中国斜视与小儿眼科杂志2026，Vol.34Issue(2)：10-15,6.DOI:10.3969/J.ISSN.1005-328X.2026.02.003
儿童青少年高度近视的危险因素分析
Investigating risk factors for high myopia in children and adolescents to inform prevention strategies
周莹莹 1孙蕾 2陈放 3孙平 3王虹 3吴金梅 3朱俊3
作者信息
- 1. 225001 扬州大学附属苏北人民医院眼科||大连医科大学扬州临床医学院
- 2. 扬州市疾病预防控制中心
- 3. 225001 扬州大学附属苏北人民医院眼科
- 折叠
摘要
Abstract
Objective To investigate risk factors associated with high myopia in children and adolescents and provide evidence for prevention.Methods A cross-sectional study enrolled 169 myopic children and adolescents aged 6～18 years from May to October 2025.Participants were divided into a high myopia group(SE≤-6.00D,n=82)and a non-high myopia group(-6.00D＜SE≤-0.50D,n=87).Questionnaire data and refraction results were analyzed by univariate tests and binary logistic regression.Results Univariate analysis showed significant differences in sex,age,grade,age at myopia onset,homework time,sleep duration,vision examination frequency,seat rotation frequency and weekly physical education sessions.Female sex(OR=2.66,95％CI:1.31-5.39,P=0.007)and myopia onset at or before 8 years(OR=3.61,95％CI:1.64-7.92,P＜0.01)were independent risk factors.Each additional weekly physical education session was protective(OR=0.695,95％CI:0.512-0.942,P=0.019).Conclusion Female sex and early-onset myopia are important risk factors.School-based physical education and early follow-up should be strengthened.关键词
儿童青少年/高度近视/危险因素/近视初发年龄/Logistic回归Key words
Children and adolescents/High myopia/Risk factors/Age at myopia onset/Logistic regression引用本文复制引用
周莹莹,孙蕾,陈放,孙平,王虹,吴金梅,朱俊..儿童青少年高度近视的危险因素分析[J].中国斜视与小儿眼科杂志,2026,34(2):10-15,6.
