The Impact of School Education on High Myopia in Children and Adolescents.

IF 2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of General Medicine Pub Date : 2025-08-31 eCollection Date: 2025-01-01 DOI:10.2147/IJGM.S537179

Lurun Yu, Cancan Zhang, Yi Lu, Qi Gong, Ouwen Duan, Qing Yuan, Lianhong Zhou

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引用次数: 0

Abstract

Purpose: To investigate the effect of school education on the prevalence of high myopia.

Patients and methods: This prospective cross-sectional study, conducted in schools across Hubei Province, included 1,017,622 students from 103 county-level administrative regions between October 2021 and November 2023. Refractive measurements and basic demographic data were collected for all participants. The prevalence of high myopia and the differences in prevalence across grade levels were calculated. Regression discontinuity was used to assess the effects of age and education on high myopia prevalence.

Results: A total of 1,017,622 students participated, with 540,860 (53.15%) boys, and an average age of 11.93 ± 3.06 years. Over three years, the average prevalence of high myopia was 4.75%. Prevalence increased with grade level, with the largest difference observed between grades 9 and 10. Age showed no significant effect on high myopia prevalence. Each additional year of education led to an increase in prevalence by 1.26% (95% CI: -1.87, -0.65, P=0.000) in 2021, 1.20% (95% CI: -1.88, -0.52, P=0.001) in 2022, and 1.26% (95% CI: -2.49, -0.04, P=0.04) in 2023.

Conclusion: Increased grade, rather than age, is the key factor driving the rise in high myopia prevalence. Interventions targeting myopia risk factors during schooling could potentially reduce the growing prevalence of high myopia.

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学校教育对儿童青少年高度近视的影响。

目的：探讨学校教育对高度近视发生率的影响。患者和方法：这项前瞻性横断面研究于2021年10月至2023年11月在湖北省的学校进行，包括来自103个县级行政区的1,017,622名学生。收集所有参与者的屈光测量和基本人口统计数据。计算高度近视的患病率和不同年级之间的患病率差异。采用非连续性回归评估年龄和教育程度对高度近视患病率的影响。结果：共有1017622名学生参与调查，其中男生540860人，占53.15%，平均年龄11.93±3.06岁。三年内，平均高度近视发生率为4.75%。患病率随着年级的增加而增加，在9年级和10年级之间观察到的差异最大。年龄对高度近视患病率无显著影响。每增加一年教育导致患病率在2021年增加1.26% (95% CI: -1.87, -0.65， P=0.000)，在2022年增加1.20% (95% CI: -1.88, -0.52， P=0.001)，在2023年增加1.26% （95% CI: -2.49, -0.04， P=0.04）。结论：视力等级的提高是导致高度近视患病率上升的关键因素，而不是年龄。针对在校期间近视危险因素的干预措施可能会降低高度近视日益增长的患病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of General Medicine Medicine-General Medicine

自引率

0.00%

发文量

1113

审稿时长

16 weeks

期刊介绍： The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.