用微信和家长“聊天”,儿童近视率降五分之一?JAMA子刊:我国团队新发现

2022-09-16 MedSci原创 MedSci原创

新冠肺炎疫情期间,我国儿童近视发生发展情况日益严重,而通过移动平台(如微信)加强公众教育,改善家长对儿童近视防控的意识和行为,能够有效预防和控制儿童近视的发生发展。研究得到了广州市科技计划项目的资助。

近视是视力损害的常见原因,已成为全球范围内的重要公共卫生问题。我国儿童青少年近视患病率高达52.7%,保障儿童视力健康、积极做好儿童近视的早期防护工作已经成为社会各界高度关注的重要问题。

中山大学公共卫生学院卢次勇教授团队联合中山眼科中心杨晓教授团队在眼科领域Top期刊JAMA OphthalmologyIF=8.253,中科院一区)发表了两篇学术论文,卢次勇教授与杨晓教授为共同通讯作者。

预防近视重要的策略之一是加强公众教育以提高家长的意识,从而影响儿童的视力相关健康行为。微信作为我国最受欢迎的社交媒体之一,已经被广泛地应用于医学领域进行健康教育干预。以微信为载体进行健康教育具有易实施、低成本的优势,但我国尚缺乏研究探索基于微信平台的家庭健康教育能否防控儿童近视的发生发展。中山大学公共卫生学院卢次勇教授团队联合中山眼科中心杨晓教授团队,在广州市中小学卫生健康促进中心的支持下,于2018年至2022年期间,在广州市两个区的12所小学开展了一项整群随机对照试验,以评估基于微信平台的家庭健康教育对小学生近视发生发展的影响。

该研究纳入1525名一年级学生(对照组801名,干预组724名),经过两年基于微信平台的家庭健康教育后,干预组近视两年累积发生率比对照组低4.9%95% CI0.3%–9.5%);干预组等效球镜度数两年平均变化量比对照组低0.1495% CI0.06–0.22D

干预组学生家长对于儿童近视防控的态度和行为发生了显著改善,更多地规定了孩子的电子屏幕使用时间和时长;并且每周进行家庭户外活动超过2 的比例也显著高于对照组。

该研究团队也发现,新冠肺炎疫情期间, 中国学龄儿童近视的发生发展加速。该研究比较了疫情发生前后的两组学生在二年级升三年级期间的近视发生率、等效球镜度数和眼轴长度变化情况,暴露组为201911-12月和202011-12月接受眼科检查的学生(1054名),非暴露组为201811-12月和201911-12月接受眼科检查的学生(1060名)。

2018–2019年期间的数据相比,2019–2020年期间,研究对象近视发生率增加7.9%95% CI5.1%–10.6%),等效球镜度数变化量增加0.3695% CI0.32–0.41D,眼轴长度变化量增加0.0895% CI0.06–0.10mm

综上所述,新冠肺炎疫情期间,我国儿童近视发生发展情况日益严重,而通过移动平台(如微信)加强公众教育,改善家长对儿童近视防控的意识和行为,能够有效预防和控制儿童近视的发生发展。研究得到了广州市科技计划项目的资助。

原始出处

1.https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2784173

2.https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2784174

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    2022-11-14 lilianxiang
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    2022-09-18 smlt2014
  5. [GetPortalCommentsPageByObjectIdResponse(id=1695614, encodeId=2341169561402, content=<a href='/topic/show?id=c54d80554cb' target=_blank style='color:#2F92EE;'>#聊天#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80554, encryptionId=c54d80554cb, topicName=聊天)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8a4e29837926, createdName=lilianxiang, createdTime=Mon Nov 14 19:01:17 CST 2022, time=2022-11-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1921359, encodeId=628f1921359b2, content=<a href='/topic/show?id=6bfa58133ef' target=_blank style='color:#2F92EE;'>#新发现#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58133, encryptionId=6bfa58133ef, topicName=新发现)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Tue Aug 22 21:01:17 CST 2023, time=2023-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1707932, encodeId=90f41e07932ed, content=<a href='/topic/show?id=3cab9430393' target=_blank style='color:#2F92EE;'>#近视率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94303, encryptionId=3cab9430393, topicName=近视率)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0fe731510437, createdName=Shirley Xuan, createdTime=Sat Dec 24 16:01:17 CST 2022, time=2022-12-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589108, encodeId=8610158910837, content=<a href='/topic/show?id=753950491ed' target=_blank style='color:#2F92EE;'>#微信#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50491, encryptionId=753950491ed, topicName=微信)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e9417676193, createdName=smlt2014, createdTime=Sun Sep 18 01:01:17 CST 2022, time=2022-09-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1249338, encodeId=88c1124933884, content=<a href='/topic/show?id=46ce580e865' target=_blank style='color:#2F92EE;'>#新冠肺炎#</a>疫情期间,我国儿童<a href='/topic/show?id=a46a94293c9' target=_blank style='color:#2F92EE;'>#近视#</a>发生发展情况日益严重,而通过移动平台(如<a href='/topic/show?id=1e84103e7885' target=_blank style='color:#2F92EE;'>#**#</a>)加强<a href='/topic/show?id=8a0a29803db' target=_blank style='color:#2F92EE;'>#公众教育#</a>,改善家长对儿童<a href='/topic/show?id=6f0b943100c' target=_blank style='color:#2F92EE;'>#近视防控#</a>的意识和行为,能够有效预防和控制儿童近视的发生发展。 注意:不是强化用**,而是利用**进行防控教育!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58078, encryptionId=46ce580e865, topicName=新冠肺炎), TopicDto(id=94293, encryptionId=a46a94293c9, topicName=近视), TopicDto(id=103778, encryptionId=1e84103e7885, topicName=**), TopicDto(id=29803, encryptionId=8a0a29803db, topicName=公众教育), TopicDto(id=94310, encryptionId=6f0b943100c, topicName=近视防控)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/Random/55971dc507c93968175ce7cc1e177b372a83869f.jpg, createdBy=f63e4754896, createdName=小小医者, createdTime=Fri Sep 16 15:04:57 CST 2022, time=2022-09-16, status=1, ipAttribution=)]
    2022-09-16 小小医者

    #新冠肺炎#疫情期间,我国儿童#近视#发生发展情况日益严重,而通过移动平台(如#**#)加强#公众教育#,改善家长对儿童#近视防控#的意识和行为,能够有效预防和控制儿童近视的发生发展。 注意:不是强化用**,而是利用**进行防控教育!!

    0

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