Related Experiment Video
Updated: Jul 27, 2026

Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients
Published on: March 29, 2022
Do only children have poor vision? Evidence from China's One-Child Policy
1School of Labor and Human Resources, Renmin University of China, Beijing, China.
Insights
Being an only child, due to increased parental expectations and pressure, significantly raises the risk of myopia. This study explores the health impacts of China's One-Child Policy on vision.
Area of Science:
- Public Health
- Ophthalmology
- Sociology
Background:
- The Chinese One-Child Policy created a unique quasi-natural experiment.
- Understanding the health consequences of this policy is crucial.
Purpose of the Study:
- To investigate the link between being an only child and myopia incidence.
- To explore the mechanisms behind this association.
Main Methods:
- Utilizing the quasi-natural experiment from the Chinese One-Child Policy.
- Analyzing the impact of being an only child on myopia.
Main Results:
- Only children showed a 9.1 percentage point increase in myopia incidence.
- Higher parental expectations and academic pressure contribute to myopia in only children.
- Only children had access to significantly higher school quality.
Conclusions:
- The One-Child Policy is associated with increased myopia among only children.
- Parental expectations and educational pressures are key contributing factors.
- School quality may also play a role in the observed vision differences.
Abstract:
This paper examines whether only children have poor vision by exploiting the quasinatural experiment generated by the Chinese One-Child Policy. The results suggest that being an only child increases the incidence of myopia by 9.1 percentage points. We further investigate the mechanisms through which being an only child affects the myopia and find that only children, as the only hope in a household, receive higher expectations in terms of academic performance and future educational attainment and pressure to succeed in life from parents, which contribute to the increased myopia. We also find that the school quality of only children is significantly higher than that of non-only children. This study provides new insights into an important health consequence of One-Child Policy in China.
Related Concept Videos
Focusing of Light in the Eye
Photoreceptors and Visual Pathways

