学校—学生—学业联动是打好儿童青少年近视防控攻坚战的基石

Coordinating school, student, and educational outcomes as foundation for myopia prevention and control in children and adolescents

中国政府发起了学生近视防控的攻坚战,制定了具体的阶段目标。但近视流行的病因远未阐明,受近端因素和远端因素影响,其核心的社会文化驱动因素是对学生学业成绩的重视,因而任重道远。站在人类进化视角下纵观近视发生发展的生物学、历史和文化因素,可以丰富对近视病因及其防控策略的认识,指导学校卫生实践。近视防控措施的推进需要被学校、家长和学生接受,以不影响学业为基本前提,户外活动可成为学校—学生—学业"三学"联动防控近视的结合点。

The Chinese government takes actions to tackle myopia in children and puts forward staged goals for those ac￣tions. Although the etiology continues to be elucidated there is a long way to go for effective myopia control in China as educational pressures are supposed to be the primary socio-cultural driving force in the development of myopia. Recognizing the role of biology history and culture in the prevalence of myopia this editorial provides further insight on etiology and justification for school health policy-making to control myopia from a modern evolutionarily perspective. With the goal of enhanced acceptability from school parents and students and with educational outcomes not affected outdoor play provides an effective means of multi-pronged pro gramme coordinating school student and educational outcomes to address myopia in China.