The increasing prevalence of myopia and high myopia among high school students in Fenghua city, eastern China: a 15-year population-based survey.
The increasing prevalence of myopia and high myopia among high school students in Fenghua city, eastern China: a 15-year population-based survey.
复制标题
中国东部奉化市中学生近视和高度近视患病率的上升：一项基于 15 年人口的调查。
DOI：
10.1186/s12886-018-0829-8
复制
发表时间：
2018-07-03
影响因子：
2
通讯作者：
Wang K
中科院分区：
文献类型：
--
作者：
Chen M;Wu A;Zhang L;Wang W;Chen X;Yu X;Wang K
近视是儿童和年轻人可预防失明的主要原因。多项流行病学研究证实，亚洲国家的近视患病率很高。然而，很少有纵向研究来评估近视患病率的长期变化，特别是高度近视。在本研究中，我们调查了2001年至2015年中国东部奉化市高中生近视患病率的趋势。这是一项基于人群的回顾性研究。数据收集了43，858名三年级学生。采用非睫状肌麻痹自动验光仪测定屈光不正，根据每例受试者最差眼的等效球镜，将屈光不正分为低度近视、中度近视、高度近视和极高度近视。计算近视患病率，并使用年百分比变化（APC）来量化时间趋势。所有分析均使用SPSS、Stata和Graphpad Prism软件进行。从2001年到2015年，整体近视患病率从79.5%上升到87.7%（APC =0.59%），中度近视显著增加（38.8%~ 45.7%，APC = 0.78%），高度近视（7.9%~ 16.6%，APC = 5.48%）和极高度近视（0.08%~ 0.92%，APC = 14.59%），而低度近视患病率从32.7%下降到24.4%（APC =-1.73%）。高度近视和极高度近视是近视患病率上升趋势的主要原因（贡献率分别为27.00%和69.07%）。在这15年期间，高中生高度和极高度近视的患病率显著增加，这可能成为中国未来几十年的严重公共卫生问题。本文的在线版本（10.1186/s12886-018-0829-8）包含补充材料，可供授权用户使用。
Myopia is the leading cause of preventable blindness in children and young adults. Multiple epidemiological studies have confirmed a high prevalence of myopia in Asian countries. However, fewer longitudinal studies have been performed to evaluate the secular changes in the prevalence of myopia, especially high myopia in China. In the present study, we investigated trends in the prevalence of myopia among high school students in Fenghua city, eastern China, from 2001 to 2015. This was a population-based, retrospective study. Data were collected among 43,858 third-year high school students. Noncycloplegic autorefraction was used to determine refractive error, which was defined as low myopia, moderate myopia, high myopia and very high myopia according to the spherical equivalent from the worse eye of each participant. The prevalence of myopia was calculated and the annual percentage change (APC) was used to quantify the time trends. All analyses were conducted using the SPSS, Stata and Graphpad Prism software. From 2001 to 2015, the prevalence of overall myopia increased from 79.5% to 87.7% (APC =0.59%), with a significant increase of moderate myopia (38.8% to 45.7%, APC = 0.78%), high myopia (7.9% to 16.6%, APC = 5.48%) and very high myopia (0.08% to 0.92%, APC = 14.59%), while the prevalence of low myopia decreased from 32.7% to 24.4% (APC = − 1.73%). High myopia and very high myopia contributed the major part of the increasing trend of myopia prevalence (contribution rate 27.00% and 69.07%, respectively). During the 15-year period, there was a remarkable increase in the prevalence of high and very high myopia among high school students, which might become a serious public health problem in China for the next few decades. The online version of this article (10.1186/s12886-018-0829-8) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
1.8
作者：
Koh, Victor;Yang, Adeline;Ikram, M. Kamran
通讯作者：
Ikram, M. Kamran
影响因子：
4.4
作者：
Sun, Jing;Zhou, Jibo;Fan, Xianqun
通讯作者：
Fan, Xianqun
影响因子：
3.5
作者：
Ji Cheng Ye;Chen Tian Jiao
通讯作者：
Chen Tian Jiao
影响因子：
4.4
作者：
Bar Dayan, Y;Levin, A;Benyamini, OG
通讯作者：
Benyamini, OG
影响因子：
2.2
作者：
DerSimonian, Rebecca;Kacker, Raghu
通讯作者：
Kacker, Raghu