Liu Shuang, Yang Guang, Li Qingnan, Pei Ruxia, Tang Shaohua
Department of Ophthalmology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Front Public Health. 2025 Jan 21;12:1373209. doi: 10.3389/fpubh.2024.1373209. eCollection 2024.
This study aimed to access knowledge, attitudes and practice (KAP) regarding refractive errors (RE) management among the left-behind children of migrant workers.
This cross-sectional study was performed by the Ophthalmology Department of Beijing Jishuitan Hospital between July and August, 2023. The KAP scores were assessed using a self-designed questionnaire.
Analysis of 350 questionnaires showed mean KAP scores of 9.21 ± 3.00 (possible range 0-14), 33.23 ± 3.57 (possible range 9-45), and 50.19 ± 5.31 (possible range 14-70), respectively. Pearson's correlation analysis showed positive correlation was found between knowledge and practice ( = 0.286, < 0.001), negative correlation between knowledge and attitude ( = -0.150, = 0.005), and positive correlation between attitude and practice ( = 0.141, = 0.008). Multivariate logistic regression analysis showed that children's age (OR = 0.748, 95%CI: 0.632-0.885, = 0.001), duration away from parents (OR = 0.345, 95%CI: 0.172-0.691, = 0.003) and RE in parents (OR = 0.405, 95%CI: 0.218-0.753, = 0.004) were independently associated with knowledge. Relationship to the child other than grandparent (OR = 0.252, 95%CI: 0.064-0.999, = 0.050), as well as child's gender (female, OR = 1.671, 95%CI: 1.006-2.777, = 0.047) and duration of sleep per day (OR = 8.401, 95%CI: 1.473-47.923, = 0.017) were independently associated with practice. In addition, structural equation modeling also showed positive impact of knowledge on practice ( = 1.251, < 0.001).
Left-behind children of migrant workers have mostly sufficient knowledge, positive attitude and proactive practice toward RE management, significantly influenced by child's age, relationship with the child, and duration of living without parents.
本研究旨在了解农民工留守儿童对屈光不正（RE）管理的知识、态度和行为（KAP）。
本横断面研究由北京积水潭医院眼科于2023年7月至8月进行。使用自行设计的问卷评估KAP得分。
对350份问卷的分析显示，KAP得分的平均值分别为9.21±3.00（可能范围0 - 14）、33.23±3.57（可能范围9 - 45）和50.19±5.31（可能范围14 - 70）。Pearson相关分析显示，知识与行为之间呈正相关（r = 0.286，P < 0.001），知识与态度之间呈负相关（r = -0.150，P = 0.005），态度与行为之间呈正相关（r = 0.141，P = 0.008）。多因素逻辑回归分析显示，儿童年龄（OR = 0.748，95%CI：0.632 - 0.885，P = 0.001）、与父母分离的时间（OR = 0.345，95%CI：0.172 - 0.691，P = 0.003）以及父母的屈光不正（OR = 0.405，95%CI：0.218 - 0.753，P = 0.004）与知识独立相关。与除祖父母之外的孩子的关系（OR = 0.252，95%CI：0.064 - 0.999，P = 0.050）、儿童性别（女性，OR = 1.671，95%CI：1.006 - 2.777，P = 0.047）以及每天的睡眠时间（OR = 8.401，95%CI：1.473 - 47.923，P = 0.017）与行为独立相关。此外，结构方程模型也显示知识对行为有积极影响（β = 1.251，P < 0.001）。
农民工留守儿童对屈光不正管理大多有足够的知识、积极的态度和主动的行为，受儿童年龄、与儿童的关系以及与父母分离生活的时间显著影响。
