Comorbidity of myopia and scoliosis in primary and secondary school students and analysis of risk factors in school environment in Tianjin
10.16835/j.cnki.1000-9817.2024162
- VernacularTitle:天津中小学生近视与脊柱侧弯共患现状及学校环境风险因素分析
- Author:
ZHANG Xianwei, CHEN Lu, LIU Zhonghui, DONG Yanhui, SONG Yi, SUN Zhiying, XU Ke, ZHAO Saisai
1
Author Information
1. Institute of Environmental and Public Health, Tianjin Center of Disease Control and Prevention, Tianjin (300011) , China
- Publication Type:Journal Article
- Keywords:
Myopia;
Scoliosis;
Comorbidity;
Environment;
Dangerous factor;
Students
- From:
Chinese Journal of School Health
2024;45(5):626-629
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the comorbidity of myopia and scoliosis among primary and secondary school students in Tianjin, and to analyze the school environment risk factors contributing to these health issues, so as to provide a scientific basis for development effective prevention measures.
Methods:A total of 41 654 primary and secondary school students from 16 districts of Tianjin were selected by stratified random cluster sampling from September to October 2023 to screen for myopia and scoliosis. Univariate analysis was performed to examine the data, followed by a bivariate multivariate Logistic regression model and cumulative effect analysis to explore the influencing factors of their comorbidity.
Results:In 2023, the prevalence of comorbidity of screening positive myopia and scoliosis among primary and secondary school students in Tianjin was 2.65%. The prevalence was higher in suburban areas (3.26%) compared to urban areas (2.02%), higher among females (3.81%) compared to males (1.59%), and highest in high school students (6.17%) compared to middle school (4.19%) and primary school students (0.44%) (χ2=62.23, 198.69, 953.19, P<0.01). Logistic regression analysis showed that the number of physical education classes ≥3 per week, the number of eye health exercises at school ≥2 per day, outdoor activities between classes, teachers reminding to pay attention to reading and writing posture and strict eye standing posture were negatively correlated with the comorbidity of screening positive myopia and scoliosis (OR=0.66, 0.77, 0.71, 0.78, 0.74, P<0.05). Reading or electronic screen while lying or lying on the stomach was positively associated with the comorbidity of screening positive myopia and scoliosis (OR=1.77, P<0.05). Cumulative effect analysis showed that the cumulative score (4-7, 7-9, ≥10) was negatively correlated with the comorbidity of screening positive of myopia and scoliosis (OR=0.65, 0.55, 0.52, P<0.05).
Conclusions:The school environment support and students personal behavior habits in school are related to the comorbidity of comorbidity of screening positive myopia and scoliosis. Prevention and control of myopia and scoliosis should improve the environmental factors related to students health in school.
