健康体检与管理2024,Vol.5Issue(4) :348-355.

北京市青少年学生近视发展趋势及对健康管理的启示

The Development Trend of Adolescents in Beijing and Its Implications for Health Management

陈晔 钱文红 尚磊 华琳 栾晶 窦紫岩 韩宝 汤煜书 于瑶
健康体检与管理2024,Vol.5Issue(4) :348-355.

北京市青少年学生近视发展趋势及对健康管理的启示

The Development Trend of Adolescents in Beijing and Its Implications for Health Management

陈晔 1钱文红 1尚磊 1华琳 1栾晶 1窦紫岩 1韩宝 1汤煜书 1于瑶1
扫码查看

作者信息

  • 1. 北京市体检中心,北京 100050
  • 折叠

摘要

目的:对北京市各区域不同性别高三学生低、中、高度近视检出率的变化及其影响因素进行分析,为北京市地区青少年近视防控策略改进提供依据.方法:将2009-2018年北京市高三学生体检数据库中的资料整理分析,按照性别、所在区域和年龄进行分组,描述近视率的分布和变化特征;采用广义加性模型和Lasso回归对不同区域学生高度近视率的发展趋势进行拟合模型比较及影响因素分析.结果:2009-2018年北京市高三学生的近视率从67.19%上升至77.66%,其中低度近视率从2009年的32.85%下降到2018年的28.19%,中度和高度近视率分别从2009年的30.26%和4.13%上升到2018年的40.06%和9.51%.女生的低度、中度和高度近视率均较男生高(P<0.05).核心区域的低度近视率仅个别年度高于非核心区域(P<0.01).18岁组在2015年前,核心区域的中度近视率均高于非核心区域,2017年之后则相反(P<0.01).19岁组在2013年前和2015年核心区域的中度近视率均高于非核心区域(P<0.01),2016年后两者无差异(P>0.05).18岁及以上年龄组核心区域高度近视率高于非核心区域(P<0.01).学生所在区域是高度近视率的影响因素(P<0.01).结论:2009-2018年,北京市高三学生呈现近视率上升、近视度数加深的趋势;近视率在性别之间存在差异,女生较男生更易近视;低度近视率在区域间差异不大,非核心区域中度近视率上升速度较快,2016年后超过核心区域或与核心区域无差异,各区域的高度近视率均逐年升高,核心区域学生较非核心区域学生更易患高度近视.

Abstract

Objective:To analyze the change of low,middle and high myopia prevalence rate and its influencing factors among senior 3 students of different genders in Beijing from 2009 to 2018,and to provide evidence for improving the prevention and control strategy of myopia among adolescents in Beijing.Methods:The distribution and changing characteristics of myopia rate were described according to sex,region and age The general additive model and Lasso regression were used to compare the development trend of high myopia rate in different regions and analyze the influencing factors.Results:From 2009 to 2018,the myopia rate of senior 3 students in Beijing increased from 67.19%to 77.66%.The low myopia rate decreased from 32.85%in 2009 to 28.19%in 2018.The moderate and high myopia rates increased from 30.26%and 4.13%in 2009 to 40.06%and 9.51%in 2018,respectively.The rates of low,moderate and high myopia in girls were higher than those in boys(P<0.05).The low-grade myopia in the core region was only higher than in the non-core region in few years(P<0.01).The 18-year-old group had higher rates of moderate myopia in the core region before 2015 than in the non-core region after 2017(P<0.01).The 19-year-old group had higher rates of moderate myopia in the core region before 2013 and in 2015 than in the non-core region(P<0.01),with no difference after 2016(P>0.05).The rate of high myopia in the core area was higher than that in the non-core area in the age group of 18 years and over(P<0.01).The area is the influence factor of high myopia rate.Conclusions:From 2009 to 2018,the myopia rate and degree of myopia of senior 3 students in Beijing are showing a increasingtrend.Girls are more likely to be myopic than boys;there is little regional difference in low myopia rates,while the rate of moderate myopia in non-core regions is rising faster than in core regions after 2016,or no difference with core regions,the high myopia rate increased year by year in all regions,and the students in the core region were more likely to be short-sighted than those in the non-core region.

关键词

学生/近视/发展趋势/健康管理

Key words

Students/Myopia/Development trend/Health management

引用本文复制引用

出版年

2024
健康体检与管理
中国医院协会

健康体检与管理

ISSN:2096-9449
段落导航相关论文