深圳市宝安区小学生睡眠状况与筛查性近视关联调查  

The Relationship Between Sleep Status and Screening Myopia Among Primary School Students in Bao’an District of Shenzhen City

作　　者：段小磊 张一 王仁杰 曲杨 许韶君[1,2] 陶芳标[1,2] 伍晓艳[1,2] Duan Xiaolei;Zhang Yi;Wang Renjie;Qu Yang;Xu Shaojun;Tao Fangbiao;Wu Xiaoyan(School of Public Health,Anhui Medical University,Hefei 230032,China;Anhui Provincial Key Laboratory of Population Health&Aristogenics,Anhui Medical University,Hefei 230032,China)

机构地区：[1]安徽医科大学公共卫生学院,合肥230032 [2]安徽医科大学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

出　　处：《健康教育与健康促进》2021年第6期602-606,共5页Health Education and Health Promotion

基　　金：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);2012年度卫生公益性行业科研专项经费项目(201202010)。

摘　　要：目的调查深圳市宝安区小学生筛查性近视流行现状,并分析睡眠状况与筛查性近视之间的关联,为儿童青少年近视防控提供数据支撑。方法采用立意抽样方法,于2019年选取深圳市宝安区6所学校的一至六年级1599名小学生开展问卷调查和视力筛查。结果深圳市宝安区筛查性近视率为53.1%,其中轻度、中度和重度筛查性近视检出率分别为11.6%、18.8%和22.7%。女生筛查性近视率高于男生,差异具有统计学意义(χ^(2)=9.13,P<0.05)。城市筛查性近视率高于农村,差异无统计学意义(P>0.05)。父亲和母亲的文化程度为初中及以下者,筛查性近视率分别高于高中或中专、大专及以上者;家庭经济状况较好者筛查,性近视率分别高于一般和较差者,差异均具有统计学意义(P<0.05)。控制混杂因素后,二元logistic回归分析结果显示,晚上不固定时间睡觉(OR=1.44,95%CI:1.15~1.79)、早上不固定时间起床(OR=1.39,95%CI:1.02~1.89)均与小学生筛查性近视风险呈正性关联。夜间睡眠时间、是否午睡与筛查性近视风险无关,差异无统计学意义(P>0.05)。结论深圳市宝安区小学生的筛查性近视率较高,睡眠节律与小学生筛查性近视存在显著关联。Objective To investigate the prevalence of screening myopia among primary school students in Bao’an District of Shenzhen City,and analyze the association between sleep status and screening myopia,so as to provide evidence for the prevention and control of myopia among children and adolescents.Methods A total of 1599 primary school students in grade one to six were selected from 6 schools in Bao’an District of Shenzhen in 2019,using the purposive sampling method,and questionnaire survey and vision screening were conducted.Results The prevalence of screening myopia was 53.1%in Bao’an District,among which the prevalence of mild,moderate and severe screening myopia were 11.6%,18.8%and 22.7%,respectively.The prevalence of screening myopia of girls is higher than that of boys,and the difference was statistically significant(χ^(2)=9.13,P<0.05).The prevalence of screening myopia in urban areas was higher than that in rural areas,however the difference was not statistically significant(P>0.05).The prevalence of screening myopia of parents with junior high school or below were higher than that with senior high school or technical secondary school,junior college or above.The prevalence of screening myopia in those with better family economic status was higher than that with normal and poor family economic status,and the differences were statistically significant(P<0.05).The results of binary logistic regression analysis showed that going to bed at irregular time at night(OR=1.44,95%CI:1.15-1.79)and getting up at irregular time in the morning(OR=1.39,95%CI:1.02-1.89)were both positively associated with the risk of screening myopia among primary school students.Night sleep duration and napping were not associated with screening myopia risk(P>0.05).Conclusions The rate of screening myopia among primary school students in Bao’an District is relatively high,and there is a significant association between sleep rhythm and screening myopia among primary school students.

关 键 词：儿童青少年 筛查性近视 睡眠 

分 类 号：R778.11[医药卫生—眼科] R179[医药卫生—临床医学]