Co-morbidity of screening myopia and scoliosis among primary and secondary school students in Beijing and associated factors
Objective To investigate the co-morbidity of screening myopia and scoliosis among primary and secondary school students in Beijing from 2019 to 2022 and its influencing factors,in order to provide new ideas for comprehensive prevention and control of myopia and scoliosis in children and adolescents.Methods From 2019 to 2022,34 923,34 321,36 008 and 35 598 primary and secondary school students in Beijing were selected by stratified cluster random sampling method,and visual acuity ex-amination,scoliosis examination and questionnaire survey were conducted on them.Chi-square test was used to analyze the inter-group differences between screening myopia and scoliosis among primary and secondary school students,and the correlation factors between screening myopia and scoliosis were analyzed by multivariate Logistic regression.Results From 2019 to 2022,the preva-lence of screening myopia increased by year,while scoliosis decreased by year,and the comorbidity rate in 2022(0.69%)de-creased by 1.62%compared with 2019(2.31%).In 2022,screening myopia with scoliosis rates(0.98%)than urban suburbs(0.50%),high school students(1.65%)>professional high school students(1.21%)>junior middle school students(0.76%)>primary school students(0.22%)(x2=28.97,153.55,P<0.01).The results of multivariate Logistic analysis found that insufficient sleep time and parents did not limit the use of electronic screen time were the risk factors for screening myopia and scoliosis[OR(95%CI)=1.59(1.20-2.12),1.34(1.02-1.76),P<0.05].Teachers often or always remind that reading and writing posture and one hour or more of moderate-intensity physical activity every day were protective factors for screening myopia and scoliosis[OR(95%CI)=0.70(0.52-0.96),0.56(0.34-0.92),P<0.05].Conclusions The co-morbidity of acadmic screening myopia and sc-diosis is not optimistic in Beijing.Attention should be paid to the reading and writing posture and related behavioral habits of chil-dren and adolescents,and ensure that children in each school section have sufficient sleep time,so as to prevent the occurrence and development of screening myopia and scoliosis.