2021年新疆生产建设兵团中小学生视力不良影响因素调查  

Study on influencing factors of poor vision among primary and secondary school students in Xinjiang Production and Construction Corps in 2021

作　　者：刘宪峰 陈慧 张宏伟[2] LIU Xian-feng;CHEN Hui;ZHANG Hong-wei(Department of Epidemiology and Health Statistics,School of Public Health,Xinjiang Medical University,Urumqi Xinjiang,830011,China;Center for Disease Control and Prevention of Xinjiang Production and Construction Corps,Urumqi Xinjiang,830002,China)

机构地区：[1]新疆医科大学公共卫生学院流行病与卫生统计学教研室,新疆乌鲁木齐830011 [2]新疆生产建设兵团疾病预防控制中心,新疆乌鲁木齐830002

出　　处：《职业与健康》2023年第7期956-960,964,共6页Occupation and Health

摘　　要：目的了解新疆生产建设兵团中小学生视力不良现状及相关影响因素,为有关部门开展针对性的干预措施提供依据。方法于2021年9月,采用分层随机整群抽样的方法,对新疆生产建设兵团14个师所在区域166所学校39416名中小学生开展视力检查和问卷调查,运用χ^(2)检验和多因素logistic回归进行数据分析。结果2021年新疆生产建设兵团共调查39416名中小学生,视力不良检出率为62.38%。女生视力不良检出率(67.25%)高于男生(57.52%),城区学生视力不良检出率(67.42%)高于郊县学生(55.53%),差异有统计学意义(χ^(2)性别=397.183,χ^(2)地区=579.969,均P<0.05);随学段的升高,学生视力不良检出率呈上升趋势(χ^(2)趋势=1577.837,P<0.05)。多因素logistic回归分析结果显示,女生、初中及以上学段、放学后做作业时间超过3 h、读写时胸口离桌沿超过1拳、躺着或趴着看书或电子屏幕、睡眠时间不足8 h、持续近距离用眼时间超过1 h及父母近视均是中小学生发生视力不良的危险因素(均P<0.05)。结论新疆生产建设兵团中小学生视力不良情况较为严重,应积极采取有效的预防措施,在家庭、学校和社会共同努力下为学生创造健康良好的用眼环境,保护学生视力的健康发展。Objective To understand the present situation and related influencing factors of poor vision among primary and secondary school students in Xinjiang Production and Construction Corps,provide basis for relevant departments to carry out targeted intervention measures.Methods In September 2021,the stratified random cluster sampling method was used to conduct visual examination and questionnaire survey among 39416 primary and secondary school students from 166 schools in 14 divisions of Xinjiang Production and Construction Corps.The data analysis was performed byχ^(2) test and multivariate logistic regression.Results A total of 39416 primary and secondary school students were investigated in 2021,and the detection rate of poor vision was 62.38%.The detection rate of poor vision in female students(67.25%)was higher than that in male students(57.52%),and the detection rate of poor vision in urban students(67.42%)was higher than that in suburban students(55.53%),the differences were statistically significant(χ^(2) sex=397.183,χ^(2) region=579.969,both P<0.05).The detection rate of poor eyesight increased with the increase of school stage(χ^(2) trend=1577.837,P<0.05).The multiariable logistic regression analysis results showed that the girl,junior high school and above,do homework more than three hours after school,the distance between the chest and the table edge is more than one fist when reading and writing,reading books or electronic screens lying or lying prone sleep duration less than eight hours,continuous near work for more than one hour,and parents are myopia were the risk factors for primary and middle school students happen poor vision(all P<0.05).Conclusion The situation of poor eyesight among primary and middle school students in Xinjiang Production and Construction Corps is serious,and it is necessary to actively take effective preventive measures to create a healthy and good eye environment for students by the joint efforts of family,school and society,and protect the healthy development of students'ey

关 键 词：视力不良 中小学生 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]