Article(id=1320438245041746822, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438244077056901, articleNumber=null, orderNo=null, doi=10.11847/zgggws1147099, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1739462400000, receivedDateStr=2025-02-14, revisedDate=1757952000000, revisedDateStr=2025-09-16, acceptedDate=1764000000000, acceptedDateStr=2025-11-25, onlineDate=1792746610173, onlineDateStr=2026-10-23, pubDate=1781020800000, pubDateStr=2026-06-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792746610173, onlineIssueDateStr=2026-10-23, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792746610173, creator=13701087609, updateTime=1792746610173, updator=13701087609, issue=Issue{id=1320438244077056901, tenantId=1146029695717560320, journalId=1319373219989389464, year='2026', volume='42', issue='6', pageStart='641', pageEnd='768', issueExtLink='null', onlineDate='null', pubDate='1781020800000', pubDateStr='2026-06-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792746609943, creator='13701087609', updateTime=1792748036545, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1320444227734065468, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438244077056901, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1320444227734065469, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438244077056901, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=659, endPage=664, ext={EN=ArticleExt(id=1320438245570229128, articleId=1320438245041746822, tenantId=1146029695717560320, journalId=1319373219989389464, language=EN, title=Conditions of glasses wearing and vision correction among primary and secondary school students in Henan province: a cross-sectional survey, 2023, columnId=1320438245473760135, journalTitle=Chinese Journal of Public Health, columnName=Special Report—Focus on Child and Adolescent Health, runingTitle=null, highlight=null, articleAbstract=
Objective

To investigate the conditions of glasses wearing and vision correction among primary and secondary school students in Henan province, thus providing a theoretical basis for the prevention and control of myopia.

Methods

From September to October 2023, a stratified cluster sampling method was adopted to select 351 497 primary and secondary school students from 158 counties and districts in Henan province for vision screening and questionnaire surveys. The vision correction condition was analyzed according to different demographic characteristics and influencing factors.

Results

In 2023, the glasses-wearing rate among primary and secondary school students in Henan province was 30.24% (106 292/351 497). The rate among girls was 33.63% (56 473/167 906), which was higher than that among boys at 27.14% (49 819/183 591). The rate in urban areas was 33.35% (44 597/133 707), higher than that in suburban and rural areas at 28.33% (61 695/217 790). The glasses-wearing rate showed an increasing trend as the phase of studying increased (P < 0.05). Among students with myopia, 50.34% (101 948/202 518) had their vision corrected with glasses, while the rate of uncorrected or undercorrected vision reached 64.42% (130 469/202 518). The rate of uncorrected or undercorrected vision was higher among boys at 65.71% (65 789/100 113) than among girls at 63.16% (64 680/102 405). It was also higher in suburban and rural areas at 65.53% (80 322/122 579) than in urban areas at 62.73% (50 147/79 939). The rate of uncorrected or undercorrected vision showed a decreasing trend as the phase of studying increased (P < 0.05). Logistic regression analysis showed that self-assessment of no myopia (OR = 3.940, 95%CI: 3.122–4.973), sometimes wearing glasses (OR = 2.157, 95%CI: 2.090–2.227), never wearing glasses (OR = 2.592, 95%CI: 2.488–2.701) were associated with an increased rate of uncorrected or undercorrected vision among myopic students. In contrast, visual acuity examination 1–2 times (OR=0.593, 95%CI: 0.557–0.631) and 3 times or more (OR=0.494, 95%CI: 0.462–0.529) in the past year, optometry only (OR = 0.616, 95%CI: 0.586–0.648), pupil dilation exam only (OR = 0.733, 95%CI: 0.669–0.797), optometry and pupil dilation exam (OR = 0.593, 95%CI: 0.563–0.624) before optometry were associated with an decreased rate of uncorrected or undercorrected vision among myopic students.

Conclusions

The glasses-wearing rate is not high among primary and secondary schools in Henan province, while the rate of uncorrected or undercorrected vision is high among in myopic students. It is necessary to strengthen the publicity and education of scientific vision correction.

