Huang Yangyi, Chen Zhi, Wang Bingjie, Zhao Jing, Zhou Xueyi, Qu Xiaomei, Wang Xiaoying, Zhou Xingtao
Eye Institute and Department of Ophthalmology and Vision Science, Eye & ENT Hospital, Fudan University, No.19 Baoqing Road, Xuhui District, Shanghai, 200031, China.
NHC Key Laboratory of Myopia (Fudan University), Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, 200031, China.
Ophthalmol Ther. 2023 Oct;12(5):2409-2425. doi: 10.1007/s40123-023-00743-8. Epub 2023 Jun 14.
The prevalence of myopia in young generations has dramatically increased over the years, especially in China. This study aims to understand Chinese parents' perspectives on myopia for further improvement of treatment compliance and informing future health planning and policy.
This was a prospective cross-sectional survey study. A self-administrated, internet-based questionnaire was distributed to 2545 parents in China. Detailed information about the demographics, the awareness of myopia, related complications, and practices of myopia prevention and control of the respondents were collected. The distribution of answers was compared among different groups of children's age, children's refractions, and parents' residential locations. Relationships between parental cognition and behavior were also analyzed.
Eligible responses were returned by 2500 parents. A total of 55.1% of the respondents considered myopia as a disease and more than 70% of respondents did not realize pathological changes related to myopia. Most parents thought myopia could be prevented (82.0%) and controlled (75.2%), and these parents were more likely to take measures than the parents who did not think so (P < 0.001). The most common myopia control modality was spectacles (87.0%), among which single-vision spectacles are the most used (63.7%).
Knowledge about health risks related to myopia was lacking in Chinese parents and their practices of myopia control mainly involved single-vision glasses. Nationwide education for parents about myopia is needed to further advance outcomes of myopia prevention and control.
近年来，年轻一代的近视患病率急剧上升，尤其是在中国。本研究旨在了解中国家长对近视的看法，以进一步提高治疗依从性，并为未来的健康规划和政策提供参考。
这是一项前瞻性横断面调查研究。通过互联网向中国的2545名家长发放了一份自填式问卷。收集了受访者的人口统计学详细信息、对近视的认识、相关并发症以及近视预防和控制措施。比较了不同儿童年龄组、儿童屈光状态组和家长居住地区组的答案分布情况。还分析了家长认知与行为之间的关系。
2500名家长返回了有效问卷。共有55.1%的受访者认为近视是一种疾病，超过70%的受访者没有意识到与近视相关的病理变化。大多数家长认为近视可以预防（82.0%）和控制（75.2%），与不这样认为的家长相比，这些家长更有可能采取措施（P < 0.001）。最常见的近视控制方式是眼镜（87.0%），其中单光眼镜使用最为广泛（63.7%）。
中国家长缺乏与近视相关的健康风险知识，他们的近视控制措施主要涉及单光眼镜。需要在全国范围内对家长进行近视教育，以进一步提高近视防控效果。
