Comparison of Factors Associated with Myopia among Middle School Students in Urban and Rural Regions of Anhui, China

doi:10.1097/OPX.0000000000001933

	Comparison of Factors Associated with Myopia among Middle School Students in Urban and Rural Regions of Anhui, China
	Peng, Wei 1,2; Sun, Shao Ming 1,3; Wang, Fei 4; Sun, Yi Ning 1
刊名	OPTOMETRY AND VISION SCIENCE
	2022-09-01
卷号	99
ISSN号	1040-5488
DOI	10.1097/OPX.0000000000001933
通讯作者	Sun, Shao Ming(ssmjkcjzx@outlook.com)
英文摘要	SIGNIFICANCE: The prevention and control of myopia have become a major public health task throughout the world. The analysis of the modifiable factors associated with myopia will help in planning concrete strategies that can be widely implemented by schools and families. PURPOSE: This study assessed the modifiable factors associated with myopia and compared them between rural and urban regions. METHODS: Data were collected from December 2020 to March 2021. A multistage stratified cluster sampling method was used to select 6154 middle school students. All children underwent an eye examination, including visual acuity and cycloplegic refraction. Data on near work, sleep, and outdoor activities were collected in questionnaires. RESULTS: The myopia prevalence values in urban and rural regions were 68.1 and 63.7%, respectively (chi(2) = 15.57, P<.001). More than 3 hours of homework per day (odds ratio [OR] in urban and rural regions, 1.36 [95% confidence interval {CI}, 1.07 to 1.75] vs. 1.72 [95% CI, 1.43 to 2.07]), 36 to 40 core subjects per week (OR, 1.30 [95% CI, 1.04 to 1.57] vs. 1.42 [95% CI, 1.24 to 1.64]), and going to sleep before 10 o'clock (OR, 0.56 [95% CI, 0.32 to 0.93] vs. 0.50 [95% CI, 0.28 to 0.90]) were significantly associated with myopia in both regions. In contrast, taking breaks during near work was a significant factor in the rural region (<1 hour: OR, 0.57 [95% CI, 0.42 to 0.76]; 1 to 2 hours: OR, 0.63 [95% CI, 0.46 to 0.86]) but not in the urban region. More time outdoors per day was associated with a reduced prevalence of myopia only for urban children (2 to 3 hours: OR, 0.55 [95% CI, 0.31 to 0.97]; >3 hours: OR, 0.38 [95% CI, 0.19 to 0.75]). CONCLUSIONS: Homework loads and the time of going to sleep were associated with myopia for children in both urban and rural regions. However, time outdoors was only associated with myopia in urban regions, and taking breaks during near work was only associated with myopia in rural regions.
WOS关键词	RISK-FACTORS ; REFRACTIVE ERROR ; VISUAL IMPAIRMENT ; OUTDOOR ACTIVITY ; PREVALENCE ; CHILDREN ; IMI ; PROGRESSION ; MANAGEMENT ; CHILDHOOD
WOS研究方向	Ophthalmology
语种	英语
出版者	LIPPINCOTT WILLIAMS & WILKINS
WOS记录号	WOS:000851158500005
内容类型	期刊论文
源URL	[http://ir.hfcas.ac.cn:8080/handle/334002/128872]
专题	中国科学院合肥物质科学研究院
通讯作者	Sun, Shao Ming
作者单位	1.Chinese Acad Sci, Hefei Inst Phys Sci, Hefei, Peoples R China 2.Univ Sci & Technol China, Hefei, Peoples R China 3.CAS Hefei Inst Technol Innovat, Hefei, Peoples R China 4.Anhui Owl Technol Co Ltd, Hefei, Peoples R China
推荐引用方式 GB/T 7714	Peng, Wei,Sun, Shao Ming,Wang, Fei,et al. Comparison of Factors Associated with Myopia among Middle School Students in Urban and Rural Regions of Anhui, China[J]. OPTOMETRY AND VISION SCIENCE,2022,99.
APA	Peng, Wei,Sun, Shao Ming,Wang, Fei,&Sun, Yi Ning.(2022).Comparison of Factors Associated with Myopia among Middle School Students in Urban and Rural Regions of Anhui, China.OPTOMETRY AND VISION SCIENCE,99.
MLA	Peng, Wei,et al."Comparison of Factors Associated with Myopia among Middle School Students in Urban and Rural Regions of Anhui, China".OPTOMETRY AND VISION SCIENCE 99(2022).