Analysis of referral adherence and associated factors in children and adolescents screened with abnormal refractive error in Huangpu District, Shanghai
10.16835/j.cnki.1000-9817.2022.09.006
- VernacularTitle:上海市黄浦区屈光筛查异常儿童青少年复诊依从性相关因素分析
- Author:
CHEN Jian, HE Xiangui, ZHAO Xuefei, ZHU Jing, XIE Hui, PAN Chenwei, WANG Jingjing
1
Author Information
1. School Health and Eye Disease Prevention Department, Center for Disease Prevention and Control of Huangpu Disctrict, Shanghai (200023) , China
- Publication Type:期刊文章
- Keywords:
Refractive errors;
Regression analysis;
Child;
Adolescent
- From:
Chinese Journal of School Health
2022;43(9):1301-1304
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the referral rate in children with abnormal refractive error in screening programs and associated factors, aiming to provide evidence for improving the rate and myopia prevention and control in the future.
Methods:Using cluster sampling, three primary schools and three junior middle schools in Huangpu District, Shanghai were selected. All students were archived for refractive development, including examinations such as visual acuity, non cycloplegic autorefraction and axial length. The follow up visit and related factor information were collected through questionnaire, and the influencing factors of referral rate were analyzed by multivariate Logistic regression.
Results:A total of 2 104 high risk children and adolescents with suspected refractive abnormalities were suggested follow up visit, and the actual referral rate was estimated to be 60.4%; the rate of referral to designated hospitals was estimated to be 58.8%. Nonconditional Logistic regression analysis showed that myopic status before the screening( OR=1.37, 95%CI =1.08-1.72), wearing spectacles or ortho contact lens( OR=2.05, 95%CI =1.62-2.59), myopic degree ( OR below -0.5 D =2.08, 95% CI =1.48-2.92, OR -3.0~-0.5 D =1.86, 95% CI =1.47-2.36), parents familiarity with screening results( OR=2.92, 95%CI =1.89-4.50), parents satisfaction with suggestions after screening ( OR=3.54, 95%CI =1.16-10.79) were significant factors associated with the referral rate( P <0.05).
Conclusion:The actual referral rate among children and adolescents needs to be improved. It is necessary to further optimize the informatization of refractive archives, strengthen popular science education for key population, standardize the professional interpretation of preliminary screening refractive examination results, improve parents awareness, participation and satisfaction through health education, and achieve the whole process management of refractive archives.
