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青少年近视现状及家庭环境影响因素研究

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目的 了解山东省青少年近视现状及家庭环境影响因素,为青少年近视防控提供有效建议,促进青少年健康成长.方法 采用分层抽样的方法,对山东省济南市和威海市7所中小学593名学生进行问卷调查.数据分析组间比较选择x2检验,近视的家庭影响因素采用二元Logistic回归分析.结果 青少年近视率为69.646%,其中小学、初中、高中的近视率分别为40.000%、78.646%、82.158%,随年级增高近视率增高(x2=93.874,P<0.05);父母双方近视(OR=46.246,P<0.05)、每天看电子设备的时间>2 h(OR=15.481,P<0.05)、从不进行视力检查(OR=13.160,P<0.05)、经常吃甜食(OR=39.861,P<0.05)、经常吃软食(OR=34.975,P<0.05)是青少年近视的主要危险因素,而每周末户外运动时间>2 h(OR=0.131,P<0.05)、每天睡眠时间>8h(OR=0.185,P<0.05)、经常吃胡萝卜(OR=0.493,P<0.05)是近视的主要保护因素.结论 青少年近视发生率高,家庭环境影响因素不容忽视.青少年近视防控应该从家庭健康教育入手,控制青少年近视发生率,维护青少年眼健康.
Current situation of myopia in adolescents and the influencing factors of family environment
Objective To understand the current status of myopia among adolescents in Shandong Province and the influencing factors in family environment,to provide effective suggestions for prevention and control of myopia among adoles-cents,and to promote healthy growth of adolescents.Methods A questionnaire surveywas conducted by using stratified sampling method among 593 students from 7 primary and secondary schools in Jinan and Weihai,Shandong Province.x2 test was used for comparison between groups data analysis,and family influences on myopia were analyzed by binary logistic re-gression.Results The total myopia rate of adolescents was 69.646%,40%in elementary school,78.646%in middle school,and 82.158%in high schools,respectively.The myopia rate increased with grade(x2=93.874,P<0.05).The main risk factors included:both parents having myopia(OR=46.246,P<0.05),watching electronic devices>2 h daily(OR=15.481,P<0.05),never having vision checkups(OR=13.160,P<0.05),eating sweets(OR=39.861,P<0.05)and soft foods(OR=34.975,P<0.05).The main protective factORs for myopia weretaking outdoor exercise time>2 h/weekend(OR=0.131,P<0.05),sleep time>8h/day(OR=0.185,P<0.05),and eating carrots regu-larly(OR=0.493,P<0.05).Conclusion The high incidence of myopia in adolescents and the family environmental in-fluences should not be ignored.The prevention and control of adolescent myopia should start with family health education to control the incidence of adolescent myopia and maintain adolescent eye health.

MyopiaAdolescentsFamily environmentBehavioral habitsDietary characteristics

李丹丹、刘堃、王赟昕、戴汶君

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滨州医学院卫生管理学院,山东 烟台 264003

近视 青少年 家庭环境 行为习惯 饮食特征

滨州医学院2019年度社科发展基金项目

2024

中国健康教育
中国健康教育中心 中国健康促进与教育协会

中国健康教育

CSTPCD北大核心
影响因子:1.261
ISSN:1002-9982
年,卷(期):2024.40(1)
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