1Department of Aerospace Hygiene, Fourth Military Medical University, Xi'an 710032, China; 2Pilot Medical Selection Center, Air Force Medical Center, Beijing 100142, China; 3Department of Physical Examination, Cadet Bureau of People'e Liberation Army Air Force, Beijing 100195, China; 4Out-patient Department, Aviation University of the Air Force, Changchun 130022, China
Abstract:Objective: To illustrate the refractive changes and the prevalence of myopia among students in the Air Force Teenagers Aviation School during four different study periods. Methods: This was a cross-sectional investigation. Stratified cluster sampling was conducted among the students in the ultimate selection period, grade 1, grade 2 and grade 3 of high school. A total of 567 students were enrolled. All students underwent comprehensive ocular examinations. A spherical equivalent (SE) of <-0.5 D was defined as the refractive disqualification. A Kruskal-Wallis test, trend test and logistic regression were used for statistical analysis. Results: A total of 548 students were enrolled after disqualifications. The SE of students in the ultimate selection, grade 1, grade 2 and grade 3 was 0.31±0.34 D (n=400 eyes), 0.20±0.39 D (n=320 eyes), 0.06±0.42 D (n=262 eyes), -0.10±0.49 D (n=114 eyes), respectively. The overall differences among these four time periods were statistically significant (F=43.12, P<0.001). A trend test indicated a decreasing tendency in SE from the ultimate selection stage to grade 3 (F=230.59, P<0.001). The prevalence of myopia was 0% in grade 1, 7.6% in grade 2, and 21.0% in grade 3. The prevalence of myopia showed a yearly tendency to increase (P<0.001). Logistic regression analysis indicated that age (OR=2.42, 95%CI 1.70-3.45, P<0.001) and a reading distance less than 30 cm (OR=2.80, 95%CI 1.03-7.66, P=0.045) were significantly associated with defective refraction. Conclusions: The refractive state of students in the Air Force Teenagers Aviation School shows a tendency to decrease by the year and the prevalence of myopia shows a tendency to increase by the year. Age and a shorter reading distance might be the risk factors for defective refraction.
姚璐, 齐林嵩, 王雪峰, 杨庆红, 田锐, 常耀明, 邹志康. 548例空军青少年航空学校学生屈光度抽样调查[J]. 中华眼视光学与视觉科学杂志, 2019, 21(2): 135-140.
Lu Yao, Linsong Qi, Xuefeng Wang, Qinghong Yang, Rui Tian, Yaoming Chang, Zhikang Zou. A Sampling Survey of the Refractive Changes in 548 Students at the Air Force Teenagers Aviation School. Chinese Journal of Optometry Ophthalmology and Visual science, 2019, 21(2): 135-140. DOI: 10.3760/cma.j.issn.1674-845X.2019.02.010
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