摘要
目的 了解上海市静安区中小学生的近视现状,分析中小学生近视的影响因素,为开展近视防控工作提供依据.方法 采用分层整群抽样方法,抽取静安区2所小学、2所初中、2所高中开展近视筛查及问卷调查.结果 静安区2022年中小学生总体近视率为64.87%,其中小学生、初中生、高中生的近视率分别为38.26%、80.11%和87.11%.单因素结果显示,每周户外活动时间、日均睡眠时间、BMI指数与近视相关.XGBoost模型结果显示每周户外活动时间、每周作业完成时间、BMI指数、日均睡眠时间对最终是否近视有重要的影响.结论 静安区中小学生近视患病率处于较高水平,应切实减轻学业负担、增加户外活动、开展综合防控,从而控制近视的发展.
Abstract
Objective To understand the current situation of myopia among primary and secondary school students in Jing'an District of Shanghai,analyze the influencing factors of myopia among primary and secondary school students,and provide a basis for carrying out myopia prevention and control work.Methods Using stratified cluster sampling method,2 primary schools,2 junior high schools,and 2 high schools in Jing'an District were selected for myopia screening and questionnaire survey.Results The overall myopia rate among primary and secondary school students in Jing'an District in 2022 was 64.87%,with myopia rates of 38.26%,80.11%,and 87.11%for primary,middle,and high school students,respectively.The univariate results showed that weekly outdoor activity time,daily average sleep time,and BMI index were associated with myopia.The results of the XGBoost model showed that weekly outdoor activity time,weekly homework completion time,BMI index,and average daily sleep time had a significant impact on the final myopia.Conclusion The incidence of myopia among primary and secondary school students in Jing'an District is at a relatively high level.Efforts should be made to effectively reduce academic burden,increase outdoor activities,and carry out comprehensive prevention and control measures to control the development of myopia.