Paudel Prakash, Yen Phung Thi, Kovai Vilas, Naduvilath Thomas, Ho Suit May, Giap Nguyen Viet, Holden Brien A
Public Health Division, Brien Holden Vision Institute, Level 4 North Wing, Rupert Myers Building, UNSW, Sydney, Australia.
Public Health Division, Brien Holden Vision Institute, Hanoi, Vietnam.
Health Promot Int. 2019 Feb 1;34(1):113-122. doi: 10.1093/heapro/dax065.
Health promotion intervention in schools is a useful strategy to improve students' health awareness. The purpose of this study was to assess the effect of eye health promotion interventions on eye health literacy in school children in Vietnam. A piloted questionnaire was administered to 300 children from five secondary schools in Ba Ria-Vung Tau, Vietnam at baseline and re-administered after the eye health promotion interventions. McNemar chi-square and logistic regression were used for statistical analysis. A total of 300 children aged 12-15 years (mean, 13.3 ± 1.3 years; 60% female) participated in the baseline survey. The participation rate in the post-health promotion survey was 94.7%. After the health promotion interventions, number of children who had correct eye health knowledge increased by 10-20% (60-75% to 70-95%), more children reported having had an eye examination (63.3% to 84.7%; p < 0.001) and more reported wearing spectacles (36.1% to 43.4%; p = 0.04). Children in urban schools were twice as likely to have improved knowledge of vision loss compared with children in rural schools (odds ratio, 2.1-4.1; p = 0.01 to p < 0.001). Children from rural schools had significantly higher odds of visiting doctor after the eye problems worsened (odds ratio, 4.5; p < 0.001). These results imply that eye health promotion interventions significantly improve eye health knowledge, attitudes and practices of school children. Additionally, participation of parents and teachers as change agents may further improve children's health literacy.
学校中的健康促进干预措施是提高学生健康意识的一项有效策略。本研究旨在评估眼健康促进干预措施对越南在校儿童眼健康素养的影响。在基线时，对越南巴地头顿省五所中学的300名儿童进行了一份经过预试验的问卷调查，并在眼健康促进干预措施实施后再次进行调查。采用McNemar卡方检验和逻辑回归进行统计分析。共有300名年龄在12 - 15岁之间的儿童（平均年龄13.3±1.3岁；60%为女性）参与了基线调查。健康促进干预措施后的调查参与率为94.7%。在健康促进干预措施实施后，拥有正确眼健康知识的儿童数量增加了10% - 20%（从60% - 75%增至70% - 95%），更多儿童报告进行过眼部检查（从63.3%增至84.7%；p < 0.001），且更多儿童报告佩戴眼镜（从36.1%增至43.4%；p = 0.04）。与农村学校的儿童相比，城市学校的儿童视力丧失知识改善的可能性是农村学校儿童的两倍（比值比，2.1 - 4.1；p = 0.01至p < 0.001）。农村学校的儿童在眼部问题恶化后看医生的几率显著更高（比值比，4.5；p < 0.001）。这些结果表明，眼健康促进干预措施显著提高了在校儿童的眼健康知识、态度和行为。此外，家长和教师作为变革推动者的参与可能会进一步提高儿童的健康素养。
