城市生活环境和儿童近视
Xiaotong Li1,2, Lihua Li2,3, Wen Qin2,4
1Nankai University Affiliated Eye Hospital, Nankai University, Tianjin, China.
JAMA network open
|December 8, 2023
概括
城市生活增加了近视发病率,但减缓了近视的进展. 在城市化程度较低的地区实施近视控制对于解决这些发现至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球近视的患病率正在上升,特别是在城市环境中.
- 了解城市化对近视的影响对于公共卫生战略至关重要.
研究的目的:
- 研究城市化与近视之间的关联.
- 分析城市生活与近视患病率,发病率,进展和严重程度之间的关系.
主要方法:
- 这是一项为期两年的对177,894名中国天津市学生的队列研究.
- 使用卫星数据和城市分数量化城市化.
- 在研究期间进行了3次视力检查.
主要成果:
- 城市化与近视发病率 (OR,1.09-1.53) 和患病率 (OR,1.62) 有正相关性.
- 城市化增加与近视的进展 (OR,0.84-0.73) 和严重程度的减少有关.
- 在城市得分和近视结果之间发现了显著的关联 (P < .02).
结论:
- 城市生活环境显示出与近视的双重关联:增加发病率,同时减缓进展.
- 研究结果强调需要有针对性的近视控制策略,特别是在发展中城市地区.
- 在城市化日益加剧的地区,建议紧急实施近视控制.
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