, authors=Fengming XU, Liru WANG, Jingjing LIU, Fengjuan LI, Xu WANG, Yanxin WANG, Shufang ZHANG, Dacheng GUO, authorsList=Fengming XU, Liru WANG, Jingjing LIU, Fengjuan LI, Xu WANG, Yanxin WANG, Shufang ZHANG, Dacheng GUO, authorCompany=null, correspAuthors=Fengming XU, authorNote=null, correspAuthorsNote=
XU Fengming, E-mail:
, copyrightStatement=Copyright © 2026 Chinese Journal of Public Health. All rights reserved., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1320438247990342541, articleId=1320438245041746822, tenantId=1146029695717560320, journalId=1319373219989389464, language=CN, title=河南省中小学生戴镜和视力矫正情况分析:一项2023年横断面调查, columnId=1320438247243756426, journalTitle=中国公共卫生, columnName=专题报道——关注儿童青少年健康, runingTitle=null, highlight=null, articleAbstract=
目的

了解河南省中小学生戴镜和视力矫正情况,为开展中小学生近视防控提供理论依据。

方法

于2023年9—10月,采取分层整群抽样方法在河南省158个县区选取351 497名中小学生进行视力筛查和问卷调查,分析不同人口学特征和影响因素下学生视力矫正情况。

结果

2023年河南省中小学生戴镜率为30.24%(106 292/351 497),其中女生戴镜率为33.63%(56 473/167 906),高于男生的27.14%(49 819/183 591);城区为33.35%(44 597/133 707),高于郊县的28.33%(61 695/217 790);戴镜率随学段呈上升趋势,差异均有统计学意义(P<0.05)。50.34%(101 948/202 518)的近视学生进行配镜矫正。视力未矫欠矫率达64.42%(130 469/202 518),其中男生未矫欠矫率为65.71%(65 789/100 113),高于女生的63.16%(64 680/102 405);郊县为65.53%(80 322/122 579),高于城区的62.73%(50 147/79 939);未矫欠矫率随学段呈下降趋势,差异均有统计学意义(P<0.05)。logistic回归分析显示,自认为不近视(OR=3.940,95%CI=3.122~4.973)、有时佩戴眼镜(OR=2.157,95%CI=2.090~2.227)、从不佩戴眼镜(OR=2.592,95%CI=2.488~2.701)与近视学生视力未矫欠矫率升高有关;近1年视力检查1~2次(OR=0.593,95%CI=0.557~0.631)和≥3次(OR=0.494,95%CI=0.462~0.529)、配镜前仅验光(OR=0.616,95%CI=0.586~0.648)、仅散瞳(OR=0.733,95%CI=0.669~0.797)以及验光和散瞳(OR=0.593,95%CI=0.563~0.624)与近视学生视力未矫欠矫率降低有关。

结论

河南省中小学戴镜率较低,但近视学生视力未矫欠矫率较高,应加强中小学生科学视力矫正的宣传教育。

, authors=许凤鸣*, *, 王丽茹, 刘晶晶, 李凤娟, 王旭, 王延鑫, 张书芳, 郭大城, authorsList=许凤鸣, 王丽茹, 刘晶晶, 李凤娟, 王旭, 王延鑫, 张书芳, 郭大城, authorCompany=null, correspAuthors=许凤鸣, authorNote=

许凤鸣(1993—),主管医师,硕士,研究方向:儿童青少年健康

, correspAuthorsNote=
许凤鸣,E-mail:
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许凤鸣(1993—),主管医师,硕士,研究方向:儿童青少年健康

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许凤鸣(1993—),主管医师,硕士,研究方向:儿童青少年健康

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American Journal of Ophthalmology, 2007, 144(2): 307-309., articleTitle=null, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1320438248338469774, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438245041746822, xref=null, ext=[AuthorCompanyExt(id=1320438248351052687, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438245041746822, companyId=1320438248338469774, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China), AuthorCompanyExt(id=1320438248359441296, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438245041746822, companyId=1320438248338469774, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=河南省疾病预防控制中心,郑州 450016)])], figs=[ArticleFig(id=1320438254512485315, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438245041746822, language=EN, label=Tab.1, caption=

Glasses wearing conditions among primary and secondary school students in Henan province

