Prevalence of myopia and associated factors among fourth-grade students in China

ZHANG Xian; LI Tianhao; WANG Weidong; HU Yisong; MAO Yanxin

doi:10.16462/j.cnki.zhjbkz.2024.08.001

Volume 28 Issue 8

Aug. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2024 > 28(8): 869-875

ZHANG Xian, LI Tianhao, WANG Weidong, HU Yisong, MAO Yanxin. Prevalence of myopia and associated factors among fourth-grade students in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(8): 869-875. doi: 10.16462/j.cnki.zhjbkz.2024.08.001

Citation:

ZHANG Xian, LI Tianhao, WANG Weidong, HU Yisong, MAO Yanxin. Prevalence of myopia and associated factors among fourth-grade students in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(8): 869-875. doi: 10.16462/j.cnki.zhjbkz.2024.08.001

Citation:

PDF( 854 KB)

Prevalence of myopia and associated factors among fourth-grade students in China

doi: 10.16462/j.cnki.zhjbkz.2024.08.001

ZHANG Xian¹,
LI Tianhao²,
WANG Weidong^{2, 3},
HU Yisong⁴,
MAO Yanxin^{4
,
,}

1.
Shenzhen Institute, University of International Business and Economics, Shenzhen 518000, China
2.
School of Social Research, Renmin University of China, Beijing 100872, China
3.
Department of Urology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
4.
National Survey Research Center, Renmin University of China, Beijing 100872, China

Funds:

the Fundamental Research Funds for the Central Universities, and the Research Funds of Renmin University of China 10XNN002

More Information

Corresponding author: MAO Yanxin, E-mail: maoyxnsrc@ruc.edu.cn
Received Date: 2024-01-17
Rev Recd Date: 2024-07-15

Available Online: 2024-09-29

Publish Date: 2024-08-10

Abstract

Abstract

Objective To analyze the screening nearsightedness of the fourth grade students in China and discuss the factors affecting the students′ myopia. Methods A total of 26 373 students were selected from the fourth grade primary school cohort of China education panel survey (CEPS) in 2018. χ² test was used to compare the prevalence of myopia among students with different characteristics, and multi-level logistic regression model was used to analyze the factors affecting the detection rate of myopia. Results The prevalence rate of screening myopia was 52.11%, with girls (56.38%) higher than boys (48.20%) (χ²=176.597, P < 0.001). The myopia rate of urban registered students was 55.71%, which is 7.12% higher than that of rural registered students (48.59%) (χ²=133.790, P < 0.001). Multilevel logistic regression analysis showed that there were different factors affecting the risk of myopia among urban and rural students. Whether they participated in sports interest classes (OR=0.83, 95% CI: 0.74-0.93, P=0.001) and living with parents (OR=1.21, 95% CI: 1.07-1.38, P=0.002) had a significant effect on the risk of myopia among rural students. Age (OR=0.91, 95% CI: 0.84-0.98, P=0.014), only child or not (OR=1.09, 95% CI: 1.01-1.18, P=0.030), cognitive level or not (OR=1.09, 95% CI: 1.01-1.18, P=0.032), family economic conditions (OR=1.23, 95% CI: 1.03-1.47, P=0.020) had significant effect on myopia risk of urban students. Conclusions It is necessary to take reasonable intervention measures according to local conditions and the difference between urban and rural areas to control the prevalence of myopia in students scientifically.
- Fourth grade students,
- Myopia,
- Sleep duration

FullText(HTML)

References(21)

