time every day, and whether parents were myopic, the results of the multilevel Logistic regression showed that the following factors were positively correlated with myopia: poor reading and writing posture (OR=1.17, 95%CI=1.07-1.28), never/occasionally reading and writing with a reading distance which was more than one foot away between the eyes and book (OR=1.28, 95%CI=1.08-1.53, OR=1.23, 95%CI=1.08-1.40), teachers occasionally reminding the child of their reading and writing posture (OR=1.13, 95%CI=1.01-1.25), and often/always reading and writing while lying down or with the face on the arm (OR=1.15, 95%CI=1.01-1.32, OR=1.46, 95%CI=1.17-1.82), always reading and writing with the head in the hand (OR=1.56, 95%CI=1.20-2.01). Further, a negative correlation was detected between myopia and parents occasionally reminding their children of their reading and writing posture (OR=0.85, 95%CI=0.76-0.96) (P < 0.05). Conclusion Poor reading and writing posture is a risk factor for the development of myopia in primary and secondary school students, and interventions for reading and writing posture need to be strengthened to reduce the occurrence of myopia among primary and secondary school students.
- Reading,
- Handwriting,
- Myopia,
- Regression analysis,
- Students

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References(23)

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