Tian Yujing, Yu Yingqing
Department of Ophthalmology, Children's Hospital Affiliated to Jiangnan University, Wuxi, Jiangsu, China
Department of Ophthalmology, Children's Hospital Affiliated to Jiangnan University, Wuxi, Jiangsu, China.
BMJ Open. 2025 Mar 21;15(3):e093565. doi: 10.1136/bmjopen-2024-093565.
Myopia is a common visual condition that requires proper management and prevention strategies, especially among children.
To investigate the knowledge, attitude and practice (KAP) towards myopia among parents of primary school-age children.
Cross-sectional study using a self-administered questionnaire.
PARTICIPANTS/SETTING: A total of 552 parents of primary school-age children participated in the study, which was conducted at a primary school in Wuxi City, China, between October and November 2022.
No intervention was applied; the study was observational, collecting data through questionnaires.
KAP scores regarding myopia among parents.
Univariable and multivariable logistic regression analyses were performed to identify associations between demographic factors and KAP scores.
Mean scores for KAP were 8.38±2.29 (theoretical minimum-maximum: 0-12), 25.01±2.79 (theoretical minimum-maximum: 6-30) and 26.37±3.96 (theoretical minimum-maximum: 6-33), respectively. Higher education, income, personal and child myopia and having two children were associated with better knowledge. Parental female gender, higher income, myopia and age 33-44 years were associated with positive attitudes. Better attitudes and having a child in the fourth grade were associated with proactive practices.
Parents of primary school-age children showed positive attitudes and proactive practices but had inadequate knowledge about myopia. Targeted health education programmes for parents with lower education and income levels could be recommended to improve knowledge and maintain positive attitudes towards myopia management.
近视是一种常见的视力状况，需要适当的管理和预防策略，尤其是在儿童中。
调查小学适龄儿童家长对近视的知识、态度和行为（KAP）。
采用自填式问卷的横断面研究。
参与者/地点：共有552名小学适龄儿童的家长参与了该研究，研究于2022年10月至11月在中国无锡市的一所小学进行。
未实施干预；该研究为观察性研究，通过问卷收集数据。
家长关于近视的KAP得分。
进行单变量和多变量逻辑回归分析，以确定人口统计学因素与KAP得分之间的关联。
KAP的平均得分分别为8.38±2.29（理论最小值 - 最大值：0 - 12）、25.01±2.79（理论最小值 - 最大值：6 - 30）和26.37±3.96（理论最小值 - 最大值：6 - 33）。高等教育、收入、个人及孩子近视以及生育两个孩子与更好的知识水平相关。母亲性别、较高收入、近视以及年龄在33 - 44岁与积极态度相关。更好的态度以及孩子上四年级与积极行为相关。
小学适龄儿童的家长表现出积极的态度和行为，但对近视的知识了解不足。可建议针对教育和收入水平较低的家长开展有针对性的健康教育项目，以提高他们对近视管理的知识水平并保持积极态度。
