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Published on: March 29, 2022
Risk factors for refractive errors in primary school children (6-12 years old) in Nakhon Pathom Province
1Department of Ophthalmology, Mettapracharak Eye Center, Nakhon Pathom, Thailand. penpimol1960@gmail.com
Insights
Family history of refractive error and increased near work are significant risk factors for myopia in primary school children. These findings highlight the importance of understanding genetic and environmental influences on childhood vision.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Public Health
Background:
- Refractive error is a primary cause of childhood visual impairment.
- Identifying risk factors is crucial for prevention and management strategies.
- Childhood refractive errors necessitate targeted public health interventions.
Purpose of the Study:
- To determine risk factors for refractive errors in primary school children aged 6-12.
- The study focused on children in Nakhon Pathom province.
- Investigating the association between refractive error and environmental/genetic factors.
Main Methods:
- A population-based cross-sectional study was conducted.
- Data collected on refractive error, parental refractive status, and near work hours.
- 377 primary school children participated in the assessment.
Main Results:
- Myopia was the most prevalent refractive error.
- Children with myopia had a higher likelihood of having myopic parents.
- Increased hours of near-work activities were associated with myopia.
- Parental myopia (OR=6.37) and near work (OR=1.019 per diopter-hour/week) were independent risk factors.
Conclusions:
- Family history of refractive error is a significant predictor.
- Extended hours of near-work activities are strongly associated with refractive error.
- These factors independently contribute to the development of refractive errors in children.
Background:
Refractive error is one of the leading causes of visual impairment in children. An analysis of risk factors for refractive error is required to reduce and prevent this common eye disease.
Objective:
To identify the risk factors associated with refractive errors in primary school children (6-12 year old) in Nakhon Pathom province.
Material And Method:
A population-based cross-sectional analytic study was conducted between October 2008 and September 2009 in Nakhon Pathom. Refractive error, parental refractive status, and hours per week of near activities (studying, reading books, watching television, playing with video games, or working on the computer) were assessed in 377 children who participated in this study.
Results:
The most common type of refractive error in primary school children was myopia. Myopic children were more likely to have parents with myopia. Children with myopia spend more time at near activities. The multivariate odds ratio (95% confidence interval)for two myopic parents was 6.37 (2.26-17.78) and for each diopter-hour per week of near work was 1.019 (1.005-1.033). Multivariate logistic regression models show no confounding effects between parental myopia and near work suggesting that each factor has an independent association with myopia.
Conclusion:
Statistical analysis by logistic regression revealed that family history of refractive error and hours of near-work were significantly associated with refractive error in primary school children.
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