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近视:贡德尔大学医学生面临的日益严重的问题。

Myopia: An Increasing Problem for Medical Students at the University of Gondar.

作者信息

Berhane Michael Assefa, Demilew Ketemaw Zewdu, Assem Abel Sinshaw

机构信息

Department of Ophthalmology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Department of Optometry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Clin Ophthalmol. 2022 May 19;16:1529-1539. doi: 10.2147/OPTH.S365618. eCollection 2022.

Abstract

PURPOSE

The purpose of this study was to assess the prevalence and associated factors of myopia among medical students at the University of Gondar College of Medicine and Health Sciences, Northwest Ethiopia.

PATIENTS AND METHODS

Institution-based cross-sectional study was conducted at the University of Gondar College of Medicine and Health Sciences from June 20 to August 15, 2021. A simple random sampling technique with proportional allocation was used to select 492 students. Interviewer-administered questionnaire, Snellen acuity chart, pinhole, retinoscope and direct ophthalmoscope were used to collect the data. The data were entered to EpiData version 4.6 and exported to SPSS version 25 for analysis. Descriptive statistics were summarized by measures of central tendency. Variables with p-value ≤0.2 in bivariable regression were entered into a multivariable logistic regression model. Adjusted odds ratio with 95% confidence interval was used and variables with p-values <0.05 were considered as statistically significant.

RESULTS

A total of 492 respondents participated giving a response rate of 98.3%. The prevalence of myopia was found to be 16.7% (95% CI = 12.8-19.4%). Urban residents (AOR = 1.56; 95% CI: 1.28-6.21), family history of myopia (AOR = 2.31; 95% CI: 1.33-4.54), near-work activity of 5-7 hours (AOR = 2.41; 95% CI: 1.31-5.76) and ≥8 hours (AOR = 4.35; 95% CI: 1.96-9.66), outdoor activity for <3 hours (AOR = 1.65 95% CI: (1.14-4.53), were significantly associated with myopia.

CONCLUSION

The prevalence of myopia among medical students at the University of Gondar College of Medicine and Health Sciences was high. Urban residency, positive family history, longer time spent on near-work activities and less outdoor activity were positively associated with myopia.

摘要

目的

本研究旨在评估埃塞俄比亚西北部贡德尔大学医学与健康科学学院医学生近视的患病率及相关因素。

患者与方法

2021年6月20日至8月15日,在贡德尔大学医学与健康科学学院开展了一项基于机构的横断面研究。采用按比例分配的简单随机抽样技术选取492名学生。通过访谈员实施的问卷、斯内伦视力表、针孔镜、检眼镜和直接检眼镜收集数据。数据录入EpiData 4.6版本,并导出至SPSS 25版本进行分析。描述性统计采用集中趋势度量进行总结。双变量回归中p值≤0.2的变量纳入多变量逻辑回归模型。使用调整后的比值比及95%置信区间,p值<0.05的变量被视为具有统计学意义。

结果

共有492名受访者参与,应答率为98.3%。近视患病率为16.7%(95%置信区间=12.8 - 19.4%)。城市居民(调整后的比值比=1.56;95%置信区间:1.28 - 6.21)、近视家族史(调整后的比值比=2.31;95%置信区间:1.33 - 4.54)、近距工作活动时长5 - 7小时(调整后的比值比=2.41;95%置信区间:1.31 - 5.76)以及≥8小时(调整后的比值比=4.35;95%置信区间:1.96 - 9.66)、户外活动时长<3小时(调整后的比值比=1.65,95%置信区间:(1.14 - 4.53)),均与近视显著相关。

结论

贡德尔大学医学与健康科学学院医学生的近视患病率较高。城市居住、阳性家族史、近距工作活动时间较长以及户外活动较少与近视呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ff/9126289/3d48af0117c0/OPTH-16-1529-g0001.jpg

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