Analysis of the prevalence and related factors for comorbidity of myopia,obesity,and depression symptoms among mid-dle school students in Beijing
Objective To analyze the current status and related factors of comorbidity of myopia,obesity,and depression symp-toms among middle school students in Beijing,so as to provide a basis for comprehensive public health interventions for common diseases.Methods Through stratified cluster random sampling in October 2022,a total of 11 262 junior high school,senior high school,and vocational high school students in 16 districts of Beijing were surveyed with self-administered questionnaires,physical examinations and visual acuity examinations.The x2 test and binary Logistic regression model were used to analyze group differences in the comorbidity of myopia,obesity and depression symptoms and factors influencing the comorbidity.Stratified analysis was ap-plied to analyze the associations between health risk behaviors and the comorbidity.Results The detection rate of comorbidity of myopia,obesity,and depression symptoms among middle school students in Beijing was 3.35%,the comorbidity rate among voca-tional high school students(4.61%)was higher than that in junior high school students(2.80%)and senior high school students(3.41%).The comorbidity rate was higher among students in suburban areas(3.66%)than that in urban areas(2.92%),and the differences was statistically significant(x2=15.02,4.63,P<0.05).Binary Logistic regression analyses indicated that middle school students with poor dietary behaviors(OR=1.59)and excessive screen time(OR=1.70)were associated with elevated risk of comor-bidity of myopia,obesity,and depression symptoms.Both boys and girls with poor dietary behaviors(OR=1.63,1.69)and exces-sive screen time(OR=1.45,2.23)had elevated likelihood of comorbidity of myopia,obesity and depression symptoms.Students in junior high school and senior high school with poor dietary behaviors(OR=2.16,1.47)and excessive screen time(OR=2.20,1.63)had elevated likelihood of comorbidity of myopia,obesity,and depression symptoms(P<0.05).Conclusions The current status of comorbidity of myopia,obesity,and depression symptoms among middle school students in Beijing is conceming.Schools and parents should work together to guide students to develop healthy behaviors such as balanced diet and moderate video,in order to achieve the goal of controlling myopia,obesity and depression symptoms.