Ross Eye Institute, University at Buffalo Jacobs School of Medicine, Buffalo, New York.
Department of Family Medicine, University at Buffalo Jacobs School of Medicine, Buffalo, New York.
J AAPOS. 2020 Oct;24(5):291.e1-291.e6. doi: 10.1016/j.jaapos.2020.04.015. Epub 2020 Sep 29.
To examine the relationship between state school vision screening requirements and the likelihood that children 3-5 years of age receive vision testing.
We obtained nationally representative data from the 2016 National Survey of Children's Health on children ages 3-5 (n = 7,567) and used available sources to compile state policies that mandate childhood vision testing. We calculated the rates of parent-reported vision testing for each state and fit logistic regression models using survey-based estimation methods with nationally representative weights. Our models controlled for factors such as age, sex, race/ethnicity, and insurance coverage. Additional analyses added comorbidities that may lead to an eye care provider referral.
Parent-reported vision testing rates by state ranged from 41% to 84%. A significant association was found between the presence of state-level vision screening requirements and parent-reported vision testing, which remained after controlling for comorbidities (aOR = 1.374; P = 0.016). Of these comorbidities, arthritis, blindness, and very low birth weight were associated with a higher rate of vision screening (all P < 0.05).
The presence of a state-level school vision screening requirement is associated with increased parent-reported vision testing in children 3-5 years of age. This suggests that state policy may ensure timely screening for amblyopia and other sight-threatening complications.
研究州立学校视力筛查要求与 3-5 岁儿童接受视力检查的可能性之间的关系。
我们从 2016 年全国儿童健康调查中获得了 3-5 岁儿童（n=7567）的全国代表性数据，并利用现有资源汇编了要求进行儿童视力检查的州政策。我们计算了每个州的父母报告的视力检查率，并使用具有全国代表性权重的基于调查的估计方法拟合逻辑回归模型。我们的模型控制了年龄、性别、种族/民族和保险覆盖等因素。额外的分析增加了可能导致眼科保健提供者转诊的合并症。
各州的父母报告的视力检查率从 41%到 84%不等。在控制合并症后，发现州一级视力筛查要求的存在与父母报告的视力检查之间存在显著关联（优势比=1.374；P=0.016）。在这些合并症中，关节炎、失明和极低出生体重与更高的视力筛查率相关（均 P<0.05）。
州一级学校视力筛查要求的存在与 3-5 岁儿童父母报告的视力检查增加有关。这表明州政策可能确保及时筛查弱视和其他威胁视力的并发症。
