菏泽市幼儿园大班筛查性近视现状调查及影响因素分析  

Current myopia screening status and influencing factors in senior kindergarten classes in Heze City,China

作　　者：李大磊[1] 田欢 王永菁 聂梦姝 王颖[1] LI Dalei;TIAN Huan;WANG Yongjing;NIE Mengshu;WANG Ying(Environmental Health Monitoring and Evaluation Department,Center for Disease Control and Prevention,Heze 274000,Shandong,China)

机构地区：[1]山东省菏泽市疾病预防控制中心环境卫生监测评价科,山东菏泽274000

出　　处：《中国校医》2024年第9期652-654,662,共4页Chinese Journal of School Doctor

基　　金：2022年度山东省学校卫生协会科研课题(SDWS2022223)。

摘　　要：目的分析2022年菏泽市幼儿园大班儿童的筛查性近视现状及相关影响因素,为开展儿童近视防控工作提供科学依据。方法于2022年12月—2023年5月对菏泽市多个县区1187名幼儿园大班儿童进行远视力检查、非睫状肌麻痹状态下电脑验光,并对监护人进行问卷调查。结果1187名儿童中,筛查性近视82名(6.9%)。logistic回归分析显示:郊县[OR(95%CI)=0.086(0.050~0.147)]、父母亲职业为非机关事业单位人员[OR(95%CI)=0.468(0.284~0.772)]、经常食用绿色蔬菜[OR(95%CI)=0.450(0.263~0.769)]与筛查性近视呈负相关;经常喝碳酸饮料[OR(95%CI)=3.848(1.803~8.215]与筛查性近视呈正相关(P<0.01)。结论郊县、父亲或母亲职业为非机关事业单位人员、经常食用绿色蔬菜是学龄前儿童筛查性近视的保护性因素,经常饮用碳酸饮料是学龄前儿童筛查性近视的危险因素。Objective This study analyzed the current status of myopia screening and influencing factors in senior kindergarten classes in Heze City in 2022,to provide a scientific basis for the prevention and control of childhood myopia.Methods From December 2022 to May 2023,1187 children in senior kindergarten classes in various counties and dis⁃tricts in Heze City were examined through remote vision examination and computer optometry without ciliary paralysis.A questionnaire survey was conducted among their guardians.Results Among the 1187 children,screening myopia was pres⁃ent in 82(6.9%)children.Logistic regression analysis indicated that residence in suburban counties[OR(95%CI)=0.086(0.050-0.147)],parents with non⁃institutionalized occupations[OR(95%CI)=0.468(0.284-0.772)],and frequent consump⁃tion of green vegetables[OR(95%CI)=0.450(0.263-0.769)]negatively correlated with myopia screening.Regular consump⁃tion of carbonated beverages[OR(95%CI)=3.848(1.803-8.215]was positively associated with myopia screening(P<0.01).Conclusions Residence in suburban counties,parents with non⁃institutionalized occupations,and frequent consumption of green vegetables were protective factors in myopia screening among preschool children.Frequent consumption of carbonated beverages is a high risk factor for myopia screening in preschool children.

关 键 词：学龄前儿童 筛查性近视 影响因素 

分 类 号：R778.11[医药卫生—眼科]