首页|2019年至2021年济源城区儿童青少年近视流行现状及影响因素

2019年至2021年济源城区儿童青少年近视流行现状及影响因素

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目的 分析 2019 年至 2021 年济源城区儿童青少年近视流行现状,探究影响近视发生的相关因素。方法 通过分层整群随机抽样法,2019 年至 2021 年连续 3 年间的 9 月至 10 月对济源城区 8 所学校和 2 所幼儿园的儿童青少年进行视力检查抽检,分析其视力情况。2019 年从小学四年级至高中及职高三年级抽取部分学生作为研究对象,监测青少年近视的影响因素。结果 济源城区儿童青少年 2019、2020、2021 年近视检出率分别为 57。60%、62。00%、61。34%,不同教育阶段、不同年级之间差异均有统计学意义(P<0。05);单因素及多因素分析结果均显示,定期根据学生身高调整课桌椅高度、每天做眼保健操频次≥1 次、读写时胸口离桌边经常超 1 拳、眼睛距书本经常超 1 尺、每天户外活动时间≥2 h均为影响近视发生的保护因素;每天课后用眼时长≥2 h、每天使用电子产品时间≥2 h均为影响近视发生的危险因素。结论 济源城区儿童青少年近视检出情况均已超50%,属于中高发水平,课桌椅高度、做眼保健操频次、读写时胸口与桌边距离、读写时眼睛与书本距离、每天户外活动时间、每天课后用眼时长、每天使用电子产品时间均为近视发生的影响因素。
Prevalence and Influencing Factors of Myopia in Children and Adolescents in Jiyuan Urban Area from 2019 to 2021
Objective To analyze the prevalence of myopia in children and adolescents in Jiyuan urban area from 2019 to 2021 and to explore the related factors influencing the occurrence of myopia.Methods Through stratified cluster random sampling,vision screenings were conducted on children and adolescents from 8 schools and 2 kindergartens in Jiyuan urban area from September to October for three consecutive years from 2019 to 2021.The vision status of the participants was analyzed.In 2019,a portion of students from the fourth grade of primary school to the third grade of high school and vocational high school were selected as research subjects to monitor the influencing factors of myopia in adolescents.Results The detection rates of myopia in children and adolescents in Jiyuan urban area were 57.60%,62.00%,and 61.34%in 2019,2020,and 2021,respectively.There were statistically significant differences between different educational stages and grades(P<0.05).Both univariate and multivariate analyses showed that regularly adjusting the height of desks and chairs according to students'height,performing eye exercises at least once a day,keeping the chest more than one fist away from the edge of the desk while reading and writing,keeping the eyes more than one foot away from the book while reading and writing,and having at least 2 hours of outdoor activities per day were protective factors against the occurrence of myopia.On the other hand,using eyes for more than 2 hours after school and using electronic devices for more than 2 hours per day were risk factors for the occurrence of myopia.Conclusion The detection rate of myopia in children and adolescents in Jiyuan urban area has exceeded 50%,indicating a medium to high prevalence level.Factors such as the height of desks and chairs,frequency of eye exercises,distance between the chest and the edge of the desk while reading and writing,distance between the eyes and the book while reading and writing,daily outdoor activity time,duration of eye use after school,and daily use of electronic devices are influencing factors for the occurrence of myopia.

children and adolescentsmyopiaprevalenceinfluencing factors

赵志涛、张珊珊、张莹

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济源市疾病预防控制中心 卫生监测科,河南 济源 459000

儿童青少年 近视 流行现状 影响因素

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(9)