, figureFileSmall=null, figureFileBig=null, tableContent=
特征组别总人数总戴镜情况框架眼镜隐形眼镜角膜塑形镜χ2/χ2趋P值
人数率/%人数率/%人数率/%人数率/%
性别男生183 59149 81927.1449 46626.94220.013310.181 755.283<0.001
女生167 90656 47333.6355 87233.281690.104320.26
城乡城区133 70744 59733.3543 88932.82880.076200.46992.247<0.001
郊县217 79061 69528.3361 44928.211030.051430.07
学段小学低年级95 9754 8775.084 8355.0400.00420.0468 938.137<0.001
小学高年级98 09421 83222.2621 57521.993<0.012540.26
初中96 26741 50443.1141 19442.79630.072470.36
高中61 16139 07962.2637 73461.701250.202200.36
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河南省中小学生戴镜情况

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特征组别总人数总戴镜情况框架眼镜隐形眼镜角膜塑形镜χ2/χ2趋P值
人数率/%人数率/%人数率/%人数率/%
性别男生183 59149 81927.1449 46626.94220.013310.181 755.283<0.001
女生167 90656 47333.6355 87233.281690.104320.26
城乡城区133 70744 59733.3543 88932.82880.076200.46992.247<0.001
郊县217 79061 69528.3361 44928.211030.051430.07
学段小学低年级95 9754 8775.084 8355.0400.00420.0468 938.137<0.001
小学高年级98 09421 83222.2621 57521.993<0.012540.26
初中96 26741 50443.1141 19442.79630.072470.36
高中61 16139 07962.2637 73461.701250.202200.36
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Vision correction with glasses among myopic primary and secondary school students in Henan province

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特征组别近视人数配镜矫正χ2/χ2趋值P值未矫欠矫χ2/χ2趋值P值
人数率/%人数率/%
性别男生100 11347 72747.67563.362<0.00165 78965.71144.046<0.001
女生102 40554 22152.9564 68063.16
城乡城区79 93942 58953.28455.610<0.00150 14762.73164.934<0.001
郊县122 57959 35948.4380 32265.53
学段小学低年级21 9443 60616.4322 398.093<0.00119 50588.8914 398.533<0.001
小学高年级54 59820 72537.9640 47174.13
初中72 86340 30855.3244 97361.72
高中53 11337 30970.2425 52048.05
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河南省近视中小学生配镜矫正情况

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特征组别近视人数配镜矫正χ2/χ2趋值P值未矫欠矫χ2/χ2趋值P值
人数率/%人数率/%
性别男生100 11347 72747.67563.362<0.00165 78965.71144.046<0.001
女生102 40554 22152.9564 68063.16
城乡城区79 93942 58953.28455.610<0.00150 14762.73164.934<0.001
郊县122 57959 35948.4380 32265.53
学段小学低年级21 9443 60616.4322 398.093<0.00119 50588.8914 398.533<0.001
小学高年级54 59820 72537.9640 47174.13
初中72 86340 30855.3244 97361.72
高中53 11337 30970.2425 52048.05
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Vision correction conditions of myopic students of different age groups in Henan province

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年龄/岁近视人数戴镜情况未矫欠矫
人数占比/%人数占比/%
6~3 6792597.043 52395.76
7~6 63484712.776 05691.26
8~9 4372 02521.468 06885.49
9~14 2544 08928.6911 44480.29
10~17 5876 45736.7113 24175.29
11~21 4399 15942.7215 15070.67
12~22 52511 27850.0714 58164.73
13~24 15313 26054.9015 05562.33
14~25 64215 04858.6815 25959.52
15~21 03414 02266.6610 66850.72
16~17 93912 62470.378 55647.69
17~14 53510 34571.177 04548.47
18~3 3012 29569.521 63349.47
19~36024066.6719052.78
合计202 518101 94850.34130 46964.42
), ArticleFig(id=1320438258438353864, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438245041746822, language=CN, label=表3, caption=

