浙江省宁波市4~6年级小学生近视现况及其影响因素分析

张琰 蒋丹捷 高华 史碧君 吴锋 吴逸平

张琰, 蒋丹捷, 高华, 史碧君, 吴锋, 吴逸平. 浙江省宁波市4~6年级小学生近视现况及其影响因素分析[J]. 疾病监测. doi: 10.3784/jbjc.202103050103
引用本文: 张琰, 蒋丹捷, 高华, 史碧君, 吴锋, 吴逸平. 浙江省宁波市4~6年级小学生近视现况及其影响因素分析[J]. 疾病监测. doi: 10.3784/jbjc.202103050103
Zhang Yan, Jiang Danjie, Gao Hua, Shi Bijun, Wu Feng, Wu Yiping. Prevalence of myopia and its influencing factors in primary school students in grades 4–6 in Ningbo[J]. Disease Surveillance. doi: 10.3784/jbjc.202103050103
Citation: Zhang Yan, Jiang Danjie, Gao Hua, Shi Bijun, Wu Feng, Wu Yiping. Prevalence of myopia and its influencing factors in primary school students in grades 4–6 in Ningbo[J]. Disease Surveillance. doi: 10.3784/jbjc.202103050103

浙江省宁波市4~6年级小学生近视现况及其影响因素分析

doi: 10.3784/jbjc.202103050103
基金项目: 宁波市公益类科技计划项目(No. 202002N3187)
详细信息
    作者简介:

    张琰,男,江苏省镇江市人,流行病学硕士,副主任医师,主要从事学校卫生相关工作

    通讯作者:

    张琰,Tel:0574–87274546,Email:348535614@qq.com

  • 中图分类号: R211; R778.1

Prevalence of myopia and its influencing factors in primary school students in grades 4–6 in Ningbo

Funds: This study was supported by the Science and Technology Projects of Public Welfare in Ningbo (No. 202002N3187)
  • 摘要:   目的  了解浙江省宁波市4~6年级小学生近视患病现状及其影响因素,为制定有针对性的近视防护和行为干预措施提供参考依据。  方法  分阶段整群抽样方法抽取调查对象进行问卷调查和近视筛查,描述调查对象的近视患病现状,采用非条件logistic回归对近视的影响因素进行多因素分析。  结果  1 088名学生的总近视率为61.5%。 多因素分析结果表明,不同居住地(OR=0.547,95%CI:0.417~0.717)、年级(OR=2.188,95%CI:1.556~1.251)、每天家庭作业时间(OR=0.498,95%CI:0.327~0.759)、每周文化类补习班时间(OR=1.358,95%CI:1.019~1.809)、读写时眼睛书本距离(OR=0.732,95%CI:0.549~0.976)、父母近视情况(OR=2.233,95%CI:1.706~2.922)与调查对象近视率差异存在关联。  结论  居住地、年级、每天家庭作业时间、每周文化类补习班时间、读写时眼睛书本距离、父母近视是调查对象近视患病的影响因素。 为降低目标人群的近视患病率,需要开展有针对性的宣传教育和行为干预。
  • 表  1  宁波市4~6年级学生近视患病情况

    Table  1.   Prevalence of myopia in students of grade 4–6 in Ningbo

    年级
    男生女生总体
    调查人数近视数近视率(%)调查人数近视数近视率(%)调查人数近视数近视率(%)
    4182 9552.2153 9159.533514955.5
    521211353.3181 9653.039320953.2
    619113570.716913982.236027476.1
    合计58534358.650332664.8108866961.5
    下载: 导出CSV

    表  2  宁波市不同特征组4~6年级学生近视患病率比较

    Table  2.   Comparison of myopia prevalence in students of grade 4–6 with different characteristics in Ningbo

      分组变量调查人数近视数近视率(%)χ2P
    居住地12.851 <0.001
     郊县56837866.5
     城区52029156.0
    定时调换座位(次/月)1.4150.234
     ≤138224463.9
     >170642560.2
    根据身高调整课桌椅(次/学期)1.4100.235
     ≤190956662.3
     >117910357.5
    每天家庭作业时间(h)15.704 <0.001
     <397762063.5
     ≥3111 4944.1
    每周文化类补习班时间(h)5.3890.020
     <134719656.5
     ≥174147363.8
    读写时胸口桌沿距离0.2190.640
     未超过一拳79849461.9
     超过一拳29017560.3
    读写时眼睛书本距离5.9300.015
     未超过1尺78850263.7
     超过1尺30016755.7
    读写时手指笔尖距离0.1280.721
     未超过1寸61538162.0
     超过1寸47328860.9
    每天看电视时间(h)0.1560.693
     <184352161.8
     ≥124514860.4
    每天用电脑时间(h)0.0040.952
     <198660661.5
     ≥1102 6361.8
    使用移动电子设备习惯6.1610.013
     无32918455.9
     有75948563.9
    每天户外活动时间(h)0.1150.734
     <262538761.9
     ≥246328260.9
    平均每天睡眠时间(h)2.4320.119
     <926315157.4
     ≥982551862.8
    父母近视情况53.725 <0.001
     父母均不近视43221650.0
     仅父亲近视16310061.3
     仅母亲近视22914864.6
     父母均近视26320477.6
    下载: 导出CSV

    表  3  宁波市4~6年级学生近视患病影响因素的多因素logistic回归分析

    Table  3.   Multivariate logistic regression analysis on influencing factors of myopia prevalence in students of grade 4–6 in Ningbo

      选入变量变量赋值χ2POR 95%CI
    居住地城市=0,郊县=119.035 <0.001 1.8291.394~2.399
    年级
     41.000
     50.2900.5900.9190.675~1.251
     620.276 <0.001 2.1881.556~3.076
    每天家庭作业时间(h)<3=0,≥3=110.517 0.0010.4980.327~0.759
    每周文化类补习班时间(h)<1=0,≥1=14.3560.0371.3581.019~1.809
    读写时眼睛书本距离未超过1尺=0,超过1尺=14.5070.0340.7320.549~0.976
    父母近视情况均不近视=0,有人近视=134.200 <0.001 2.2331.706~2.922
    下载: 导出CSV

    表  4  宁波市4~6年级学生近视患病影响因素分年级组多因素logistic回归分析

    Table  4.   Multivariate logistic regression analysis on influencing factors of grade specific myopia prevalence in students of grade 4–6 in Ningbo

    年级选入变量Wald χ2POR95%CI
    4居住地7.3380.0071.9371.201~3.126
    每天家庭作业时间5.0340.0250.4860.259~0.913
    父母近视情况4.5490.0331.6811.043~2.710
    5居住地7.6340.0061.8701.200~2.916
    每天家庭作业时间6.0550.0140.4140.205~0.836
    读写时眼睛书本距离4.1800.0410.6080.378~0.980
    父母近视情况24.726 <0.001 2.9971.944~4.619
    6居住地3.9220.0481.7081.006~2.901
    性别a5.4480.0200.5320.314~0.904
    使用移动电子设备习惯b8.0370.0052.2441.283~3.924
    父母近视情况7.0040.0082.0171.200~3.391
      注:a. “性别”赋值:女=0,男=1;b. “使用移动电子设备习惯”赋值:无=0,有=1
    下载: 导出CSV
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  • 收稿日期:  2021-03-05
  • 网络出版日期:  2021-07-20

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