Investigation and analysis of eye hygiene status and related eye diseases among school-age children
Objective To investigate the eye hygiene status and the prevalence of related eye diseases among school-age children.Methods This study was a cross-sectional study.Four primary schools in Zhengzhou City were randomly selected by stratified cluster sampling based on urban and township areas from October to December 2022.Two classes of students in each grade of each school were randomly selected as the survey subjects.A total of 1 882 school-age children were selected,including 996 males and 886 females,and aged 6-14 years.The prevalence of eye diseases and the level of eye hygiene in children were investigated.Independent sample t test was used to compare the measurement data between the two groups,and univariate analysis of variance and SNK-q test were used to compare the multiple samples.x2 test or Fisher exact probability method was used to compare the count data.Results The detection rate of eye diseases in school-age children was 25.08%(472/1 882),of which refractive error(275 cases)and conjunctivitis(164 cases)accounted for the highest proportion.The detection rates of refractive error and conjunctivitis in female were higher than those in male(both P<0.05).The detection rate of refractive error increased in grade one and two,grade three and four,and grade five and six(all P<0.05).The detection rate of refractive error in urban schools was higher than that in township schools(P<0.05).The effective recovery rate of the eye hygiene survey questionnaires was 98.25%(1849/1882).The scores of knowledge,attitude,and behavior of eye hygiene and total score among school-age children were(10.92±2.47)points,(4.49±1.02)points,(36.76±5.73)points,and(52.17±8.84)points,respectively.The total score of eye hygiene increased in grade one and two,grade three and four,and grade five and six(all P<0.05),and the total score of eye hygiene in urban schools was higher than that in township schools(P<0.05).The total scores of eye hygiene in children with amblyopia,strabismus,and refractive error were lower than that in children without eye diseases(all P<0.05).Conclusions Refractive error and conjunctivitis are common eye diseases in school-age children,and there are differences in the distribution of eye diseases among different genders,grades,and school regions.The level of eye hygiene among school-age children needs to be improved,and there are differences in eye hygiene levels among different grades,school regions,and eye disease situations.It is necessary to strengthen the health education,eye disease screening and prevention and control work for school-age children.