Influencing factors of ametropia in preschool children in Xiangcheng District, Suzhou

ZHANG Hongbo; WEI Hui; YU Jiajia; ZHANG Xu; GENG Xiaojiao

doi:10.11852/zgetbjzz2024-1077

PDF(658 KB)

Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (8) : 919-923. DOI: 10.11852/zgetbjzz2024-1077

Clinical Research

Influencing factors of ametropia in preschool children in Xiangcheng District, Suzhou

ZHANG Hongbo¹, WEI Hui¹, YU Jiajia¹, ZHANG Xu², GENG Xiaojiao²

Author information +

History +

Abstract

Objective To analyze the current status of refractive errors among preschool children in Xiangcheng District, Suzhou City, and to identify influencing factors, in order to provide a reference for the development of preventive and control measures for refractive errors in children. Methods A cluster sampling method was employed to select 11 698 children aged 4 - 6 years from 63 kindergartens across 10 towns and streets in Xiangcheng District, Suzhou City in June 2023.These children underwent refractive error screening and completed questionnaires.Chi-square tests and binary logistic regression analysis were used to examine the factors influencing refractive errors. Results The detection rate of refractive errors among preschool children was 11.82% (1 310/11 804).Risk factors for refractive errors included being in the middle class (OR=1.205), maternal passive smoking during pregnancy (OR=1.344), preterm birth (OR=1.434), post-term birth (OR=1.491), history of eye diseases in children (OR=1.762), watching TV at a distance less than five times the diagonal length of the screen (OR=1.287), occasionally reading or writing in dim light (OR=1.173), and occasionally or frequently staying up late (OR=1.166, 1.417) (P<0.05).Protective factors included sleeping more than 12 hours per day (OR=0.313) and higher paternal education levels (college: OR=0.716; undergraduate: OR=0.772; master's degree or above: OR=0.647) (P<0.05). Conclusions The risk of refractive errors among preschool children is relatively high.Regular vision screenings should be conducted, and attention should be paid to maternal health during pregnancy.Efforts should be made to control and reduce preventable eye diseases in children, promote healthy eye use and sleep habits, and implement early detection and intervention to support the healthy development of children's vision.

Key words

ametropia / vision screening / sleep / preschoolers

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

ZHANG Hongbo, WEI Hui, YU Jiajia, ZHANG Xu, GENG Xiaojiao. Influencing factors of ametropia in preschool children in Xiangcheng District, Suzhou[J]. Chinese Journal of Child Health Care. 2025, 33(8): 919-923 https://doi.org/10.11852/zgetbjzz2024-1077

