中小学生睡眠时间与视力不良的关联研究  

Association between low vision and sleep duration among primary and middle school students

作　　者：高帆 刘雅倩 陈艳[3] 李鹏[3] 张永利[3] 严剑波 GAO Fan;LIU Yaqian;CHEN Yan;LI Peng;ZHANG Yongli;YAN Jianbo(Eye Center of Zhoiishan Hospital,Zhoushan,Zhejiang 316021,China)

机构地区：[1]舟山医院眼科中心,浙江舟山316021 [2]南昌大学公共卫生学院 [3]舟山市疾病预防控制中心食品安全科

出　　处：《预防医学》2021年第9期869-872,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：舟山市科技计划项目(2019C31080,2020C31051)。

摘　　要：目的分析中小学生睡眠时间与视力不良的关系,为保护中小学生视力提供依据。方法采用分层整群抽样方法,在浙江省舟山市定海区、普陀区、岱山县和嵊泗县选择4所小学、4所初中和3所高中学生为调查对象,采用2019年全国学生常见病和健康影响因素监测及干预项目学生近视影响因素专项调查表收集调查对象人口学信息、视屏行为、户外运动、父母近视和每天睡眠时间等资料;采用多因素Logistic回归模型分析中小学生睡眠时间与视力不良的关系。结果发放调查问卷3 016份,回收有效问卷2 932份,问卷有效率为97.21%。男生1 537人,占52.42%;女生1 395人,占47.58%。小学947人,占32.30%;中学1 985人,占67.70%。每天睡眠时间<8 h、8~<9 h、9~<10 h和≥10 h分别为1 022、903、697和310人,占34.85%、30.80%、23.77%和10.57%。检出视力不良2 328例,检出率为79.40%。多因素Logistic回归分析结果显示,每天睡眠时间8~<9 h (OR=0.735,95%CI:0.561~0.963)和9~<10 h (OR=0.605,95%CI:0.446~0.825)的中小学生视力不良发生风险较低。结论中小学生保持充足睡眠有利于降低视力不良的发生风险。Objective To understand the relationship between sleep duration and low vision among primary and middle school students, so as to provide the reference for promoting eye health of primary and middle school students.Methods Using stratified cluster sampling method, the students were selected from four primary schools, four junior high schools and three senior high schools in Dinghai, Putuo, Daishan and Shengsi of Zhoushan. The questionnaire for the influencing factors of myopia in the national monitoring and intervention project of common diseases and influencing factors among students in 2019 was used to collect their demography, video display terminal use, outdoor activity,parents’ myopia and sleep duration. The multivariate logistic regression model was established to analyze the relationship between sleep duration and low vision among the students. Results A total of 3 016 questionnaires were sent out, and2 932 valid ones were returned. The effective rate was 97.21%. There were 1 537( 52.42%) males and 1 395 females( 47.58%);947(32.30%) primary school students and 1 985(67.70%) middle school students;2 328(79.40%) students with low vision. There were 1 022( 34.85%), 903(30.80%), 697( 23.77%) and 310( 10.57%) students with the daily sleep duration of <8 hours, 8-<9 hours, 9-<10 hours and ≥10 hours, respectively. The multivariate logistic regression analysis showed that the risk of low vision was lower when the daily sleep duration of students was 8-<9 hours( OR=0.735, 95%CI: 0.561-0.963) and 9-<10 hours( OR=0.605, 95%CI: 0.446-0.825). Conclusion Adequate sleep duration is conducive to reduce the risk of low vision among primary and middle school students.

关 键 词：视力不良 睡眠时间 中小学生 

分 类 号：R179[医药卫生—妇幼卫生保健]