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上海市浦东新区儿童青少年视力不良的影响因素分析

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目的 探讨上海市浦东新区儿童青少年视力不良的影响因素.方法 选取上海市浦东新区北片城区于2022年10月—2023年4月参加视力检测的6 228名学生为研究对象,进行视力检查,根据检查结果分为视力正常组(2 540名)和视力不良组(3 688名),分别对其进行问卷调查.利用单因素和多因素分析视力不良的影响因素.结果 视力不良检出率为59.20%.采用多因素Logistic回归分析结果显示,父母视力不良、看电视距离不足2 m/看电脑屏幕距离不足50 cm、在暗环境用电子产品均是儿童青少年发生视力不良的危险因素(OR=1.187、1.197、1.157、1.200,P均<0.05),电子产品使用时间≤1 h、持续用眼30~40 min后休息眼睛是其保护因素(OR=0.812、0.665,P均<0.05).结论 减少儿童青少年视力不良的发生,需要学校、家庭和社会的共同努力.可针对用眼行为、用眼习惯行为等因素制订干预措施,重点关注有遗传基础的高危儿童.同时应加强对师生、家长开展有针对性的宣教活动,提高其防控意识.
Analysis of Influencing Factor of Poor Vision and Referral Compliance in Children and Teenagers in a District of Shanghai
Objective To explore the influencing factors of poor vision in children and adolescents in Pudong New Area of Shanghai.Methods A total of 6 228 students who participated in the visual acuity test in the northern urban area of Pudong New Area of Shanghai from October 2022 to April 2023 were selected as the research objects,and the visual acuity test was carried out.According to the test results,they were divided into normal vision group(2 540)and poor vision group(3 688).The influencing factors of poor vision were analyzed by univariate and multivari-ate analysis.Results The detection rate of poor visual acuity was 59.20%.Multivariate Logistic regression analysis showed that parents'poor vision,watching TV at a distance of less than 2 m or watching computer screen at a dis-tance of less than 50 cm,and using electronic products in dark environment were all risk factors for poor vision in children and adolescents(OR=1.187,1.197,1.157,1.200,all P<0.05).The protective factor was that the electronic products were used for less than 1 h and the eyes were rested after 30~40 minutes of continuous eye use(OR=0.812,0.665,both P<0.05).Conclusion Reducing the incidence of poor eyesight in children and adolescents requires the joint efforts of schools,families and society.Interventions can be developed for factors such as eye behavior and eye habits,focusing on high-risk children with a genetic basis.At the same time,we should strengthen targeted propa-ganda and education activities for teachers,students and parents to improve their awareness of prevention and control.

ChildrenTeenagersPoor visionInfluencing factor

邵洁、黄蛟灵、周思齐、刘璀箴、黄倩、陈金枝

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上海市浦东新区潍坊社区卫生服务中心,上海 200122

上海交通大学医学院公共卫生学院,上海 200025

上海市实验学校,上海 200120

华东师范大学附属东昌中学,上海 200120

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儿童 青少年 视力不良 影响因素

上海市浦东新区卫健委课题上海市"沪眼星光"培养计划上海市浦东新区卫健委学科带头人项目

PW2021A-62HYXG-SQ07PWRd2021-08

2024

中国卫生产业
全国卫生产业企业管理协会

中国卫生产业

影响因子:0.692
ISSN:1672-5654
年,卷(期):2024.21(8)