河南省各年龄组近视学生视力矫正情况

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年龄/岁近视人数戴镜情况未矫欠矫
人数占比/%人数占比/%
6~3 6792597.043 52395.76
7~6 63484712.776 05691.26
8~9 4372 02521.468 06885.49
9~14 2544 08928.6911 44480.29
10~17 5876 45736.7113 24175.29
11~21 4399 15942.7215 15070.67
12~22 52511 27850.0714 58164.73
13~24 15313 26054.9015 05562.33
14~25 64215 04858.6815 25959.52
15~21 03414 02266.6610 66850.72
16~17 93912 62470.378 55647.69
17~14 53510 34571.177 04548.47
18~3 3012 29569.521 63349.47
19~36024066.6719052.78
合计202 518101 94850.34130 46964.42
), ArticleFig(id=1320438258513851337, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438245041746822, language=EN, label=Tab.4, caption=

Single factor analysis of myopia correction with glasses among primary and secondary school students in Henan province

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特征调查人数配镜矫正χ2值P值未矫欠矫χ2值P值
人数占比/%人数占比/%
父母近视情况
 至少有1个人近视102 83851 78450.351 722.053<0.00165 35663.55476.940<0.001
 都不近视75 17345 30760.2743 93958.45
近1年视力检查次数
 0次18 3476 29234.293 725.775<0.00114 33978.48
 1~2次118 37065 70155.5072 08360.902 931.322<0.001
 ≥3次41 29425 09860.7822 81355.25
自我视力认知情况
 自认为近视118 22476 20064.4513 947.878<0.00164 39654.477 129.324<0.001
 自认为不近视59 78720 89134.9444 89975.10
日常戴镜情况
 一直佩戴43 98940 51792.1112 238.399<0.00115 53935.323 959.144<0.001
 有时佩戴25 30015 95363.0613 73354.28
 不戴镜13 2347 23854.698 11461.31
配镜前检查情况
 都没有8 4384 76956.522 397.348<0.0015 18761.471 063.350<0.001
 验光36 74829 30579.7515 97343.47
 散瞳2 9142 08371.481 48551.96
 散瞳和验光34 42327 55180.0414 74142.82
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河南省近视中小学生配镜矫正单因素分析

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特征调查人数配镜矫正χ2值P值未矫欠矫χ2值P值
人数占比/%人数占比/%
父母近视情况
 至少有1个人近视102 83851 78450.351 722.053<0.00165 35663.55476.940<0.001
 都不近视75 17345 30760.2743 93958.45
近1年视力检查次数
 0次18 3476 29234.293 725.775<0.00114 33978.48
 1~2次118 37065 70155.5072 08360.902 931.322<0.001
 ≥3次41 29425 09860.7822 81355.25
自我视力认知情况
 自认为近视118 22476 20064.4513 947.878<0.00164 39654.477 129.324<0.001
 自认为不近视59 78720 89134.9444 89975.10
日常戴镜情况
 一直佩戴43 98940 51792.1112 238.399<0.00115 53935.323 959.144<0.001
 有时佩戴25 30015 95363.0613 73354.28
 不戴镜13 2347 23854.698 11461.31
配镜前检查情况
 都没有8 4384 76956.522 397.348<0.0015 18761.471 063.350<0.001
 验光36 74829 30579.7515 97343.47
 散瞳2 9142 08371.481 48551.96
 散瞳和验光34 42327 55180.0414 74142.82
), ArticleFig(id=1320438258698400715, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438245041746822, language=EN, label=Tab.5, caption=

Logistic regression analysis of uncorrected and undercorrected vision among myopic students

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自变量参照组β $ S_{\overline{x}} $Wald χ2值P值OR值95%CI
近1年视力检查次数0次1.000
 1~2次−0.5230.032267.257<0.0010.5930.557~0.631
 ≥3次−0.7050.034423.668<0.0010.4940.462~0.529
视力自我认知情况自认为近视1.000
 自认为不近视1.3710.119133.328<0.0013.9403.122~4.973
日常戴镜情况一直戴镜1.000
 有时戴0.7690.0162 230.693<0.0012.1572.090~2.227
 从不戴0.9530.0212 059.267<0.0012.5922.488~2.701
配镜前检查情况未检查1.000
 验光−0.4840.026350.374<0.0010.6160.586~0.648
 散瞳−0.3140.04549.392<0.0010.7300.669~0.797
 验光和散瞳−0.5230.026403.623<0.0010.5930.563~0.624
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近视学生视力未矫欠矫logistic回归分析

