Comorbidity of myopia and scoliosis in primary and secondary school students and analysis of risk factors in school envi-ronment in Tianjin
Objective To investigate the comorbidity of myopia and scoliosis among primary and secondary school students in Tianjin,and to analyze the school environment risk factors contributing to these health issues,so as to provide a scientific basis for development effective prevention measures.Methods A total of 41 654 primary and secondary school students from 16 districts of Tianjin were selected by stratified random cluster sampling from September to October 2023 to screen for myopia and scoliosis.Uni-variate analysis was performed to examine the data,followed by a bivariate multivariate Logistic regression model and cumulative effect analysis to explore the influencing factors of their comorbidity.Results In 2023,the prevalence of comorbidity of screening positive myopia and scoliosis among primary and secondary school students in Tianjin was 2.65％.The prevalence was higher in sub-urban areas(3.26％)compared to urban areas(2.02％),higher among females(3.81％)compared to males(1.59％),and highest in high school students(6.17％)compared to middle school(4.19％)and primary school students(0.44％)(X2=62.23,198.69,953.19,P＜0.01).Logistic regression analysis showed that the number of physical education classes ≥3 per week,the number of eye health exercises at school ≥2 per day,outdoor activities between classes,teachers'reminding to pay attention to reading and writing posture and strict eye standing posture were negatively correlated with the comorbidity of screening positive myopia and scoli-osis(OR=0.66,0.77,0.71,0.78,0.74,P＜0.05).Reading or electronic screen while lying or lying on the stomach was positively associated with the comorbidity of screening positive myopia and scoliosis(OR=1.77,P＜0.05).Cumulative effect analysis showed that the cumulative score(4-7,7-9,≥ 10)was negatively correlated with the comorbidity of screening positive of myopia and scoliosis(OR=0.65,0.55,0.52,P＜0.05).Conclusions The school environment support and students'personal behavior habits in school are related to the comorbidity of comorbidity of screening positive myopia and scoliosis.Prevention and control of myopia and scoliosis should improve the environmental factors related to students'health in school.
NETL
NSTL
万方数据
