Epidemiological characteristics and determinants of asthenopia symptoms among Air Force servicemen
Objective To analyze the epidemic characteristics of asthenopia symptoms among Air Force soldiers and identify the determinants so as to provide technical support for maintaining visual health.Methods A nationwide and cross-sectional survey was conducted between October 2023 and January 2024 in Air Force,involving the 11-item Asthenopia Survey Questionnaire(ASQ-11)and related influencing factors that were analyzed using the univariate and multivariate logistic regression in order to identify factors related to asthenopia.Spearman correlation analysis was used to study the correlations between ASQ-11 and Ocular Surface Disease Index(OSDI)scales.Results A total of 1 104 valid questionnaires were collected,with an effective rate of 90.71％,and 1 065 participants were enrolled in the study,including 356 pilots and 709 other personnel.The detection rate of asthenopia was 32.87％for pilots and 20.87％for other military personnel,suggesting that the detection rate of asthenopia among pilots was higher(x2=18.231,P＜0.001).There was significant difference between pilots of different types of aircraft(x2=10.260,P=0.006),but no significant difference between other personnel(x2=1.175,P=0.278).For pilots,the risk factors for asthenopia included age(OR=1.092,95％CI:1.043～1.146),poor sleep(OR=2.152,95％CI:1.059～4.492),jobs involving electronic screens(OR=2.321,95％CI:1.078～5.167),more than 4 hours of reading close to electronic products(OR=2.840,95％CI:1.111～7.594),and high Ocular Surface Disease Index scores(OR=1.304,95％CI:1.233～1.392).For personnel other than pilots,working in Central China(OR=2.175,95％CI:1.007～4.591),refractive errors(OR=2.670,95％CI:1.579～4.531),poor sleep(OR=2.327,95％CI:1.373～3.977),reading close to non-electronic products for more than 4 hours(OR=2.679,95％CI:1.204～5.829),and high Ocular Surface Disease Index scores(OR=1.153,95％CI:1.124～1.186)were risk factors.Spearman correlation analysis showed a positive correlation between the ASQ-11 and OSDI scores(r=0.768,P＜0.001 for pilots and r=0.725,P＜0.001 for other military personnel).Conclusion The detection rate of asthenopia in Air Force is relatively high.Related clinicians should get involved in the risk management of asthenopia.Precautions have to be taken to ensure the visual health of Air Force soldiers.
万方数据
维普