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自变量参照组β $ S_{\overline{x}} $Wald χ2值P值OR值95%CI
近1年视力检查次数0次1.000
 1~2次−0.5230.032267.257<0.0010.5930.557~0.631
 ≥3次−0.7050.034423.668<0.0010.4940.462~0.529
视力自我认知情况自认为近视1.000
 自认为不近视1.3710.119133.328<0.0013.9403.122~4.973
日常戴镜情况一直戴镜1.000
 有时戴0.7690.0162 230.693<0.0012.1572.090~2.227
 从不戴0.9530.0212 059.267<0.0012.5922.488~2.701
配镜前检查情况未检查1.000
 验光−0.4840.026350.374<0.0010.6160.586~0.648
 散瞳−0.3140.04549.392<0.0010.7300.669~0.797
 验光和散瞳−0.5230.026403.623<0.0010.5930.563~0.624
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河南省中小学生戴镜和视力矫正情况分析:一项2023年横断面调查
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许凤鸣 *, * , 王丽茹 , 刘晶晶 , 李凤娟 , 王旭 , 王延鑫 , 张书芳 , 郭大城
中国公共卫生 | 专题报道——关注儿童青少年健康 2026,42(6): 659-664
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中国公共卫生 |专题报道——关注儿童青少年健康 2026 , 42 (6) : 659 -664
河南省中小学生戴镜和视力矫正情况分析:一项2023年横断面调查
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许凤鸣*, * , 王丽茹, 刘晶晶, 李凤娟, 王旭, 王延鑫, 张书芳, 郭大城
作者信息
  • 河南省疾病预防控制中心,郑州 450016
通讯作者:
许凤鸣,E-mail:
作者简介:

许凤鸣(1993—),主管医师,硕士,研究方向:儿童青少年健康

Conditions of glasses wearing and vision correction among primary and secondary school students in Henan province: a cross-sectional survey, 2023
Fengming XU , Liru WANG, Jingjing LIU, Fengjuan LI, Xu WANG, Yanxin WANG, Shufang ZHANG, Dacheng GUO
Affiliations
  • Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China
  • Corresponding Author:
    XU Fengming, E-mail:
出版时间: 2026-06-10 doi: 10.11847/zgggws1147099
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目的

了解河南省中小学生戴镜和视力矫正情况,为开展中小学生近视防控提供理论依据。

方法

于2023年9—10月,采取分层整群抽样方法在河南省158个县区选取351 497名中小学生进行视力筛查和问卷调查,分析不同人口学特征和影响因素下学生视力矫正情况。

结果

2023年河南省中小学生戴镜率为30.24%(106 292/351 497),其中女生戴镜率为33.63%(56 473/167 906),高于男生的27.14%(49 819/183 591);城区为33.35%(44 597/133 707),高于郊县的28.33%(61 695/217 790);戴镜率随学段呈上升趋势,差异均有统计学意义(P<0.05)。50.34%(101 948/202 518)的近视学生进行配镜矫正。视力未矫欠矫率达64.42%(130 469/202 518),其中男生未矫欠矫率为65.71%(65 789/100 113),高于女生的63.16%(64 680/102 405);郊县为65.53%(80 322/122 579),高于城区的62.73%(50 147/79 939);未矫欠矫率随学段呈下降趋势,差异均有统计学意义(P<0.05)。logistic回归分析显示,自认为不近视(OR=3.940,95%CI=3.122~4.973)、有时佩戴眼镜(OR=2.157,95%CI=2.090~2.227)、从不佩戴眼镜(OR=2.592,95%CI=2.488~2.701)与近视学生视力未矫欠矫率升高有关;近1年视力检查1~2次(OR=0.593,95%CI=0.557~0.631)和≥3次(OR=0.494,95%CI=0.462~0.529)、配镜前仅验光(OR=0.616,95%CI=0.586~0.648)、仅散瞳(OR=0.733,95%CI=0.669~0.797)以及验光和散瞳(OR=0.593,95%CI=0.563~0.624)与近视学生视力未矫欠矫率降低有关。

结论

河南省中小学戴镜率较低,但近视学生视力未矫欠矫率较高,应加强中小学生科学视力矫正的宣传教育。

中小学生  /  视力矫正  /  戴镜情况  /  河南省
Objective

To investigate the conditions of glasses wearing and vision correction among primary and secondary school students in Henan province, thus providing a theoretical basis for the prevention and control of myopia.

