Two year follow up of myopia cohort in central Jiangsu Province
10.16835/j.cnki.1000-9817.2022.09.005
- VernacularTitle:近视队列江苏省中部地区2年追踪调查结果
- Author:
HUANG Limin, WANG Yan, PAN Chenwei, ZHANG Fengyun, YAO Qingbing, ZHU Yueqian, ZHU Weiwei, LI Zilin, XU Yingdi, CHEN Shaochun, MAO Zaiping, ZHANG Xiyan, YANG Jie
1
Author Information
1. Department of School Health, Yizheng Center for Disease Control and Prevention, Yizheng (210009) , Jiangsu Province, China
- Publication Type:期刊文章
- Keywords:
Myopia;
Cohort studies;
Prevalence;
Models,statistical;
Students
- From:
Chinese Journal of School Health
2022;43(9):1298-1300
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Based on observational, longitudinal and intervention study of common diseases among students in Jiangsu Province, this paper presents the current progress of two year follow up of myopia cohort regarding the association between growth parameters with progression of myopia among children and adolescents in areas with rapid economic growth.
Methods:This survey adopted the stratified cluster sampling method for school selection. The full automatic computer optometry (TOPCON RM800) was used to track myopia related parameters for all participants from 2019 to 2020 under the condition of mydriasis (compound topicamide eye drops). Relationship between growth parameters of children and adolescents and the incidence and progression of myopia was analyzed by using Cox regression multiple statistical model.
Results:The myopia rates of students from grade 1 to grade 3 in 2019 were 5.4%, 21.5% and 37.3% respectively. After one year, the myopia rates of all school stages increased to 25.3%, 43.3% and 58.1% respectively( χ 2=53.59, 49.63, 32.52, P <0.01). The mean diopter of right eye and left eye after mydriasis were ( 0.30± 1.24/0.39±1.26)D in 2019 and (-0.33±1.54/-0.19±1.55)D in 2020, respectively based on Cox multiple regression results, age ( HR =1.21, 95% CI =1.09-1.34), naked eye vision ( HR =0.08, 95% CI =0.07-0.11), height ( HR =0.98, 95% CI =0.97-0.99) showed a strong correlation with the incidence and progression of myopia( P <0.05).
Conclusion:Myopia is growing rapidly in the central region of Jiangsu Province. It is suggested that diopter, axial length, naked eye vision, age, height and other indicators should be included in the refractive archives of children and adolescents in the region.