Preliminary investigation and analysis of asthenopia in civil aviation aircrews
10.3760/cma.j.cn113854-20230511-00046
- VernacularTitle:民航空勤人员视疲劳状况的初步调查分析
- Author:
Yahui ZHANG
1
;
Xuan WU
;
Xiaoman LI
;
Shipeng ZHANG
;
Zhengzheng ZHANG
;
Peng LI
Author Information
1. 中国南方航空股份有限公司航空卫生中心，广州 510405
- Publication Type:Journal Article
- Keywords:
Asthenopia;
Risk factors;
Questionnaires;
Aircrews
- From:
Chinese Journal of Aerospace Medicine
2024;35(1):34-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To provide support for efficient aeromedical support to aircrews by preliminarily investigating the current situation of asthenopia in civil aviation aircrews and analyzing its influencing factors.Methods:A cross-sectional study was used. Seventeen items of Asthenopia Survey Questionnaire (ASQ-17), that was developed by the asthenopia research team of Eye Hospital of Wenzhou Medical University, was conducted on aircrews of China Southern Airlines Co., Ltd. from September 23, 2022 to December 29, 2022. The situation and risk factors of asthenopia, as well as the symptoms mentioned in ASQ-17 were evaluated and analyzed in civil aviation aircrews. The risk factors of asthenopia were analyzed by multivariate Logistic regression analysis.Results:A total of 556 questionnaires were collected, and 516 were valid, with an effective recovery rate of 92.8%. The detection rate of asthenopia in civil aviation aircrews was 31.40%. There were significant differences in the detection rate of asthenopia between genders and the groups with and without ametropia and among the job types of aircrews ( χ2=10.07, 8.34, 11.83, P=0.002, 0.004, 0.003), but there was no significant difference in the detection rate of asthenopia between age groups (<40 years and ≥40 years) and whether corneal refractive surgery of aircrews (both P>0.05). There were significant differences in the detection rate of asthenopia among the aircrews with varying durations of close-up eye use, different sleep qualities and severities of anxiety even depression ( χ2=16.33, 36.34, 62.65, P=0.003,<0.001,<0.001), with an increasing trend in the detection rates of asthenopia corresponding to the prolonged durations of close-up eye use, the decreased sleep quality and the aggravated anxiety even depression. Multivariate Logistic regression analysis showed that job types, duration of close-up eye use, sleep quality, anxiety even depression and ametropia were the main risk factors for the occurrence of asthenopia ( OR=1.881-5.824, P=0.007-0.040). The results of ASQ-17 showed that the top 3 eyes symptoms of asthenopia in civil aviation aircrews were dry eyes, eyes soreness and periocular discomfort, with an average score of 18.06 on the ASQ-17. Conclusions:The detection rate of asthenopia in civil aviation aircrews is relatively high. The causes of asthenopia include dry eyes, excessive close-up eye use, ametropia and psychological factors according to the preliminary analysis. Aviation physicians should provide scientific and reasonable advice and intervention on the risk factors of asthenopia, with the aim of providing professional support for the visual health of aircrews.
