TY - JOUR
T1 - A Nationwide Study of Myopia in Taiwanese School Children
T2 - Family, Activity, and School-Related Factors
AU - Holton, Valerie
AU - Hinterlong, James E.
AU - Tsai, Ching Yao
AU - Tsai, Jen Chen
AU - Wu, Jia Shan
AU - Liou, Yiing Mei
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2021/4
Y1 - 2021/4
N2 - The purpose of the study was to explore how fixed and modifiable family, activity, and school factors affect a student’s myopia risk and severity. We used national cross-sectional data from Taiwanese children in Grades 4–6. Bivariate and multivariate analyses, including logistic and ordinary least squares regression, examined factors related to children’s myopia status and severity. Age, parent myopia, and school district were associated with risk of myopia. One hour or more per day of near work (OR = 1.26) increased the odds of myopia. The same amount of time in outdoor activities (OR = 0.85) or moderate or vigorous physical activities (OR = 0.82) was associated with lower risk. Near work (β = 0.06), outdoor activity (β = −0.04), and outdoor recess (β = −0.03) predicted myopia severity. To promote healthy vision, nurses should advocate for and implement interventions that increase school children’s time outdoors and in physical activities and reduce their time on near work.
AB - The purpose of the study was to explore how fixed and modifiable family, activity, and school factors affect a student’s myopia risk and severity. We used national cross-sectional data from Taiwanese children in Grades 4–6. Bivariate and multivariate analyses, including logistic and ordinary least squares regression, examined factors related to children’s myopia status and severity. Age, parent myopia, and school district were associated with risk of myopia. One hour or more per day of near work (OR = 1.26) increased the odds of myopia. The same amount of time in outdoor activities (OR = 0.85) or moderate or vigorous physical activities (OR = 0.82) was associated with lower risk. Near work (β = 0.06), outdoor activity (β = −0.04), and outdoor recess (β = −0.03) predicted myopia severity. To promote healthy vision, nurses should advocate for and implement interventions that increase school children’s time outdoors and in physical activities and reduce their time on near work.
KW - elementary
KW - exercise
KW - genetics
KW - health/wellness
KW - quantitative research
KW - screening/risk identification
UR - http://www.scopus.com/inward/record.url?scp=85067805794&partnerID=8YFLogxK
U2 - 10.1177/1059840519850619
DO - 10.1177/1059840519850619
M3 - Article
C2 - 31195919
AN - SCOPUS:85067805794
SN - 1059-8405
VL - 37
SP - 117
EP - 127
JO - Journal of School Nursing
JF - Journal of School Nursing
IS - 2
ER -