Study on relationship between environmental factors and myopia among students in Suzhou City
HU Jia1, WANG Ying1,2, SHEN Hui1, YANG Hai-bing1
1. Suzhou Municipal Center for Disease Control and Prevention, Suzhou, Jiangsu 215004, China;
2. School of Public Health, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei 430030, China
Abstract:Objective To assess the relationship between environmental factors and myopia so as to explore the factors influencing the differences in the prevalence rates of myopia of students from different grades. Methods A stratified cluster random sampling method was used to select 456 students in first grade of elementary schools and seventh-ninth grades of junior middle schools in Suzhou City in 2018. On-site ophthalmic examination (including distance vision test and cycloplegic refraction) was performed, and questionnaire surveys were conducted to collect the risk factors related to myopia. Results Students in seventh, eighth and ninth grades of junior middle schools had higher prevalence rates of myopia as compared with students in first grade of elementary schools (82.0% vs. 22.4%, 88.8% vs. 22.4%, 88.5% vs. 22.4%, all P<0.05). After adjustment for gender, parental myopia, time of reading and writing after school, time of outdoor activity, time of watching videos and sleeping time per day, the excess prevalence rates of myopia in students in seventh, eighth and ninth grades of junior middle schools reduced by 38.14%, 38.62% and 21.28%, respectively. Conclusions Environmental factors play important roles in the development of myopia in Suzhou students. As for myopia prevention and control, outdoor activities should be increased and time spent watching videos should be decreased.
胡佳, 王瑛, 沈蕙, 杨海兵. 苏州市学生环境因素与近视的关联性研究[J]. 实用预防医学, 2021, 28(1): 53-56.
HU Jia, WANG Ying, SHEN Hui, YANG Hai-bing. Study on relationship between environmental factors and myopia among students in Suzhou City. , 2021, 28(1): 53-56.
[1] Jonas JB, Xu L, Wei WB, et al. Myopia in China: a population-based cross-sectional, histological, and experimental study [J]. Lancet, 2016, 388:S20.
[2] 王非, 李开宇, 陈艳华,等. 青少年近视主要环境危险因素及机制研究进展[J]. 实用预防医学, 2019,26(7):893-896,封3.
[3] Pan CW, Wu RK, Li J, et al. Low prevalence of myopia among school children in rural China[J]. BMC Ophthalmol, 2018,18(1):140.
[4] 国家卫生健康委宣传司.国家卫生健康委员会2019年4月29日例行新闻发布会文字实录,http://www.nhc.gov.cn/xcs/s7847/201904/e9117ea8b6b84f48962e84401d305292.shtml.
[5] Xiong S, Sankaridurg P, Naduvilath T, et al. Time spent in outdoor activities in relation to myopia prevention and control: a meta-analysis and systematic review [J]. Acta Ophthalmol, 2017, 95(6):551-566.
[6] 陶芳标. 学校—学生—学业联动是打好儿童青少年近视防控攻坚战的基石[J]. 中国学校卫生,2019,40(1):3-6.
[7] 高永祥,张晋昕.logistic 回归分析的样本量确定[J]. 循证医学,2018,18(2):122-124.
[8] 周佳,马迎华,马军,等.中国6省市中小学生近视流行现状及其影响因素分析[J]. 中华流行病学杂志,2016,37(1): 29-34.
[9] Gwiazda J, Marsh-Tootle WL, Hyman L, et al. Baseline refractive and ocular component measures of children enrolled in the correction of myopia evaluation trial (COMET) [J]. Invest Ophthalmol Vis Sci, 2002, 43(2):314-321.
[10] Pan CW, Zheng YF, Wong TY, et al. Variation in prevalence of myopia between generations of migrant indians living in Singapore[J]. Am J Ophthalmol, 2012, 154(2):376-381, e1.
[11] Wong TY, Klein R, Duncan BB, et al. Racial differences in the prevalence of hypertensive retinopathy [J]. Hypertension, 2003, 41(5):1086-1091.
[12] Wang SK, Guo YF, Liao CM, et al. Incidence of and factors associated with myopia and high myopia in Chinesechildren, based on refraction without cycloplegia [J].JAMA Ophthalmol, 2018, 136(19):1017-1024.
[13] 宋逸,胡佩瑾, 董彦会, 等. 2014年全国各省、自治区、直辖市汉族学生视力不良现况分析[J]. 北京大学学报(医学版), 2017,49(3):433-438.
[14] Tran-Viet KN, Powell C, Barathi VA, et al. Mutations in SCO2 are associated with autosomal-dominant high-grade myopia[J]. Am J Hum Genet, 2013, 92(5):820-826.
[15] 余家麟, 曾金水, 邱燚, 等. 2017年深圳市宝安区小学生视力不良流行现况及影响因素分析[J]. 实用预防医学, 2018,25(6):740-743.
[16] He MG, Xiang F, Zeng YF, et al. Effect of time spent outdoors at school on the development of myopia among children in China: a randomized clinical trial[J]. JAMA, 2015, 314(11):1142-1148.
[17] 翟露露,伍晓艳,许韶君,等.中学生户外活动与自我报告近视的关联研究[J]. 中华预防医学杂志, 2017,51(9):801-806.
[18] 官文清, 金佳怡, 吴云开, 等. 杭州市某区低年级小学生用眼卫生与视力的相关分析[J]. 实用预防医学, 2019,26(8):911-914.
[19] 李静一, 刘群, 李长安, 等. 户外活动和0.1 g·L-1阿托品对学龄期儿童控制近视发展的疗效对比[J]. 眼科新进展, 2019, 39(2):158-161.
[20] 张凤云, 张锡彦, 杨婕, 等. 儿童青少年近视筛查3种方案比较[J]. 中国学校卫生, 2019, 40(10):1542-1544.