Analysis of the influencing factors of myopia among children and adolescents in different school age groups in Ningxia Hui Autonomous Region based on the least absolute shrinkage and selection operator regression model
10.13389/j.cnki.rao.2024.0106
- VernacularTitle:基于LASSO回归的宁夏回族自治区不同学段儿童青少年近视影响因素分析
- Author:
Xiaolian XIE
1
;
Qi CHEN
;
Jing LI
;
Juan MA
;
Fei WANG
;
Haiping ZHAO
;
Juan CAO
Author Information
1. 750004 宁夏回族自治区银川市,宁夏医科大学公共卫生学院;750002 宁夏回族自治区银川市,中国人民武装警察部队宁夏回族自治区总队医院消毒供应室
- Keywords:
myopia;
school age groups;
children and adolescents;
least absolute shrinkage and selection operator re-gression
- From:
Recent Advances in Ophthalmology
2024;44(7):549-553
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the prevalence status,influencing factors,and differences among different school age groups of myopia in children and adolescents in Ningxia Hui Autonomous Region.Methods From September to De-cember 2019,inYinchuan,Wuzhong,Shizuishan,Guyuan and Zhongwei of Ningxia,8 primary schools,6 junior high schools,6 senior high schools and 4 universities were randomly selected by stratified cluster random sampling.Five classes were se-lected from each grade of primary school,and four classes were selected from each grade of junior high school to university.All students in the selected classes were included in the study.A total of 14 211 students were selected for questionnaire sur-vey,physical examination and visual acuity measurement.The influencing factors of myopia in children of different grades were analyzed using the least absolute shrinkage and selection operator(LASSO)and logistic regression,and the model with the smallest Bayesian information criterion(BIC)was selected as the optimal model.Results The detection rate of myopia in children and adolescents in Ningxia Hui Autonomous Region was 70.3%.The detection rate of myopia in girls was higher than that in boys,and that in cities was higher than that in towns,with statistically significant differences(both P<0.001).Compared with primary school students,the detection rate of myopia in junior high school students,senior high school students and college students gradually increased,and that in the college students was the highest,with statistically signifi-cant differences among different grades(all P<0.001).The LASSO-logistic regression analysis of the influencing factors of myopia showed that urban and rural areas,gender,age,whether or not to wear glasses at present,the number of daily break exercises,whether or not to actively participate in physical activities,and whether or not to maintain regular exercises in the past 6 months were the influencing factors of myopia in primary school students(all P<0.05).Gender and whether or not to wear glasses at present were the influencing factors of myopia in junior high school students and senior high school students(all P<0.05).Whether or not to wear glasses at present was the influencing factor of myopia in college students(P<0.05).Conclusion The detection rate of myopia in children and adolescents in Ningxia Hui Autonomous Region is high,and there are significant differences in the influencing factors of myopia among different age groups of children and adolescents.Wear-ing glasses is a protective factor to control myopia.Targeted health education on vision should be provided based on the aca-demic stage of children and adolescents to enhance their awareness of health care and improve their visual health.