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Risk Factors and Behaviours of Schoolchildren with Myopia in Taiwan

Author

Listed:
  • Han-Chih Cheng

    (Department of Ophthalmology, Taipei Tzu-chi Hospital, New Taipei City 231, Taiwan
    Department of Ophthalmology, Tzu-chi University, Huanlien County 907, Taiwan)

  • Koyin Chang

    (Dept. of Healthcare Information and Management, Ming Chuan University, Taoyuan City 333, Taiwan)

  • Elizabeth Shen

    (Department of Ophthalmology, Taipei Tzu-chi Hospital, New Taipei City 231, Taiwan
    Department of Ophthalmology, Tzu-chi University, Huanlien County 907, Taiwan
    Department of Ophthalmology, National Taiwan University Hospital, Medical College, National Taiwan University, Taipei 100, Taiwan)

  • Kai-Shin Luo

    (Department of Ophthalmology, Taipei Tzu-chi Hospital, New Taipei City 231, Taiwan)

  • Yung-Hsiang Ying

    (Department of Business Administration, National Taiwan Normal University, Taipei 106, Taiwan)

Abstract

Importance: Because of the high prevalence of myopia in Taiwan, understanding the risk factors for its development and progression is important to public health. Background: This study investigated the risk factors for myopia and their influence on the progression of myopia in schoolchildren in Taiwan. Design: Patients’ clinical records were obtained retrospectively from ophthalmologists. Questionnaires were given to collect demographic information, family background, hours spent on daily activities, myopia progression, and treatment methods. Participants: From a regional medical hospital in northern Taiwan, 522 schoolchildren with myopia participated in the study. Written informed consent was obtained from participants of legal age or the parents or legal guardians of younger children. Methods: Multivariable regression analyses were performed. Myopia measured in cycloplegic spherical equivalent (SE) was analysed, controlling for patients’ family and demographic information as well as their daily activity behaviours. Main Outcome Results: Children with high myopic parents were more myopic. Earlier onset age of myopia was associated with a higher level of myopia and greater annual myopic progression. Children reporting longer time usage of electronic devices had greater progression of myopia. Boys tended to be more myopic than girls. Lower levels of myopia were associated with more outdoor activities, and better vision care knowledge in children and parents. Conclusions and Relevance: In addition to genetics, education and environment can influence the development of myopia. Health policies for schoolchildren should promote protective activities and vision care knowledge at a young age, to protect the eyesight of schoolchildren.

Suggested Citation

  • Han-Chih Cheng & Koyin Chang & Elizabeth Shen & Kai-Shin Luo & Yung-Hsiang Ying, 2020. "Risk Factors and Behaviours of Schoolchildren with Myopia in Taiwan," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:1967-:d:333484
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    References listed on IDEAS

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    1. Weizhong Lan & Feng Zhao & Lixia Lin & Zhen Li & Junwen Zeng & Zhikuan Yang & Ian G Morgan, 2013. "Refractive Errors in 3–6 Year-Old Chinese Children: A Very Low Prevalence of Myopia?," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-8, October.
    2. Hui‐Chu Lang & Koyin Chang & Yung‐Hsiang Ying, 2012. "Quality Of Life, Treatments, And Patients' Willingness To Pay For A Complete Remission Of Cervical Cancer In Taiwan," Health Economics, John Wiley & Sons, Ltd., vol. 21(10), pages 1217-1233, October.
    3. Yi-Ting Chen & Yung-Hsiang Ying & Koyin Chang & Ya-Hui Hsieh, 2016. "Study of Patients’ Willingness to Pay for a Cure of Chronic Obstructive Pulmonary Disease in Taiwan," IJERPH, MDPI, vol. 13(3), pages 1-14, March.
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    Cited by:

    1. Huihui Zhou & Xiaoxia Bai, 2023. "A Review of the Role of the School Spatial Environment in Promoting the Visual Health of Minors," IJERPH, MDPI, vol. 20(2), pages 1-26, January.

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