首页|上海市长宁区低龄儿童视力不良现状及影响因素分析

上海市长宁区低龄儿童视力不良现状及影响因素分析

扫码查看
[目的]分析上海市长宁区低龄儿童的视力不良现状并探究其影响因素,为制订儿童视力不良防控措施提供参考依据.[方法]对2019年参加儿童屈光发育筛查的幼儿园中班及小学一年级的5 772名儿童进行视力检查和问卷调查,用χ2检验和logistic回归分析进行视力不良影响因素的分析.[结果]低年龄儿童视力不良整体患病率为10.4%(596/5 772);一年级和幼儿园中班儿童视力不良率分别为10.1%(284/2 822)和10.8%(312/2 900),男生和女生的视力不良率分别为10.2%(298/2 933)和10.7%(298/2 789).98.1%的低龄儿童存在≥1种不良用眼行为习惯.多因素logistic回归分析结果显示经常过度低头(OR=1.713)和有时视屏距离过近(OR=1.294)是低龄儿童视力不良发生的独立危险因素;按年龄分层后,经常过度低头(OR=1.997)增加小学一年级儿童视力不良发生的风险,早产(OR= 1.841)、有时过度低头(OR=1.363)和经常过度低头(OR=2.002)增加中班儿童视力不良发生的风险.[结论]对于低年龄儿童,须更加关注日常用眼距离,纠正用眼时过度低头、使用电子产品时视屏距离过近等不良用眼行为,以预防和延缓视力不良的发生发展.
Prevalence and influencing factors of reduced visual acuity among young children in Changning District,Shanghai
[Objective]To analyze the prevalence of reduced visual acuity of young children in Changning district of Shanghai and to explore the influencing factors,so as to provide a reference basis for formulating prevention and control measures for children's reduced visual acuity.[Methods]Visual acuity examination and questionnaire survey were conducted on 5 772 middle class children in kindergartens and first grade children in primary schools who participated in the refractive screening in Changning District in 2019.χ2 test and logistic regression analysis were used to explore the influencing factors of reduced visual acuity.[Results]The overall prevalence of reduced visual acuity among lower-aged children was 10.4%(596/5 772).The prevalence of reduced visual acuity in the first grade children was 10.1%(284/2 822),and that in the middle class children of kindergarten was 10.8%(312/2 900).The prevalence of reduced visual acuity was 10.2%(298/2 933)in boys and 10.7%(298/2 789)in girls.98.1%of young children had one or more bad habits when using eyes.Multivariate logistic regression analysis showed that frequent excessive head lowering(OR=1.713)and sometimes too close to the screen(OR=1.294)were independent risk factors for reduced visual acuity in young children;After stratification by age,frequent excessive head lowering(OR=1.997)increased the risk of reduced visual acuity of children in the first grade of primary school.Premature birth(OR=1.841),sometimes excessive head lowering(OR=1.363)and frequent excessive head lowering(OR=2.002)increased the risk of reduced visual acuity of children in the middle class of kindergarten.[Conclusion]For young children,we should pay more attention to their daily eye use distance,correct their bad behaviors for using eyes such as excessively lowering their head when using eyes and too close to the video screen when using electronic products,so as to prevent and delay the occurrence and development of reduced visual acuity.

childrenyoungreduced visual acuityrisk factor

蒋子晗、庄建林、蒋亭安、钮春瑾

展开 >

上海市长宁区疾病预防控制中心,上海 200051

儿童 低年龄 视力不良 影响因素

上海市长宁区卫生健康委医学特色专科建设项目上海市长宁区科委科研项目上海市长宁区政府实事项目(2019)上海市长宁区卫生健康委"优质+均衡"科研人才专项上海市长宁区公共卫生和社区卫生"优质+均衡"项目

20192004CNKW2018Y26

2024

上海预防医学
上海市预防医学会

上海预防医学

CSTPCD
影响因子:0.615
ISSN:1004-9231
年,卷(期):2024.36(2)
  • 34