2020 年福建省儿童青少年近视状况的流行病学调查。
Epidemiological investigation of the status of myopia in children and adolescents in Fujian Province in 2020.
机构信息
Department of Ophthalmology, Fujian Medical University Union Hospital Fuzhou, Fuzhou, People's Republic of China.
Department of Ophthalmology, Fujian Provincial Governmental Hospital, Fuzhou, People's Republic of China.
出版信息
Jpn J Ophthalmol. 2023 May;67(3):335-345. doi: 10.1007/s10384-023-00991-y. Epub 2023 Apr 24.
PURPOSE
The 2020 epidemiological investigation of myopia in children and adolescents in Fujian Province' aimed to provide reference guidelines for the prevention and control of myopia. The purpose of the present study was to address shortfalls in the epidemiological survey of myopia in Fujian and provide a basis for government decision making.
STUDY DESIGN
A cross-sectional and epidemiological investigation METHODS: Based on their levels of economic development and other economic factors, three cities in Fujian Province (Fuzhou, Xiamen, Longyan) were chosen through cluster random sampling and epidemiological investigation. Final analysis included 41,906 cases. Examinations including visual acuity and mydriatic optometry were performed on all subjects.
RESULTS
The overall proportion of myopia was 63.35% in boys and 70.55% in girls living in Fujian in 2020. The proportions of myopia in Xiamen and Longyan were similar; both cities showed a higher proportion of myopic cases than Fuzhou. The proportion of girls with myopia was higher than boys. The proportion of primary and middle school students with myopia was higher in economically developed regions compared with underdeveloped regions. The proportion of urban students with myopia was higher than in suburban students. Analysis showed that the prevalence of myopia increased with age. Interestingly, the prevalence of myopia was higher in children born in June and August than in children born in other months.
CONCLUSION
Children and adolescents in Fujian have a high rate of myopia which increases as the school grade increases. The better the economic conditions are, the higher the myopic rate. In addition, the myopic rate is higher in girls in and students born in June and August. The government, schools, hospitals, and parents should be alerted to this issue and coordinate to control the risk of myopia exacerbation and improve eyesight conditions of students in Fujian Province.
目的
福建省 2020 年儿童青少年近视流行病学调查旨在为近视防控提供参考指南。本研究旨在弥补福建省近视流行病学调查的不足，为政府决策提供依据。
设计
横断面和流行病学调查
方法
采用整群随机抽样方法，根据经济发展水平等经济因素，选取福建省 3 个城市（福州、厦门、龙岩）进行流行病学调查。最终分析包括 41906 例。对所有受试者进行视力和散瞳验光检查。
结果
2020 年，福建省男、女生近视率分别为 63.35%和 70.55%。厦门和龙岩的近视率相似；两市的近视病例比例均高于福州。女生近视比例高于男生。经济发达地区中小学生近视比例高于欠发达地区。城市学生近视比例高于郊区学生。分析表明，近视的患病率随年龄增长而增加。有趣的是，6 月和 8 月出生的儿童近视患病率高于其他月份出生的儿童。
结论
福建省儿童青少年近视率较高，随年级升高而增加。经济条件越好，近视率越高。此外，女生和 6 月、8 月出生的学生近视率较高。政府、学校、医院和家长应引起重视，共同控制近视加重的风险，改善福建省学生的视力状况。
Zotero 插件