Methods

From September to October 2023, a stratified cluster sampling method was adopted to select 351 497 primary and secondary school students from 158 counties and districts in Henan province for vision screening and questionnaire surveys. The vision correction condition was analyzed according to different demographic characteristics and influencing factors.

Results

In 2023, the glasses-wearing rate among primary and secondary school students in Henan province was 30.24% (106 292/351 497). The rate among girls was 33.63% (56 473/167 906), which was higher than that among boys at 27.14% (49 819/183 591). The rate in urban areas was 33.35% (44 597/133 707), higher than that in suburban and rural areas at 28.33% (61 695/217 790). The glasses-wearing rate showed an increasing trend as the phase of studying increased (P < 0.05). Among students with myopia, 50.34% (101 948/202 518) had their vision corrected with glasses, while the rate of uncorrected or undercorrected vision reached 64.42% (130 469/202 518). The rate of uncorrected or undercorrected vision was higher among boys at 65.71% (65 789/100 113) than among girls at 63.16% (64 680/102 405). It was also higher in suburban and rural areas at 65.53% (80 322/122 579) than in urban areas at 62.73% (50 147/79 939). The rate of uncorrected or undercorrected vision showed a decreasing trend as the phase of studying increased (P < 0.05). Logistic regression analysis showed that self-assessment of no myopia (OR = 3.940, 95%CI: 3.122–4.973), sometimes wearing glasses (OR = 2.157, 95%CI: 2.090–2.227), never wearing glasses (OR = 2.592, 95%CI: 2.488–2.701) were associated with an increased rate of uncorrected or undercorrected vision among myopic students. In contrast, visual acuity examination 1–2 times (OR=0.593, 95%CI: 0.557–0.631) and 3 times or more (OR=0.494, 95%CI: 0.462–0.529) in the past year, optometry only (OR = 0.616, 95%CI: 0.586–0.648), pupil dilation exam only (OR = 0.733, 95%CI: 0.669–0.797), optometry and pupil dilation exam (OR = 0.593, 95%CI: 0.563–0.624) before optometry were associated with an decreased rate of uncorrected or undercorrected vision among myopic students.

Conclusions

The glasses-wearing rate is not high among primary and secondary schools in Henan province, while the rate of uncorrected or undercorrected vision is high among in myopic students. It is necessary to strengthen the publicity and education of scientific vision correction.

