父母视力健康知识对子女寻求视力健康服务的影响

doi:10.3760/cma.j.cn115909-20190917-00250

Abstract
Figure/Table
References (17)
Related Citation (3)

Download: PDF (742 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS) Supporting Info

Guide

Abstract Objective: To study the impact that the cognitive level and knowledge of vision has on parents seeking vision health services for their children. This can provide a scientific basis for effectively preventing and controlling poor vision in students. Methods: This was a cross-sectional investigation. The study was based on the survey data of 5 236 students from 252 rural primary schools in Shaanxi and Gansu provinces. A multivariate logistic regression model was used to analyze the impact that varying knowledge and cognitive levels have on parents seeking vision health services for their children. Propensity matching was used to test the results for robustness. Results: Based on the overall sample of 5 236 students, the myopia rate among students in the sample area was as high as 46.31%, of which 74.54% of students had not undergone a vision exam. Of the 2 425 myopic students, only 15.09% wore eyeglasses. Parents had a big misunderstanding of vision problems. The correct answer rates for parents on visual health knowledge in the full sample and myopic samples were low, respectively. Logistic regression analysis indicated that parental knowledge of vision health has a significant impact on seeking vision health services for their children. Some misunderstandings included the following: Myopia and its causes (OR=1.15, 95%CI: 1.00-1.33, P=0.043; OR=1.20, 95%CI: 1.03-1.41, P=0.023), wearing glasses will make vision worse (OR=1.23, 95%CI: 1.06-1.46, P=0.007), students should check their eyesight (OR=1.40, 95%CI: 1.15-1.69, P=0.001) and students should not wear glasses (OR=1.05, 95%CI: 0.91-1.22, P<0.001). These misunderstandings have a significant effect on whether parents take their children for vision checkups. Parents know that myopia cannot see far away (OR=1.35, 95%CI: 1.04-1.76, P=0.024) and that learning is affected if myopes do not wear glasses (OR=1.54, 95%CI: 1.16-2.05, P=0.003) but feel that primary school students should not wear glasses (OR=1.61, 95%CI: 1.23-2.10, P=0.001). All of these factors have a significant effect on whether or not children wear glasses. Conclusions: Poor eyesight among students in rural areas of China has become a serious problem because parents have big misunderstandings about vision problems. Since parents make decisions for their children, their perceptions and knowledge of vision health can influence their behavior in seeking vision services for their children.

Key words： parental vision knowledge poor vision vision examination wearing

Received: 17 September 2019

PACS:

Fund: Higher Education Discipline Innovation (B16031); National Natural Science Foundation of ChinaYouth Science Foundation (71803107)

Corresponding Authors: Hongyu Guan, Center for Experimental Economics in Education, Shaanxi Normal University, Xi'an 710119, China (Email: hongyuguan0621@gmail.com)

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.cjoovs.com/EN/10.3760/cma.j.cn115909-20190917-00250 OR https://www.cjoovs.com/EN/Y2020/V22/I10/721

[1]	中华人民共和国国家卫生健康委员会. (2019-07-15). 健康中国行动(2019-2030).2019-07. http://www.nhc.gov.cn/wsxf/zcfg/ 201907/2a771d89e00e4b228028335d4fcf1a7d.shtml.
[2]	Congdon N, Wang Y, Song Y, et al. Visual disability, visual function, and myopia among rural Chinese secondary school children: The Xichang Pediatric Refractive Error Study (X-PRES)-report 1. Invest Ophthalmol Vis Sci, 2008, 49(7): 2888-2894. DOI: 10.1167/iovs.07-1160.
[3]	He M, Huang W, Zheng Y, et al. Refractive error and visual impairment in school children in rural southern China. Ophthalmology, 2007, 114(2): 374-382. DOI: 10.1016/ j.ophtha.2006.08.020.
[4]	Ma X, Zhou Z, Yi H, et al. Effect of providing free glasses on children's educational outcomes in China: Cluster randomized controlled trial. BMJ, 2014, 349: g5740. DOI: 10.1136/bmj. g5740.
[5]	Barroso SR, Paulino CV, Gregui Maria José Ferreira, et al. Prevalence of refractive errors and ocular disorders in preschool and school children of Ibipor-PR, Brazil (1989 to 1996). Arq Bras Oftalmol, 2001, 64(5): 379-384. DOI: 10.1590/s0004- 27492001000500002.
[6]	Sight test and glasses could dramatically improve the lives of 150 million people with poor vision. Indian J Med Sci, 2006, 60(11): 485-486. DOI: 10.1007/s00107-011-0556-9.
[7]	Esteso P, Castanon A, Toledo S, et al. Correction of moderate myopia is associated with improvement in self-reported visual functioning among Mexican school-aged children. Invest Ophthalmol Vis Sci, 2007, 48(11): 4949-4954. DOI: 10.1167/ iovs.07-0052.
[8]	Yi H, Zhang H, Ma X, et al. Impact of free glasses and a teacher incentive on children's use of eyeglasses: A cluster-randomized controlled trial. Am J Ophthalmol, 2015, 160(5): 889-896. DOI: 10.1016/j.ajo.2015.08.006.
[9]	段佳丽 , 王丽华 . 家长健康知识水平与其子女知、信、行的相关性. 中国学校卫生, 1998, 19(4): 308-309. DOI: CNKI:SUN:XIWS.0.1998-04-055.
[10]	寇洪德. 儿童青少年主要健康问题及应对策略. 世界最新医学信息文摘, 2016, 16(74): 180-181. DOI: 10.3969/ j.issn.1671-3141.2016.74.152.
[11]	蒋丹丹, 邓如芝, 郑冬冬. 低年级小学生家长文化程度和眼保健知识行为状况. 中国学校卫生, 2016, 37(10): 1473-1475. DOI: 10.16835/j.cnki.1000-9817.2016.10.010.
[12]	凌红, 谭晖, 汪玲. 上海市徐汇区小学生近视影响因素的多水平模型分析. 中国学校卫生, 2009, 30(6): 542-544. DOI: CNKI:SUN:XIWS.0.2009-06-032.
[13]	Camparini M, Cassinari P, Ferrigno L, et al. ETDRS-fast: Implementing psychophysical adaptive methods to standardized visual acuity measurement with ETDRS charts. Invest Ophthalmol Vis Sci, 2001, 42(6): 1226-1231. DOI: 10.1006/ exer.2000.0985.
[14]	刘建琼 , 杜玉开 , 杨莉华 , 等 . 武汉市中小学生视力状况分析 . 中国学校卫生 , 2011, 32(1): 73-74. DOI: CNKI:SUN:XIWS.0.2011-01-034.
[15]	Li T. Remedial education with incentivized peer-tutoring: Evidence from migrant children schools in China. The Developing Economies, 2012, 50(4): 334-350. DOI: 10.1111/ j.1746-1049.2012.00178.x.
[16]	Li L, Lam J, Lu Y, et al. Attitudes of students, parents, and teachers toward glasses use in rural China. Arch Ophthalmol, 2010, 128(6): 759-765. DOI: 10.1001/archophthalmol.2010.73.
[17]	Bai Y, Yi H, Zhang L, et al. An investigation of vision problems and the vision care system in rural China. Southeast Asian J Trop Med Public Health, 2014, 45(6): 1464-1473.