Hsieh Ming-Hung, Lin Jen-Chieh
Department of Ophthalmology, Taipei City Hospital, Heping Fuyoy Branch, Taipei, Taiwan.
Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
Taiwan J Ophthalmol. 2016 Jan-Mar;6(1):32-35. doi: 10.1016/j.tjo.2015.12.001. Epub 2016 Feb 9.
BACKGROUND/PURPOSE: To evaluate the relationship between refractive error and vision-related quality of life in 16-year-old students in Taiwan.
A cross-sectional study was designed for 16-year junior-high-school students in Taiwan. Myopia was defined as a spherical refractive error (SRE) < -0.50 D, hyperopia as SRE > +1.0 D, and emmetropia as SRE -0.5-+1.0 D in the better eye. Vision-related quality of life was assessed using the Taiwan Chinese version of the 25-Item National Eye Institute Visual Functioning Questionnaire.
Of the 688 participants, 466 (68%) had myopia and 22 (3%) had hyperopia. In logistic-regression models adjusted for gender, parents' education, family income, and parental refractive error, myopia was an independent risk factor of poorer vision-related quality of life for both near vision (odds ratio 1.73, 95% confidence interval 1.22-2.45) and distance vision (odds ratio 3.11, 95% confidence interval 2.23-4.35). Hyperopia was not associated with near- or distance-vision difficulty.
In this study population, myopia was associated with difficulties in near and distance vision compared to emmetropia. Further studies are needed to confirm our findings in other populations.
背景/目的：评估台湾16岁学生屈光不正与视力相关生活质量之间的关系。
针对台湾16岁初中生设计了一项横断面研究。近视定义为较好眼的球镜屈光不正（SRE）＜-0.50D，远视定义为SRE＞+1.0D，正视定义为SRE -0.5-+1.0D。使用25项美国国立眼科研究所视觉功能问卷的台湾中文版评估视力相关生活质量。
在688名参与者中，466名（68%）患有近视，22名（3%）患有远视。在对性别、父母教育程度、家庭收入和父母屈光不正进行校正的逻辑回归模型中，近视是近视力（优势比1.73，95%置信区间1.22-2.45）和远视力（优势比3.11，95%置信区间2.23-4.35）较差的视力相关生活质量的独立危险因素。远视与近视力或远视力困难无关。
在本研究人群中，与正视相比，近视与近视力和远视力困难有关。需要进一步研究以在其他人群中证实我们的发现。
