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Published on: March 17, 2023
The Prevalence and Risk Factors of Abnormal Vision Among Preschool Children
Dan Liu1, Li Zhang1, Mengna Shou1
1Shaoxing Maternity and Child Health Care Hospital, Shaoxing University, Shaoxing, Zhejiang, People's Republic of China.
Insights
Abnormal vision affects 14.4% of preschool children. Excessive screen time and early electronic device exposure are key risk factors, while good family lighting and diet are protective.
Area of Science:
- Ophthalmology
- Pediatrics
- Public Health
Background:
- Abnormal vision in early childhood significantly impacts visual, motor, and cognitive development.
- Untreated vision problems can lead to long-term adverse psychosocial outcomes.
- Early identification and intervention are crucial for optimal child development.
Purpose of the Study:
- To determine the prevalence of abnormal vision in preschool children aged 4-6 years in Shaoxing, China.
- To identify associated risk factors contributing to abnormal vision in this age group.
- To explore protective factors that may mitigate the risk of abnormal vision.
Main Methods:
- A cross-sectional study was conducted with 9913 preschool children (aged 4-6) in Shaoxing, China.
- Data was collected through structured questionnaires administered to parents, covering sociodemographic and relevant factors.
- Logistic regression analysis was employed to identify risk and protective factors.
Main Results:
- 14.4% of preschool children exhibited abnormal vision.
- Watching TV for over 3 hours daily, close viewing distances, and early electronic device exposure (before age 2) significantly increased abnormal vision risk.
- Parental awareness of chewing's impact on eye development, good family lighting, balanced diet, and parental refractive error were associated with abnormal vision.
Conclusions:
- Exposure to electronic products and family environment significantly influence abnormal vision in young children.
- Genetic predisposition also plays a role in vision development.
- Regular ocular screenings and early interventions are recommended for preventing abnormal vision in preschool children.
Background:
The presence of abnormal vision during early childhood has been shown to have a substantial impact on the development of visual, motor, and cognitive functions, potentially resulting in long-term adverse psychosocial outcomes. The objective of this study was to examine the prevalence and associated risk factors of abnormal vision among preschool children aged 4-6 years in Shaoxing, China.
Methods:
A cross-sectional study was conducted from March to May 2023 in Shaoxing, involving a sample of 9913 children within the specified age range. Parents were interviewed using a structured questionnaire that gathered information on sociodemographic characteristics and other relevant factors.
Results:
The study revealed that 14.4% of participants had abnormal vision. Logistic regression analysis indicated that individuals who watched TV for more than 3 hours daily had a 2.206 times higher likelihood of developing abnormal vision (P<0.05). Additional risk factors for abnormal vision included watching TV at a distance of less than 3 meters, misalignment of eyes and screen while watching TV, early exposure to electronic devices before the age of 2, parents are unaware of the impact of chewing on eye development, and lack of promotion of good eye habits in children (P < 0.05). An association was found between parent's and children's refractive error (P < 0.05), with good family lighting and a balanced dietary structure being identified as protective factors against abnormal vision.
Conclusion:
The study concluded that exposure to electronic products was a significant factor in the development of abnormal vision among children aged 4-6. Furthermore, family environment and genetic predisposition were also found to influence vision. Regular ocular screenings and early interventions may be effective in preventing abnormal vision.
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