摘要
目的了解2021年杭州市余杭区儿童青少年近视现况及受家庭照明灯具选择的影响,以期为近视防控策略中家庭干预这一环节提供依据。方法采用多阶段分层整群抽样的方法对杭州市余杭区6所学校的1356名儿童青少年进行眼科检查,并开展近视影响因素的问卷调查。结果多因素logistics回归分析结果显示,女性(OR=1.52,95%CI=1.17~1.98)、早产剖宫产(OR=1.99,95%CI=1.08~3.66)、卧室不使用顶灯仅使用落地大台灯(OR=2.93,95%CI=1.39~6.18)是近视发病的危险因素,出生2年内卧室使用LED灯(OR=0.35,95%CI=0.21~0.57)或使用含有LED灯的组合灯(OR=0.28,95%CI=0.15~0.51)进行照明是近视发病的保护因素。此外,夜间在家近距离作业时有37.68%的儿童青少年不使用台灯。结论家庭照明灯具的选择与儿童青少年近视的发病相关,且独立于性别、遗传、学段、出生方式等因素。
Objective To investigate the current status of myopia among children and adolescents in the Yuhang District of Hangzhou in 2021 and analyze its related risks,especially in household lighting selection,in order to provide information for family intervention in myopia prevention and control strategies.Methods The method of multistage stratified cluster sampling was used to examine the eyes of 1356 children and adolescents from 6 schools in Yuhang District,Hangzhou City,and a questionnaire survey was conducted on the factors affecting myopia.Results The multivariate logistics regression analysis showed that female(OR=1.52,95%CI=1.17-1.98),premature delivery by cesarean section(OR=1.99,95%CI=1.08-3.66),and using a floor lamp instead of dome light in bedroom(OR=2.93,95%CI=1.39-6.18)were risk factors for myopia.The use of LED lights(OR=0.35,95%CI=0.21-0.57)or combined lights with LED lights(OR=0.28,95%CI=0.15-0.51)in the bedroom within 2 years of birth was a protective factor for myopia.In addition,37.68%of children and adolescents did not use lamps when studying at home at night.Conclusion The selection of household lighting is associated with the incidence of myopia in children and adolescents,and it is independent of gender,genetics,school stage,and history of pregnancy and delivery.
作者
朱吉如
段兴翔
李修义
张旭红
张黎悦
宋东洁
童剑萍
沈晔
ZHU Jiru;DUAN Xingxiang;LI Xiuyi;ZHANG Xuhong;ZHANG Liyue;SONG Dongjie;TONG Jianping;SHEN Ye(Department of Ophthalmology,First Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310003,Zhejiang,China;Department of Ophthalmology,Second People’s Hospital of Yuhang District,Hangzhou 311121,Zhejiang,China)
出处
《中国校医》
2023年第7期481-484,495,共5页
Chinese Journal of School Doctor
基金
中国科学院战略重点研究计划项目(XDA16040200)
浙江省自然科学基金项目(LZ19H120001)。
关键词
近视
儿童
青少年
家庭照明灯具
Myopia
Child
Adolescent
Household lighting selection