References

[1]	Repka MX. Prevention of myopia in children [J]. JAMA, 2015, 314(11): 1137-1139. DOI: 10.1001/jama.2015.10723.
[2]	Schuster AK, Elflein HM, Pokora R, et al. Prevalence and risk factors of myopia in children and adolescents in Germany - results of the KiGGS survey [J]. Klin Padiatr, 2017, 229(4): 234-240. DOI: 10.1055/s-0043-102938.
[3]	高青, 刘懿卿, 叶茜雯, 等. 2018-2020年辽宁省学生近视流行变化趋势与其影响因素[J]. 中华疾病控制杂志, 2022, 26(6): 673-678. DOI: 10.16462/j.cnki.zhjbkz.2022.06.010. Gao Q, Liu YQ, Ye QW, et al. Analysis on the trend of myopia prevalence and its influencing factors among students in Liaoning Province from 2018 to 2020 [J]. Chin J Dis Control Prev, 2022, 26(6): 673-678. DOI: 10.16462/j.cnki.zhjbkz.2022.06.010.
[4]	董彦会, 刘慧彬, 王政和, 等. 2005—2014年中国7~18岁儿童青少年近视流行状况与变化趋势[J]. 中华预防医学杂志, 2017, 51(4): 285-289. DOI: 10.3760/cma.j.issn.0253-9624.2017.04.002. Dong YH, Liu HB, Wang ZH, et al. The epidemic status and secular trends of myopia prevalence for Chinese children and adolescents aged 7-18 years from 2005 to 2014 [J]. Chin J Prev Med, 2017, 51(4): 285-289. DOI: 10.3760/cma.j.issn.0253-9624.2017.04.002.
[5]	疾病预防控制局. 《儿童青少年近视防控适宜技术指南(更新版)》及解读[EB/OL]. (2021-10-11) [2024-09-11]. http://www.nhc.gov.cn/jkj/s5899tg/202110/65a3a99c42a84e3f8a11f392d9fea91e.shtml.
[6]	Li K, Wang Q, Wang L, et al. Cognitive dysfunctionsin high myopia: an overview of potential neural morpho-functional mechanisms [J]. Front Neurol. 2022, 13: 1022944. DOI: 10.3389/fneur.2022.1022944.
[7]	Jin JX, Hua WJ, Jiang X, et al. Effect of outdoor activity on myopia onset and progression in school-aged children in Northeast China: the Sujiatun Eye Care Study [J]. BMC Ophthalmol, 2015, 15: 73. DOI: 10.1186/s12886-015-0052-9.
[8]	Liu XN, Naduvilath TJ, Sankaridurg PR. Myopia and sleep in children-a systematic review [J]. Sleep, 2023, 46(11): zsad162. DOI: 10.1093/sleep/zsad162.
[9]	Jin E, Lee CE, Li H, et al. Association between sleep and myopia in children and adolescents: a systematic review and meta-analysis [J]. Graefes Arch Clin Exp Ophthalmol, 2024, 262(7): 2027-2038. DOI: 10.1007/s00417-023-06338-0.
[10]	Wang TW, Huang MK, Hsu CC, et al. High myopia at highaltitudcs [J]. Front Physiol, 2024, 15: 1350051. DOI: 10.3389/fphys.2024.1350051.
[11]	Xiang Y, Cheng H, Sun K, et al. Myopia prevalence and ocularbiometry in children and adolescents at different altitudes: a cross-sectional study in Chongqing and Tibet, China [J]. BMJ Open, 2024, 14(5): e078018. DO: 10.1136/bmjopen-2023-078018. doi: 10.1136/bmjopen-2023-078018
[12]	人民日报. 儿童青少年总体近视率为53.6%, 我国将更有针对性地开展近视干预[EB/OL]. (2019-04-30) [2024-08-28]. http://www.nhc.gov.cn/xcs/s7847/201905/11c679a40eb3494cade977f65f1c3740.shtml.
[13]	李红飞, 莫健. 中国青少年近视情况及影响因素分析[J]. 现代预防医学, 2021, 48(14): 2552-2557. Li HF, Mo J. Myopia and risk factors among Chinese adolescents [J]. Modern Preventive Medicine, 2021, 48(14): 2552-2557.
[14]	王卫东, 姚亚男, 唐丽娜, 等. 中国初中生近视检出情况及其影响因素[J]. 中华疾病控制杂志, 2019, 23(9): 1057-1061, 1106. DOI: 10.16462/j.cnki.zhjbkz.2019.09.008. Wang WD, Yao YN, Tang LN, et al. Prevalence and influencing factors of myopia for the Chinese junior high school students [J]. Chin J Dis Control Prev, 2019, 23(9): 1057-1061, 1106. DOI: 10.16462/j.cnki.zhjbkz.2019.09.008.
[15]	郝无迪, 曹玥, 徐玲, 等. 辽中县小学生近视流行现状及影响因素分析[J]. 中国卫生统计, 2019, 36(5): 695-697. Hao WD, Cao Y, Xu L, et al. Aanalysis of prevalence and influencing factors of myopia among primary school students in Liaozhong County [J]. Chinese Journal of Health Statistics, 2019, 36(5): 695-697.
[16]	郭雷, 董光辉, 韩屹, 等. 沈阳市和平区中小学生视力不良状况及近视危险因素分析[J]. 中国医科大学学报, 2016, 45(2): 110-115. DOI: 10.12007/j.issn.0258-4646.2016.02.004. Guo L, Dong GH, Han Y, et al. Poor vision and myopia risk factor of pupils in Heping district of Shenyang city [J]. Journal of China Medical Universty, 2016, 45(2): 110-115. DOI: 10.12007/j.issn.0258-4646.2016.02.004.
[17]	刘娜, 沈亚茹. 睡眠时间视角下我国初中生学业表现的城乡差异研究——基于CEPS面板数据的实证[J]. 中国人民大学教育学刊, 2019, (1): 21. Liu N, Shen YR. The effect of sleep duration on Chinese junior middle school students′ academic performance: an empirical study on CEPS panel data [J]. Renmin University of China Education Journal, 2019, (1): 21.
[18]	权小娟, 张钦. 家庭结构与健康风险: 基于青少年近视的实证分析[J]. 中国青年研究, 2020, (5): 53-60. DOI: 10.19633/j.cnki.11-2579/d.2020.0070. Quan XJ, Zhang Q. Family structure and health risk: an empirical analysis based on adolescent myopia [J]. China Youth Study, 2020, (5): 53-60. DOI: 10.19633/j.cnki.11-2579/d.2020.0070.
[19]	李曼丽, 詹逸思, 张羽. 低龄入学利弊分析: 基于陕西省某市中小学学生体质健康与学业表现的实证研究[J]. 中国教育学刊, 2015, (1): 11-15, 19. Li ML, Zhan YS, Zhang Y. Analysis of advantages and disadvantages of enrolling at a young age—an empirical study based on the physical health and academic performance of primary and secondary school students in a city of Shaanxi Province [J]. J Chin Soc Educ, 2015, (1): 11-15, 19.
[20]	刘益帆, 贾智艳, 刘平. 青少年近视危险因素综述[J]. 国际眼科杂志, 2016, 16(7): 1276-1278. DOI: 10.3980/j.issn.1672-5123.2016.7.17. Liu YF, Jia ZY, Liu P. Review of juvenile myopia risk factors [J]. Int Eye Sci, 2016, 16(7): 1276-1278. DOI: 10.3980/j.issn.1672-5123.2016.7.17.
[21]	French AN, Morgan IG, Mitchell P, et al. Risk factors for incident myopia in Australian schoolchildren: the Sydney adolescent vascular and eye study [J]. Ophthalmology, 2013, 120(10): 2100-2108. DOI: 10.1016/j.ophtha.2013.02.035.