我国4地区初中学生护眼健康素养现况及其与用眼相关行为的关联分析

Status of eye-care related health literacy among middle school students in four regions of China

目的 了解初中学生护眼健康素养现况及其对用眼相关生活行为习惯的影响,为提高初中学生视力健康水平提供参考依据。方法 采用分层整群抽样方法,在我国4地区抽取1560名初中学生进行护眼健康素养水平问卷调查,采用有序Logistic回归分析护眼健康素养对初中学生用眼相关生活行为习惯的影响。结果 我国4地区初中学生护眼健康素养具备率为67.9%。多因素Logistic回归分析结果显示,具备护眼动机(OR=1.564,95%CI:1.073~2.279)的初中学生每月平均课外纸质书籍阅读数量的比例多于不具备的初中学生;具备护眼知识(OR=0.686,95%CI:0.535~0.880)的初中学生在校期间每日平均户外活动时间的比例少于不具备的初中学生;具备护眼健康素养(OR=1.721,95%CI:1.284~2.307)的初中学生周末及假期每日平均户外活动时间的比例多于不具备的初中学生,具备护眼知识(OR=0.622,95%CI:0.493~0.785)的初中学生周末及假期每日平均户外活动时间的比例少于不具备的初中学生;具备护眼健康素养(OR=0.676,95%CI:0.504~0.907)、护眼动机(OR=0.704,95%CI:0.540~0.919)的初中学生周末及假期每日平均看电子屏幕时间的比例少于不具备的初中学生,具备护眼知识(OR=1.274,95%CI:1.009~1.609)、护眼技能(OR=1.446,95%CI:1.066~1.962)的初中学生周末及假期每日平均看电子屏幕时间的比例多于不具备的初中学生。结论 初中学生护眼健康素养水平较低,需进一步提升,护眼健康素养水平会影响青少年用眼相关生活行为习惯的选择。

Objective To understand the current status of eye care related health literacy and its impact on eye-related lifestyle habits among middle school students,and to provide a reference basis for improving middle school students'visual health.Methods Using stratified whole group sampling method,a total of 1560 middle school students in four regions of China were selected for the questionnaire survey of eye care related health literacy,and ordered logistic regression was used to analyze the influence of eye care health literacy on middle students'eye-related life habits.Results The prevalence of eye care health literacy among middle school students in four regions of China was 67.9%.The results of multifactor logistic regression analysis showed that the proportion of students who possessed eye care motivation(OR=1.564,95%Cl:1.073-2.279)in terms of the average read number of extracurricular paper books per month was greater than that of junior high school students who did not possess it.A smaller proportion of students with eye care literacy(OR=0.686,95%Cl:0.535-0.880)spent less time outdoors on average during the school day than school students without.A greater proportion of students with eye care health literacy(0R=1.721,95%Cl:1.284-2.307)spent more average outdoor time on weekends and vacations than students without.A smaller proportion of school students with eye care literacy(OR=0.622,95%Cl:0.493-0.785)spent less outdoor time on average on weekends and vacations than students without.A smaller proportion of students with eye care health literacy(OR=0.676,95%CI:0.504-0.907)and eye care motivation(OR=0.704,95%CI:0.540-0.919)spent less time looking at electronic screens on average per day on weekends and vacations than students who did not have it.A greater proportion of middle school students with eye care knowledge(OR=1.274,95%Cl:1.009-1.609)and eye care skills(0R=1.446,95%Cl:1.066-1.962)spent more average daily watching electronic screens time on weekends and vacations than middle school students who did not.Conclusion The level of eye care health literacy among middle school students needs to be further improved,and the level of eye care health literacy affects the choice of eye-related lifestyle habits among adolescents.