首页|兰州市红古区儿童青少年近视状况及影响因素分析

兰州市红古区儿童青少年近视状况及影响因素分析

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目的:了解兰州市红古区儿童青少年近视流行现状,探讨近视影响因素,为近视防控工作提供依据.方法:2023年采用分层整群抽样方法,对红古区9所学校学生进行视力检查与问卷调查,分析近视现状并采用有序logistic回归分析探讨近视影响因素.结果:2 354名儿童青少年总体近视率为64.61%,左眼、右眼近视率虽无差异,但左眼等效球镜度数高于右眼,差异有统计学意义(Z=-8.802,P<0.05).单眼近视占总体近视的23.34%;低度、中度、高度近视人数分别占近视总人数的57.92%、32.15%、9.93%.女生近视率为67.40%,高于男生(61.82%),差异有统计学意义(χ2=8.022,P<0.05).学生近视率随学段、年龄增长而增高;幼儿园、9岁以下儿童以单眼近视、低度近视为主;小学、初中、中专生以低度近视为主,高中生以中度近视为主(占42.89%).logistic回归分析结果显示,根据身高调整课桌椅高度(1学期1次、1学年1次的OR值分别为0.590、0.685)、做眼保健操(OR=0.714)是视力的保护因素;父母近视(OR=2.301)、课间教学楼内活动(OR=1.411)、放学后做作业/读书时间≥3 h(OR=1.429)、每天户外活动时间<3h{[1,2)h、[2,3)h的OR值分别为1.303、1.349}是近视发生的危险因素.结论:兰州市红古区儿童青少年近视率相对较高,定期进行视力监测、常做眼保健操、增加户外活动时间、定期调整课桌椅高度、适当减少学习负担是保护儿童青少年视力的有效措施.
Analysis of Myopia Status and Influencing Factors of Children and Adolescents in Honggu District of Lanzhou
OBJECTIVE To understand the prevalence of myopia among children and adolescents in Honggu District of Lanzhou,and explored the influencing factors of myopia,so as to provide basis for myopia prevention and control.METHODS In 2023,stratified cluster sampling method was adopted to conduct visual acuity examination and questionnaire survey among students in 9 schools,analyze the current myopia situation and the influential factors of myopia by orderly logistic regression.RESULTS The total myopia rate of 2 354 children and adolescents was 64.61%.Although there was no difference in the myopia rate of left eye and right eye,SEl of left eye was higher than SEr of right eye(Z=-8.802,P<0.05).Monocular myopia accounted for 23.34%of the total myopia.Low,moderate and high myopia accounted for 57.92%,32.15%and 9.93%of the total myopia,respectively.The myopia rate of female students was higher than that of male students(67.40%&61.82%)(χ2=8.022,P<0.05).The myopia rate increased with the increase of school stage and age.In kindergarten and children under 9 years old,monocular myopia and low degree myopia accounted for the majority.The majority of primary school,junior middle school and secondary school students were low myopia,and the majority of high school students were moderate myopia.Orderly logistic regression analysis showed that adjusting the height of desks and chairs according to height(OR once a semester=0.590,OR once a school year=0.685)and doing eye exercises(OR=0.714)were protective factors for vision.Parental myopia(OR=2.301),activities in the classroom building during recess(OR=1.411),homework/reading after school≥3 hours(OR=1.429),outdoor activities<3 hours(OR1~2h=1.303,OR2~3h=1.349)were the risk factors for myopia.CONCUSION Children and adolescents in Honggu District of Lanzhou have relatively high myopia.Regular monitoring of visual acuity,eye exercise,increasing time for outdoor activities,regularly adjusting the height of desks and chairs,and appropriately reducing the study burden were potential effective measures to protect visual acuity.

children and adolescentsspherical equivalentcurrent situation of myopiainfluencing factorsprevention and control

孙月花、崔德忠、费秀兰、刘志霞、张淼

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兰州市红古区疾病预防控制中心,甘肃 兰州 730080

甘肃省疾病预防控制中心,甘肃 兰州 730000

儿童青少年 等效球镜度数 近视现状 影响因素 防控

2025

中国初级卫生保健
中国初公卫生保健基金会,黑龙江省农村卫生协会

中国初级卫生保健

影响因子:0.389
ISSN:1001-568X
年,卷(期):2025.39(1)