孝感市孝南区学龄期儿童近视患病率及相关危险因素分析OACSTPCD

Objective To analyze the prevalence and related risk factors of myopia in school-age children in Xiaonan district of Xiaogan city,and to provide ideas for early intervention of myopia prevention and control in school-age children.Methods Two primary schools,two junior high schools,two senior high schools and one vocational high school were selected by stratified random cluster sampling in May 2023.The prevalence rate and SE difference were analyzed by multiple comparisons.The chi-square test was used to evaluate the single factor indicators of the collected questionnaires,and Logistic regression was used to evaluate the related risk factors of myopia in school-age children.Results In 2023,the overall prevalence rate of school-age children in Xiaonan District of Xiaogan City was 60.57％,among which the preva-lence rate of myopia was 42.67％ in primary school students,79.70％ in junior high school students,and 82.91％ in senior high school students(vocational high school).The difference in the prevalence rate of myopia among different grades was statistically significant(x2=505.085,P＜0.05).The prevalence of high myopia increased from 0.70％ in primary school to 9.75％ in high school.Multivariate Logistic regression analysis showed that outdoor activity was a protec-tive factor for myopia(OR＜1,P＜0.05),while gender(female),parents'myopia status,near eye use time,and elec-tronic device use time were risk factors for myopia(OR＞1,P＜0.05).Conclusions The overall prevalence of myopia in school-age children in Xiaonan District of Xiaogan City is high,and with the increase of grade,the prevalence of myopia gradually increased and the degree of myopia gradually deepened.Clinical intervention should be carried out as soon as possible to slow down the deepening of myopia and reduce the occurrence of complications of high myopia.