首页|基于家庭层面的儿童青少年近视防控影响因素定性研究

基于家庭层面的儿童青少年近视防控影响因素定性研究

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目的 基于家庭层面,探讨影响儿童青少年近视防控的主要因素,为合理制定儿童青少年近视防控干预措施、政策提供理论参考.方法 于2023年4-12月,采取非概率抽样法选取我国部分省市中参与过儿童青少年近视防控调查的120名家长开展焦点小组访谈.基于社会生态学理论,采用Nvivo12.0主题框架分析法对定性资料进行编码和分析.结果 访谈结果显示,限制电子产品使用时间、多户外活动、定期复查视力、学校积极开展相关健康教育以及社区的积极宣传等是预防儿童青少年近视发生发展的促进因素;家长及儿童青少年时间紧张、家长视力保健行为意识薄弱、学校开展近视防控活动形式单一、学校未能很好落实视力筛查政策等是主要障碍因素.结论 家长时间观念、视力保健行为意识较弱,学校层面近视防控活动形式单一,以及视力筛查制度等政策落实是预防儿童青少年近视发生发展的影响因素,故未来可通过开展健康教育、推进多样化近视防控活动、落实视力筛查制度等干预措施,延缓儿童青少年近视的发生发展.
The determinants of myopia prevention and control in children and adolescents based on qualitative analysis
Objective To determine the influencing factors affecting the prevention and control of children and ado-lescents based on family level,and to formulate myopia prevention and control interventions methods and policy making for children and adolescents.Methods From April to December 2023,120 parents who participated in the survey of myopia pre-vention and control of children and adolescents in some provinces and cities were selected by non-probability sampling method to conduct focus group interviews.Based on the theory of social ecology,Nvivo 12.0 thematic framework analysis was used to encode and analyze the qualitative data.Results The results showed that limiting the use of electronic products,spending more outdoor activities,regularly checking eyesight,actively carrying out relevant health education in schools,and active publicity in the community were contributing factors to prevent the development of myopia in children and adolescents.The main obstacles were the time constraints of parents,children and adolescents,the weak awareness of parents'vision care behaviors,the single form of myopia prevention and control activities carried out in schools,and the failure implementation of policy in schools.Conclusion Parents'time concept,weak awareness of visual health care behavior,single form of myopia prevention and control activities at the school level,and the implementation of policies such as visual screening system are the influencing factors for preventing the occurrence and development of myopia in children and adolescents.Therefore,carrying out health ed-ucation,promoting diversified myopia prevention and control activities,and implementing visual screening system are useful to prevent the occurrence and development of myopia in children and adolescents.

MyopiaChildren and adolescentsQualitative ResearchInfluencing Factor

曹钰璇、李婷婷、高振珊、杨凤、周攀峰、张向林、陈玉明、江唐军、刘锋、陶舒曼、陶芳标、伍晓艳

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安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,安徽 合肥 230032

出生人口健康教育部重点实验室/环境与人口健康安徽省重点实验室,安徽 合肥 230032

近视 儿童青少年 定性研究 影响因素

国家重点研发计划国家重点研发计划国家自然科学基金安徽省科技创新平台重大科技项目

2021YFC27021002021YFC270210582273653202305a12020015

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(6)