儿童青少年眼健康管理研究进展

doi:10.11852/zgetbjzz2020-1710

摘要/Abstract

摘要： 眼健康是人成长过程中必不可少的基础,关系着儿童青少年的学术成就、心理健康和社会发展。但近几年儿童青少年眼健康状况不容乐观,以近视为主的视力受损问题构成了重大的公共卫生挑战。“十三五”期间,眼健康需求日益增长,政府、学校、家庭等各方面高度重视并积极探索眼健康管理模式。因此,保护儿童青少年眼健康,需要全社会行动起来,本文基于政策、学校、家庭、个人4个层面对近几年国内外儿童青少年眼健康管理情况进行回顾,为进一步提高儿童青少年眼健康水平提供参考。

关键词: 儿童, 青少年, 眼健康管理

Abstract: Eye health is an indispensable foundation in the process of human growth, and it is related to the academic achievement, mental health and social development of children and adolescents. However, the eye health of children and adolescents is not optimistic. The visual impairment of young people, especially myopia, poses a major public health challenge. During the "13th Five-Year Plan" period, the demand for eye health is increasing. The government, schools and families attach great importance to eye health and actively explore eye health management models. Therefore, protecting the eye health of children and adolescents requires the whole society to take action. This article reviews the eye health management of children and adolescents at home and abroad in recent years from the four levels of policy, school, family and individual, thereby providing references for further improving the level of eye health of children and adolescents.

Key words: children, adolescents, eye health management

中图分类号:

R179

李玲, 张红. 儿童青少年眼健康管理研究进展[J]. 中国儿童保健杂志, 2022, 30(4): 413-416.

LI Ling, ZHANG Hong. Current status of eye health management in children and adolescents[J]. Chinese Journal of Child Health Care, 2022, 30(4): 413-416.

参考文献

[1] Resnikoff S, Pascolini D, Mariotti SP, et al. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004[J]. Bull World Health Organ, 2008, 86(1): 63-70.
[2] Dolgin E. The myopia boom[J]. Nature, 2015, 519(7543): 276-278.
[3] Bourne RRA. Vision 2020: where are we?[J]. Curr Opin Ophthalmol, 2020, 31(2): 81-84.
[4] World Health Organization. World report on vision[EB/OL]. (2019-10-08)[2020-10-07]. https://www.who.int.
[5] Das T, Panda L. Imagining eye care in India (2018 Lalit Prakash Agarwal lecture) [J]. Indian J Ophthalmol, 2018, 66(11): 1532-1538.
[6] Misra V, Vashist P, Malhotra S, et al. Models for primary eye care services in India[J]. Indian J Community Med, 2015, 40(2): 79-84.
[7] Donahue SP, Baker CN. Procedures for the evaluation of the visual system by pediatricians[J]. Pediatrics, 2016: 137(1).doi:10.1542/peds.2015-3597.
[8] Nishimura M, Wong A, Cohen A, et al. Choosing appropriate tools and referral criteria for vision screening of children aged 4-5 years in Canada: a quantitative analysis[J]. BMJ Open, 2019, 9(9):e032138.
[9] 国家卫生健康委员会. “十三五”全国眼健康规划(2016-2020)[EB/OL]. (2016-11-09)[2019-10-07].http://www.nhc.gov.cn/yzygj/s7653/201611/af854aaca3dd4056826ccf88ccaa8535.shtml
[10] 教育部,国家卫生健康委员会,国家体育总局,等. 关于印发《综合防控儿童青少年近视实施方案》的通知(教体艺[2018]3号) [EB/OL]. (2018-08-30)[2019-10-07]. http://www.nhc.gov.cn/.
[11] Margines JB, Huang C, Young A, et al. Refractive errors and amblyopia among children screened by the UCLA preschool vision program in Los Angeles County[J]. Am J Ophthalmol, 2020, 210: 78-85.
[12] Kirag N, Temel AB. The effect of an eye health promotion program on the health protective behaviors of primary school students[J]. J Edu Health Promot, 2018, 7: 37.
[13] Paudel P, Yen PT, Kovai V, et al. Effect of school eye health promotion on children's eye health literacy in Vietnam[J]. Health Promot Int, 2019, 34(1): 113-122.
[14] Shrestha MK, Guo CW, Maharjan N, et al. Health literacy of common ocular diseases in Nepal[J]. BMC Ophthalmol, 2014,14:2-8.
[15] Sukati VN, Moodley VR, Mashige KP. Knowledge and practices of parents about child eye health care in the public sector in Swaziland[J]. Afr J Prim Health Care Fam Med, 2018, 10(1): e1-e13.
[16] 黄玉婵, 李青春, 吴峰. 12岁以下近视眼儿童的生活习惯及家属双眼保健知识掌握程度调查[J]. 中国妇幼保健, 2018, 33(12): 2783-2786.
[17] 张艳青, 张茜, 刘洁, 等. 家庭因素对初中生近视状态的影响分析[J]. 中国儿童保健杂志, 2018, 26(8): 900-903.
[18] Morgan IG, Ohno-Matsui K, Saw SM. Myopia[J]. Lancet, 2012, 379(9827): 1739-1748.
[19] Tideman JWL, Polling JR, Hofman A, et al. Environmental factors explain socioeconomic prevalence differences in myopia in 6-year old children[J]. Br J Ophthalmol, 2018, 102(2): 243-247.
[20] He M, Xiang F, Zeng Y, et al. Effect of time spent outdoors at school on the development of myopia among children in China[J]. JAMA, 2015, 314(11): 1142-1148.
[21] Terasaki H, Yamashita T, Yoshihara N, et al. Association of lifestyle and body structure to ocular axial length in Japanese elementary school children[J]. BMC Ophthalmol, 2017, 17(1): 123.
[22] Lim DH, Han J, Chung TY, et al. The high prevalence of myopia in Korean children with influence of parental refractive errors: the 2008-2012 Korean national health and nutrition examination survey[J]. PLoS One, 2018, 13(11): e0207690.
[23] Jee D, Morgan IG, Kim EC. Inverse relationship between sleep duration and myopia[J]. Acta Ophthalmol, 2016, 94(3): e204-e210.
[24] Wei SF, Li SM, Liu L, et al. Sleep duration, bedtime, and myopia progression in a 4-year follow-up of Chinese children: the Anyang childhood eye study[J]. Invest Ophthalmol Vis Sci, 2020, 61(3): 37.
[25] Morjaria P, Evans J, Gilbert C. Predictors of spectacle wear and reasons for nonwear in students randomized to ready-made or custom-made spectacles: results of secondary objectives from a randomized noninferiority trial[J]. JAMA Ophthalmol, 2019, 137(4): 408-414.
[26] 李秀红. 儿童青少年近视与心理问题的关联不容忽视[J]. 中国学校卫生,2020,41(9):1285-1287.