Qian D J, Wang C, Zhong H, Pan C W
Institute of Health inspection of Suzhou National New & Hi-Tech Industrial Development Zone, Suzhou 215007, China.
Department of Ophthalmology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Apr 6;55(4):465-470. doi: 10.3760/cma.j.cn112150-20200521-00765.
The purpose of the study was to describe the prevalence of myopia and to explore the associated factors of myopia among Han and Yi students aged 5-16 years in Yunnan province, China. A total of 5 971 Han and Yi students were included in the data analysis from the Yunnan eye study which was conducted from March to August, 2014. Information regarding demographic factors, socioeconomic status and lifestyle-related exposures were collected by per-designed questionnaires. The ophthalmic examinations including distance visual acuity, anterior segment examination, cycloplegic auto-refraction, and ocular motility examination were conducted. Logistic regression models were fitted to estimate the risk factors for myopia. The age of 5 971 subjects was (10.68±2.24)years old, and the total prevalence of myopia and high myopia was 48.05% and 0.59%. Myopia prevalence was found to be higher in Han students compared with Yi ethnicity (50.20% 47.10%,=0.029). In multivariate analysis, the occurrence of myopia was associated with age (=1.28, 95%: 1.25-1.31), girls (=1.32, 95%: 1.18-1.48), increasing reading and writing time per day (=1.13, 95%: 1.07-1.20), having self-reported myopia among friend(s) (=1.15, 95%: 1.02-1.29), having myopic father (=1.38, 95%: 1.06-1.79), having myopic mother (=1.43, 95%: 1.12-1.83) and higher educated mother (=1.24, 95%: 1.03-1.51). We observed a high prevalence of myopia among Mangshi students. The presence of myopia was associated with increasing age, girls, increasing reading and writing time per day, having self-reported myopia among friend(s), having myopic father, having myopic and high educated mother.
本研究旨在描述中国云南省5至16岁汉族和彝族学生近视的患病率，并探讨近视的相关因素。从2014年3月至8月进行的云南眼病研究中，共有5971名汉族和彝族学生纳入数据分析。通过预先设计的问卷收集有关人口统计学因素、社会经济地位和生活方式相关暴露的信息。进行了包括远视力、眼前节检查、散瞳自动验光和眼球运动检查在内的眼科检查。采用逻辑回归模型估计近视的危险因素。5971名受试者的年龄为（10.68±2.24）岁，近视和高度近视的总患病率分别为48.05%和0.59%。发现汉族学生的近视患病率高于彝族（50.20%对47.10%，P=0.029）。多因素分析显示，近视的发生与年龄（P=1.28，95%CI：1.25-1.31）、女性（P=1.32，95%CI：1.18-1.48）、每天阅读和书写时间增加（P=1.13，95%CI：1.07-1.20）、朋友中有自我报告近视（P=1.15，95%CI：1.02-1.）、父亲近视（P=1.38，95%CI：1.06-1.79）、母亲近视（P=1.43，95%CI：1.12-1.83）以及母亲受教育程度较高（P=1.24，95%CI：1.03-1.51）有关。我们观察到芒市学生中近视患病率较高。近视的存在与年龄增加、女性、每天阅读和书写时间增加、朋友中有自我报告近视、父亲近视、母亲近视和母亲受教育程度较高有关。
