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大学生不同近视程度的危险因素探究

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目的 探究齐齐哈尔市大学生不同近视程度的危险因素,为预防大学生近视程度加重提供参考.方法 采用方便抽样的方法,对齐齐哈尔市3所大学各年级共计938名学生进行网络问卷调查.采用秩和检验和无序logistic回归分析进行不同近视程度危险因素的探究.结果 本次调查的大学生总体近视检出率为74.95%,其中,轻度近视、中度近视和重度近视检出率分别为26.01%、42.64%、6.29%;以不近视为参照,轻度近视危险因素有父母一方或双方近视(OR=17.743,95%CI:10.596~29.710)、饮食不规律(OR=1.952,95%CI:1.130~3.373);中度近视危险因素有父母一方或双方近视(OR=25.920,95%CI:15.786~42.559)、女生(OR=1.496,95%CI:1.023~2.189)、戴太阳镜(OR=1.442,95%CI:1.083~1.920);重度近视的危险因素有近距离阅读(OR=1.439,95%CI:1.017~2.036)、女生(OR=1.857,95%CI:1.006~3.430)、父母一方或双方近视(OR=21.542,95%CI:10.596~43.795).结论 本次调查大学生近视检出率较高,不同程度近视影响因素存在差异,其中遗传均是轻度、中度、重度近视的危险因素.建议大学生加强健康用眼知识学习,养成正确养眼的好习惯,提高预防近视进展的意识.
Survey of risk factors for myopia occurrence and progression among col-lege students
Objective This study explored the risk factors for various degrees of myopia among college students in Qiqihar City,to provide a reference for preventing myopia progression among college students.Methods A convenience sampling method was used to conduct an online questionnaire survey on 938 students in all grades at three universities in Qiqihar City,China.The rank sum test and multinomial logistic regression analysis were used to explore risk factors for vari-ous degrees of myopia.Results The overall myopia detection rate among college students in this survey was 74.95%.The detection rates for mild myopia,moderate myopia,and severe myopia were 26.01%,42.64%,and 6.29%.respectively.Tak-ing non-myopia as the reference,risk factors for mild myopia included one or both parents having myopia(OR=17.743,95%CI:10.596-29.710)and an irregular diet(OR=1.952,95%CI:1.130-3.373).Risk factors for moderate myopia includ-ed one or both parents having myopia(OR=25.920,95%CI:15.786-42.559),female sex(OR=1.496,95%CI:1.023-2.189),and wearing sunglasses(OR=1.442,95%CI:1.083-1.920).Risk factors for severe myopia included close reading(OR=1.439,95%CI:1.017-2.036),female sex(OR=1.857,95%CI:1.006-3.430),and one or both parents having myopia(OR=21.542,95%CI:10.596-43.795).Conclusions The detection rate of myopia among college students in this survey was high.Differ-ences were observed in factors affecting different degrees of myopia.Heredity was a risk factor for mild,moderate,and severe myopia.College students should be encouraged to strengthen their knowledge of healthy eye use,develop good habits in prop-er eye care,and increase their awareness regarding preventing the progression of myopia.

College studentsDegree of myopiaInfluencing factorMultinomial logistic regression

张浩鹏、刘勤智、张文卓、曾堂亮、高超群、李洪杰

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齐齐哈尔医学院公共卫生学院,黑龙江齐齐哈尔 161006

齐齐哈尔医学院口腔医学院,黑龙江齐齐哈尔 161006

大学生 近视程度 影响因素 无序logistic回归

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(6)