Abstract:Objective: To evaluate the quality of life of school-age children and adolescents with myopia as well as that of their parents, and to investigate its determining factors. Methods: This is a perspective case control study. Three hundred thirty-five children and adolescents with myopia (myopic group) and 110 age-matched children with normal vision (control group) were enrolled to evaluate their quality of life using the QOL questionnaire about vision for primary and middle school students (QVSS). The quality of life of their parents was assessed using the Pedeyes Q questionnaire. Ocular history, such as visual acuity and degree of myopia as well as social demographic information were recorded. An independent samples t-test, one-way ANOVA analysis and multiple linear regression analysis were performed to analyze the variables studied. Results: The mean score of the QVSS was 95.90±8.37 in the myopic group, which was significantly lower than that in the control group which was 104.59±5.25 (t=5.73, P<0.001). Parents of children in the myopic group had lower scores on the Pedeyes Q questionnaire (46.85±13.61) than those in the control group (60.59±6.57), and the difference was statistically significant (t=6.32, P<0.001). Children with myopia who wore corrective glasses had a significantly lower score in the Physiological function subscale and Emotional function subscale than those who did not wear corrective glasses (t=2.17, P=0.034; t=2.31, P=0.024). Parents of children with myopia who wore corrective glasses had a lower Pedeyes Q score than those who did not (t=2.56, P=0.013). The results of multiple regression analysis suggested that family income was the main factor correlated with the total score of the scale (b=2.91, t=2.16, P=0.035), while the results of the Emotional subscale for children with myopia was mainly affected by family income and time spent in extracurricular art class (b=1.66, t=3.39, P=0.001; b=-3.19, t=-2.46, P=0.018). Time spent in extra-curricular cultural classes dominated the visual function and physical function dimensions score (b=-0.84, t=-2.05, P=0.045). Conclusions: Children and adolescents with myopia as well as their parents had a lower quality of life than those with emmetropia. Family economic status was a predominant factor influencing quality of life in children with myopia. Paying attention to quality of life may improve the cooperation of refractive correction.
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