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眼部疾病模式:对西隆市在校儿童的横断面研究。

Pattern of ocular morbidities: A cross-sectional study on school-going children in Shillong city.

作者信息

Sarkar Amrita, Medhi Gajendra Kumar, Bhattacharyya Himashree, Pala Star, Gogoi Sandhyamoni

机构信息

Department of Community Medicine, Tomo Riba Institute of Health and Medical Sciences, Naharlagun, Arunachal Pradesh, India.

Department of Community Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.

出版信息

J Family Med Prim Care. 2019 Jun;8(6):2124-2128. doi: 10.4103/jfmpc.jfmpc_268_19.

Abstract

INTRODUCTION

India is plagued by ocular morbidities in school-children. However, there exists paucity of studies, school health check-ups, and health education in the north-eastern region. This study aimed at estimating the prevalence and pattern of various ocular morbidities in school-going children of Shillong.

METHODOLOGY

It was a school-based cross-sectional study done in Shillong, Meghalaya among 540 school-going children from class VI to X. Data were analyzed using SPSS version 23.

RESULTS

The most common ocular morbidity was refractive error (57.4%) followed by vitamin A deficiency (38.1%), color blindness (3.1%), nevus (3%), manifest squint (2.2%), ptosis (2.2%), conjunctivitis (0.9%), stye (0.4%), etc., There was statistically significant association ( = 0.0192) among the variations of presence of ocular morbidities in the various age groups, among students attending Government or Private schools ( = 0.0430), and socio-economic status ( = 0.012). The prevalence of ocular morbidities was found to have highly significant association with the educational status of both the father ( = 0.0001) and mother ( = 0.001). In addition, the occupational status of the father ( = 0.0472) and the mother ( = 0.0251) were significantly associated with the prevalence too.

CONCLUSION

The prevalence of ocular morbidities was found to be much higher than in other places of the country, which may be because of environmental factors and lifestyle combined with a lack of awareness and timely diagnosis and an absence of robust school health program. A regular screening along with specific health education campaigns can go a long way in decreasing the same.

摘要

引言

印度学龄儿童饱受眼部疾病困扰。然而,东北地区在这方面的研究、学校健康检查及健康教育却十分匮乏。本研究旨在估算西隆市学龄儿童各种眼部疾病的患病率及发病模式。

方法

这是一项在梅加拉亚邦西隆市开展的基于学校的横断面研究,研究对象为540名六年级至十年级的学龄儿童。使用SPSS 23版本对数据进行分析。

结果

最常见的眼部疾病是屈光不正(57.4%),其次是维生素A缺乏症(38.1%)、色盲(3.1%)、痣(3%)、显性斜视(2.2%)、上睑下垂(2.2%)、结膜炎(0.9%)、睑腺炎(0.4%)等。不同年龄组、就读于政府或私立学校的学生以及社会经济地位之间,眼部疾病患病率的差异存在统计学显著关联(P = 0.0192)。眼部疾病患病率与父亲(P = 0.0001)和母亲(P = 0.001)的教育程度高度显著相关。此外,父亲(P = 0.0472)和母亲(P = 0.0251)的职业状况也与患病率显著相关。

结论

研究发现眼部疾病的患病率远高于该国其他地区,这可能是环境因素、生活方式、缺乏认识、未能及时诊断以及缺乏完善的学校健康计划共同作用的结果。定期筛查并开展特定的健康教育活动,对于降低患病率大有帮助。

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