Association of visual acuity with educational outcomes: a prospective cohort study
Association of visual acuity with educational outcomes: a prospective cohort study
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DOI：
10.1136/bjophthalmol-2018-313294
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发表时间：
2019-11-01
影响因子：
4.1
通讯作者：
Wang, Ningli
中科院分区：
文献类型：
--
作者：
Jan, Catherine;Li, Shi-Ming;Wang, Ningli
背景/目的量化基线表现视力（VA）、屈光不正和眼镜佩戴对中国中学生后续学习成绩的影响。方法采用前瞻性、纵向、校本研究，随机选取安阳市4所中学的中国7年级儿童（年龄，平均值+/- SD， 12.7 +/- 0.5岁，范围=11.1-15.9）。在基线时进行全面的眼科检查，包括睫状体麻痹性自屈光，并收集人口统计学特征、近视已知危险因素和眼镜佩戴信息。课程中所有科目的学术考试成绩由当地教育局提供。主要结果测量是9年级结束时五个科目的总考试成绩，并根据7年级开始时的总得分进行调整。结果在2363名符合条件的儿童中，73.1%（1728/2363）可获得七年级考试成绩。93.9%（1623/1728）完成眼科检查，其中98.5%（1599/1623）具有九年级考试成绩。仅调整基线测试分数，以下因素与九年级高分数显著相关：年龄更小、男性、户外时间更少、基线表现VA更好、父母教育程度和收入更高、父母近视，但屈光不正和眼镜佩戴与九年级高分数显著相关。在全多变量模型中，基线测试分数(p
Background/aim To quantify the impact of baseline presenting visual acuity (VA), refractive error and spectacles wear on subsequent academic performance among Chinese middle school children. Methods A prospective, longitudinal, school-based study on grade 7 Chinese children (age, mean +/- SD, 12.7 +/- 0.5 years, range=11.1-15.9) at four randomly selected middle schools in Anyang, China. Comprehensive eye examinations including cycloplegic autorefraction were performed at baseline, and information on demographic characteristics, known risk factors for myopia and spectacle wear was collected. Academic test scores for all subjects in the curriculum were obtained from the local Bureau of Education. Main outcome measure was total test scores for five subjects at the end of grade 9, adjusted for total scored at the beginning of grade 7. Results Among 2363 eligible children, 73.1% (1728/2363) had seventh grade test scores available. 93.9% (1623/1728) completed eye examinations, and 98.5% (1599/1623) of these had ninth grade test scores. Adjusting only for baseline test score, the following were significantly associated with higher ninth grade scores: younger age, male sex, less time outdoors, better baseline presenting VA, higher parental education and income and parental myopia, but refractive error and spectacle wear were not. In the full multivariate model, baseline test score (p