Objective To understand the ametropia rate of preschool children in urban area of Shanghai city and related influencing factors of ametropia,and take corresponding measures to promote the development of the vision health. Methods From February to July of 2016,641 preschool children in 3 kindergartens in urban area of Shanghai city were randomly selected as the research objects.Refraction screening was performed with suresight vision screening instrument.The daily life conditions of children were surveyed by a questionnaire,and analyze related influencing factors of ametropia. Results Screening of 641 preschool children,received 604 valid questionnaire.63children were abnormal,with a rate of 10.4%.The abnormal rates for the age group of 3~,4~,5~ and 6~ <7 years old were 7.5%,8.9%,11.6%and 12.5%,respectively.The study found that the ametropia rate of preschool children was related to treatment in pregnancy,abnormal in newborn,mather'education,diet,daily outdoor activity time and daily sleep time(P<0.05).Multivariate analysis showed that non-treatment in pregnancy,outdoor activity time more than 1hour every day and daily sleep time more than 8 hours was a protective factor of children with the ametropia. Conclusion The ametropia of preschool children in urban area of Shanghai is affected by a variety of factors including bad habits in daily life,which should be paid more attention to,and effective intervention measures targeting to related factors should be taken to protect visual development of children.
Key words
preschool children /
ametropia /
influencing factors
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References
[1] Tailor V,Glaze S,Dahlmann-Noor A.Saccadic vector optokinetic perimetry in children with neurodisability or isolated visual pathway lesions[J].Br J Ophthalmol,2016,6(1):608-614.
[2] Pekel G,Yag ˇ ci R,Acer S,et al.Comparison of corneal layers and anterior sclera in emmetropic and myopic eyes 〔J〕.Cor-nea,2015,25 (2):11-15.
[3] Ramamoorthy J,Jain R,Ahluwalia J.Orbital mass in a child with acute lymphoblastic leukemia[J].J Pediatr Hematol Oncol,2016,26(3):710-717.
[4] 张丽,吴丹.成都市锦江区3650名学龄前儿童视力异常状况及影响因素分析[J].中国妇幼保健,2016,31(23):5136-5139.
[5] Lin Z,Vasudevan B,Jhanji V,et al.Near work,outdoor activity,and their association with refractive error[J].Optom Vis Sci,2014,91(4):376-382.
[6] Marsh-Tootle WL,Frazier MG,Kohler CL,et al.Exploring pre-school vision screening in primary care offices in Alabama[J].Optom Vis Sci,2012,89(10):1521-1531.
[7] 赵广英,魏煌忠.学龄前期儿童视力筛查结果与影响因素的探讨[J].中国儿童保健杂志,2013,21(5):545-547.
[8] 王万平,陆艳平,周子红,等.武汉市东湖区1215名0~6岁儿童视力异常及影响因素分析[J].中国妇幼保健,2014,29(24):3930-3921.
[9] 韩冰,周薇薇,刘春民,等.深圳地区小学生视力发育及屈光状态流行病学调查[J].中国斜视与小儿眼科杂志,2016,24(3):32-36.
[10] Sakai T,Watanabe H,Kuroyanagi K,et al.Health-and vision-related quality of life in patients receiving infliximab therapy for Behet uveitis[J].Br J Ophthalmol,2013,97(3):338-342.
[11] Wu LJ,Wang YX,You QS,et al.Risk factors of myopic shift amongprimary school children in beijing,china:a prospective study[J].Int J Med Sci,2015,12(8):633-638.
[12] Ramamurthy D,Lin Chua SY,Saw SM.A review of environmentalrisk factors for myopia during early life,childhood and adolescence[J].Clin Exp Optom,2015,98(6):497-506.
[13] 龙培培,窦义蓉,等.重庆市主城区中小学生视力不良现状及影响因素分析[J].中国学校卫生,2015,36(1):110-111.
[14] 鲍务新,杨建文,姜洪方.江苏省2311名中小学生近视状况及相关因素分析[J].江苏预防医学,2010,21(5):53-55.