References

[1] 马军.借力国家政策促进儿童青少年视力健康[J].中国学校卫生, 2018, 39 (10): 1441-1442,1448.
MA J.Take advantage of the national policy to promote children and adolescents vision health in China[J].Chin J Sch Health, 2018, 39(10): 1441-1442,1448.(in Chinese)
[2] 李赟.无锡市区7～12岁儿童屈光异常患病率及其影响因素[D].南京:南京医科大学, 2020.
Li Y.Prevalence of refractive error and its influencing factors in students of 5 primary schools in Wuxi City[D].Nanjing: Nanjing Medical University, 2020.(in Chinese)
[3] 陈巍,吴夕,张佩斌.儿童眼保健工作实用手册[M].北京:中国科学技术出版社, 2020:101.
[4] 中华医学会眼科学分会眼视光学组,等.近视管理白皮书 (2022)[J].中华眼视光学与视觉科学杂志, 2022,24(9): 641-648.
Chinese Optometric Association, Chinese Ophthalmological Society, et al.Myopia Management White Paper[J].Chinese Journal of Optometry Ophthalmology and Visual Science, 2022, 24(9): 641-648.(in Chinese)
[5] 周倩倩,谷红波,高红琴,等.苏州高新区新入园儿童屈光现状及其影响因素[J].江苏预防医学, 2022, 33(6): 733-735.
Zhou QQ, Gu HB, Gao HQ, et al.Refractive status of newly enrolled children in Suzhou New District and its influencing factors[J].Jiangsu Journal of Preventive Medicine, 2022, 33(6): 733-735.(in Chinese)
[6] 邱卓亚,华燕.无锡市梁溪区托幼机构3～6岁儿童视力筛查结果分析[J].河南预防医学杂志, 2020, 31 (10): 765-767.
Qiu ZY,Hua Y.Analysis of the results of vision screening of children aged 3-6 years old in nursery institutions in Liangxi District, Wuxi City[J].Henan J Prev Med, 2020, 31 (10): 765-767.(in Chinese)
[7] 朱欢欢,靳泳,田小磊.天津市红桥区学龄前儿童屈光状态调查及相关因素分析[J].齐齐哈尔医学院学报, 2022, 43 (19): 1874-1878.
Zhu HH, Jin Y, Tian XL.Investigation on the refractive status of preschool children in honggiao district of Tianjin and analysis ofrelated factors[J].Journal of Oiqihar Medical College, 2022, 43 (19): 1874-1878.(in Chinese)
[8] 郑志红,王玉婵,孙道宽.2018—2020年金湖县城区学龄前儿童视力筛查结果分析[J].中国校医, 2021, 35 (12): 888-890,893.
Zheng ZH, Wang YC, Sun DK.Analysis of vision screening results of preschool children in Jinhu County from 2018 to 2020[J].Chin J School Doctor, 2021, 35(12): 888-890,893.(in Chinese)
[9] 崔伟娜,牛会勇.学龄前儿童视力发展的影响因素及保护措施[J].医学信息, 2024, 37 (12): 189-192.
Cui WN, Niu HY.Influencing factors and protective measures of visual development in preschool children[J].Journal of Medical Information, 2024, 37 (12): 189-192.(in Chinese)
[10] 张扬,茶健美,李碧桃,等.6～36月龄幼儿屈光发育状况及影响因素分析[J].昆明医科大学学报, 2023, 44 (10): 129-133.
Zhang Y, Cha JM, Li BT, et al.Analysis of refractive development and its influencing factors in children aged 6 - 36 months[J].J Kunming Med Univ, 2023, 44(10): 129-133.(in Chinese)
[11] 蒋子晗,庄建林,蒋亭安,等.上海市长宁区低龄儿童视力不良现状及影响因素分析[J].上海预防医学, 2024, 36(2): 157-162.Jiang ZH, Zhuang JL, Jiang TA, et al.Prevalence and influencing factors of reduced visual acuity among young children in Changning District,Shanghai[J].Shanghai Journal of Preventive Medicine,2024,36(2):157-162.(in Chinese)
[12] 孙佳丽,覃建,田丽娜,等.郑州市金水区中小学生视力不良现状及影响因素[J].华南预防医学, 2021, 47(6): 811-813,816.
Sun JL,Tan J, Tian LN, et al.Current status and influencing factors of poor vision among primary and secondary school students in Jinshui District, Zhengzhou City, China[J].South Chin J Prev Med,2021, 47(6): 811-813,816.(in Chinese)
[13] Yang GY,Huang LH,Schmid KL, et al.Associations between screen exposure in early life and myopia amongst Chinese preschoolers[J].Int J Environ Res Public Health, 2020, 17 (3): 1056-1056.
[14] 曾承超.学龄前儿童发生视力发育异常的影响因素相关性分析[J].慢性病学杂志, 2023, 24 (11): 1649-1652.
Zeng CC,Correlation analysis of factors influencing the occurrence of abnormal visual development in preschool children[J].Chronic Pathematology J, 2023, 24 (11): 1649-1652.(in Chinese)
[15] 张美,洪流.大连市近年学龄前视力低常儿童屈光状态分布和弱视发生状况及其影响因素分析[J].中国现代医学杂志, 2023, 33 (23): 33-37.
Zhang M, Hong L.The distribution of refractive status and the prevalence of amblyopia among preschool children with low vision in Dalian in recent years and their influencing factors[J].Chin J Mod Med,2023, 33 (23): 33-37.(in Chinese)
[16] 芦颖,段文秀.学龄前儿童眼屈光状态筛查和屈光异常的影响因素分析[J].基层医学论坛, 2023, 27 (19): 10-12.
Lu Y, Duan WX.Screening of eye refractive status in preschool children and analysis of refractive anomalies and their influencing factors[J].Medical Forum,2023,27 (19): 10-12.(in Chinese)
[17] He X, Sankaridurg P, Xiong S, et al.Prevalence of myopia and high myopia,and the association with education: Shanghai Child and Adolescent Large-scale EyeSmdy (SCALE):A cross-sectional study[J].BMJ Open, 2021,11(12):e048450.