深圳市6~18岁儿童青少年随迁时间与近视的关联研究  

The relationship between migration time and the prevalence of myopia of children and adolescents aged 6-18 years old in Shenzhen

作　　者：王仁杰 张强[2] 伍晓艳[1] 张新东[2] 许韶君[1] 孙健[2] 张诗晨[1] 王熙 宗巧 陶舒曼[1] 李丹琳 刘雯雯 童娟 李婷婷 汪倩玲 张一 陶芳标[1] Wang Renjie;Zhang Qiang;Wu Xiaoyan;Zhang Xindong;Xu Shaojun;Sun Jian;Zhang Shichen;Wang Xi;Zong Qiao;Tao Shuman;Li Danlin;Liu Wenwen;Tong Juan;Li Tingting;Wang Qianling;Zhang Yi;Tao Fangbiao(Department of Maternal,Child&Adolescent Health,School of Public Health,Anhui Medical University/Key Laboratory of Health Education of Birth Population/Anhui Key Laboratory of Population Health and Aristogenics Hefei 230032,China;Baoan District Center for Disease Control and Prevention,Shenzhen 518101,Guangdong China)

机构地区：[1]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,出生人口健康教育部重点实验室,人口健康与优生安徽省重点实验室,合肥230032 [2]深圳市宝安区疾病预防控制中心,518101

出　　处：《中华预防医学杂志》2021年第4期460-464,共5页Chinese Journal of Preventive Medicine

基　　金：国家自然科学基金项目(81402700);中国医学科学院中央级公益性科研院所基本科研业务费项目(2019HY320001)。

摘　　要：目的分析深圳市6~18岁儿童青少年随迁时间与近视的关联。方法于2019年4—5月,以深圳市宝安区为研究现场,选取宝安区福永、沙井、新安、西乡、松岗、石岩6个街道共14所学校为调查点,采用整群随机抽样方法,最终纳入26618名儿童青少年为研究对象。通过问卷调查收集对象的人口统计学特征、随迁状况、自我报告近视状况、最近7 d视屏时间、最近1个月户外活动情况等信息。采用χ^(2)检验比较不同特征儿童青少年近视差异,采用多因素非条件logistic回归模型分析儿童青少年随迁时间与近视的关系。结果26618名研究对象年龄为(12.37±3.49)岁,总体近视率为49.4%。多因素logistic回归分析显示,与随迁1~2年的随迁子女相比,随迁时间≥6年的农民工随迁子女的近视风险更高[OR(95%CI)值为1.48(1.14~1.92)]。经学段分组后,小学低年级组中,相比于随迁1~2年的农民工随迁子女,随迁时间≥6年的农民工随迁子女的近视风险更高[OR(95%CI)值为1.96(1.20~2.74)];高中组中,相比于随迁时间1~2年的农民工随迁子女,随迁时间3~5年以及随迁时间≥6年的农民工随迁子女的近视风险更高[OR(95%CI)值分别为6.03(1.29~28.15)、6.52(1.51~28.11)]。结论随迁时间与农民工随迁子女近视有关联。Objective To analyze the relationship between migration time and the prevalence of myopia of children and adolescents aged between 6 and 18 years old in Shenzhen.Methods From April to May 2019,26618 children and adolescents from 14 schools in six streets of Baoan District,including Fuyong,Shajing,Xin′an,Xixiang,Songgang and Shiyan,were included in the study by using random cluster sampling method.The demographic characteristics,migration status,self-reported myopia,screen time in the last seven days,outdoor activities in the last one month and other information were collected through the questionnaire.The differences of myopia among children and adolescents with different characteristics were compared byχ^(2) test,and the relationship between migration time and the prevalence of myopia was analyzed by multivariate unconditional logistic regression model.Results The age of 26618 study participants was(12.37±3.49)years old,and the overall prevalence of myopia was 49.4%.Multivariate logistic regression analysis showed that after controlling for relevant confounding factors,compared with migrant children and adolescents of migrant workers who migrated for 1-2 years,those of migrant workers who had migrated for more than 6 years had a higher risk of myopia[OR(95%CI):1.48(1.14-1.92)].After being grouped by phase of school,in the lower grade group of primary school,the children and adolescents of migrant workers who had migrated for more than 6 years had a higher risk of myopia compared with those of migrant workers who migrated for 1-2 years[OR(95%CI):1.96(1.20-2.74)].In the high school group,compared with the children and adolescents of migrant workers who migrated for 1-2 years,those of migrant workers who had migrated for 3-5 years and≥6 years had a higher risk of myopia[OR(95%CI):6.03(1.29-28.15)and 6.52(1.51-28.11),respectively].Conclusion The migration time is related to the prevalence of myopia of the children and adolescents of migrant workers.

关 键 词：儿童 青少年 近视 随迁时间 户外活动 

分 类 号：R778.11[医药卫生—眼科]