江苏农村50岁以上人群的近视患病率及影响因素调查

A survey on prevalence and risk factors for myopia in people aged 50 and above living in rural Jiangsu

目的调查江苏2个县(区)农村50岁及以上的人群近视患病率及其影响因素。方法2010年,采用整群随机抽样方法对无锡滨湖区和盐城阜宁县12 867例50岁及以上人群进行问卷调查和眼部检查。采用Logistic回归分析受检者的近视和高度近视患病率及相关影响因素。结果9845例受检者资料纳入统计。其中,近视2931例(29.77%),高度近视394例(4.00%)。不同年龄、地区经济条件、文化程度、吸烟史和高血压史的受检者近视的患病率差异有统计学意义(P<0.05)。不同性别、饮酒史的受检者高度近视的患病率差异有统计学意义(P<0.05)。高龄、文化程度较高、经济条件较差是近视发生的危险因素;女性是高度近视发生的危险因素。结论江苏省50岁及以上人群的近视患病率较高。年龄、文化程度、经济条件是近视发生的主要影响因素。

Objective To investigate the prevalence and risk factors for myopia in people aged 50 and above living in rural Jiangsu. Methods With cluster sampling, a survey on prevalence and risk factors for myopia was performed in 12867 people aged ≥50 years old living in Funing County of Yancheng and Binhu district of Wuxi in Jiangsu in 2010. The prevalence and risk factors for myopia were analyzed by Logistic regression analysis. Results A total of 9845 individuals was included in the statistics,of whom 2931 cases（29. 77%） were with myopia and 394 cases（4. 00%） with severe myopia. There were statistical differences in the prevalence rate of myopia in age, educational level, regional economic condition, smoking and hypertension history （P〈0. 05）. The prevalence rate of severe myopia was significantly different in gender and alcohol drinking （P〈0. 05）. Old age, well education and poor economic condition were the risk factors for myopia. Female was a risk factor for severe myopia. Conclusion People aged 50 and above living in rural Jiangsu have a higher prevalence rate of myopia. Age, education and economic condition are the main factors for the occurrence of myopia.