primary and secondary school students  /  vision correction  /  glasses wearing condition  /  Henan province
许凤鸣, 王丽茹, 刘晶晶, 李凤娟, 王旭, 王延鑫, 张书芳, 郭大城. 河南省中小学生戴镜和视力矫正情况分析:一项2023年横断面调查. 中国公共卫生, 2026 , 42 (6) : 659 -664 . DOI: 10.11847/zgggws1147099
Fengming XU, Liru WANG, Jingjing LIU, Fengjuan LI, Xu WANG, Yanxin WANG, Shufang ZHANG, Dacheng GUO. Conditions of glasses wearing and vision correction among primary and secondary school students in Henan province: a cross-sectional survey, 2023[J]. Chinese Journal of Public Health, 2026 , 42 (6) : 659 -664 . DOI: 10.11847/zgggws1147099
近视已成为全球公共卫生问题,研究估计2050年近视人口将达47.58亿,占世界人口的49.8%[1]。我国儿童青少年近视处于高流行态势,目前儿童青少年近视问题受到全社会的关注和重视[2]。近视是不可逆的,且高度近视常伴有视网膜脱落、青光眼、白内障等并发症,严重者甚至致盲[3]。佩戴眼镜是矫正屈光不正的首选方法,近视防治指南建议12岁以下,尤其是初次验光,或有远视、斜弱视和较大散光者应当进行睫状肌麻痹验光,可提高眼镜矫正的准确性和改善眼疲劳情况[4]。但全世界尚有60%的近视儿童青少年并未合理矫正,视力正确矫正情况不容乐观[5–6]。为了解河南省中小学生戴镜和视力矫正情况,本研究于2023年9—10月采取分层整群抽样方法在河南省158个县区选取351 497名中小学生进行视力筛查和问卷调查,分析不同人口学特征和影响因素下学生视力矫正情况,为开展中小学生近视防控提供实证依据。结果报告如下。
采用分层整群抽样方法,于2023年9—10月,按河南省所有行政区划共158个县区,城区抽取小学、初中和高中各2所,郊县抽取小学和初中各2所、高中1所;以班级为单位,每个年级至少抽取80名学生。共抽取中小学生351 966人,剔除无效数据,共调查学生351 497人,有效率为99.87%,其中筛查近视学生202 518人。本研究经河南省疾病预防控制中心伦理委员会批准(批件号:2022–KY–011–02)。调查前均取得学生及其法定监护人的同意并签署知情同意书。
根据国家学生常见病监测方案要求,由河南省各级疾病预防控制(简称疾控)中心或医疗机构入校进行学生视力筛查和问卷调查。(1)视力检查:视力筛查人员为具有眼科相关的国家执业医师、技师、护士资格证书人员,经统一培训并考核通过后,方可进行相关工作。根据《中小学生屈光不正筛查规范》[7],远视力检查统一采用符合GB/T 11533要求的5 m标准对数表,屈光检测采用符合ISO 10342要求的台式电脑验光仪。远视力检查时,筛查人员要提示不得眯眼、偷看、揉眼、斜视、身体前倾,或接受他人提示;屈光检测在非睫状肌麻痹状态下进行,受检者每只眼测量3次,取平均值,若任意2次的球镜度数测量值相差≥0.50 D,应增加测量次数再取平均值。(2)问卷调查:采用中国疾病预防控制中心统一编制的《学生近视及影响因素专项调查表》,调查人员经统一培训,使用统一的指导语讲解本次调查的目的、意义和填写要求等,由学生在学校机房通过河南省学生常见病监测平台进行线上问卷作答。调查内容包括一般人口学特征(性别、居住地、年级)、父母近视情况、视力检查情况、日常戴镜情况以及配镜检查情况等。
根据《中小学生屈光不正筛查规范》[7],近视判定标准为裸眼远视力<5.0且非睫状肌麻痹下电脑验光等效球镜度数(SE)<−0.5 D,凡单眼判定为近视者即计入近视人数;同时,佩戴角膜塑形镜的受检者计为近视人数。本文将近视但未佩戴眼镜的学生定义为未矫;根据《儿童青少年近视防控适宜技术指南(更新版)》 [8]筛查流程,>6岁已佩戴眼镜的学生戴镜视力<4.9定义为欠矫,本文将两者合称为未矫欠矫。
每日筛查前,采用标准模拟眼进行仪器校正,并将柱镜值调至负值状态屈光检测。每天检测过程中,随机抽取5%的学生对其左右眼裸眼视力、戴镜视力和等效球镜度数进行复测,裸眼视力和戴镜视力误差<1行,等效球镜度数误差<0.50 D,每日要求误差率<5%。调查问卷统一使用河南省学生常见病监测系统的线上问卷,问卷设置质量控制逻辑值,避免漏填、误填。
使用SPSS 19.0软件进行分析。计数资料用例数和占比(%)表示,率的比较采用χ2检验,趋势检验采用χ2趋检验,多因素分析采用二分类logistic回归分析。检验水准为双侧α=0.05。
本次有效筛查中小学生351 497人,年龄为6~19岁,平均年龄为(11.73±3.26)岁;男生183 591人,占52.23%,女生167 906人,占47.77%;城区133 707人,占38.04%,郊县217 790人,占61.96%;小学生194 069人,占55.21%(一年级至三年级为小学低年级,共95 975人,占27.30%,四年级至六年级为小学高年级,共98 094人,占27.91%),初中生96 267人,占27.39%,高中生61 161人,占17.40%。
2023年河南省中小学生总体戴镜率为30.24%(106 292/351 497),其中框架眼镜率为29.97%(105 338/351 497),隐形眼镜率为0.05%(191/351 497),角膜塑形镜率为0.22%(763/351 497)。女生戴镜率为33.63%(56 473/167 906),高于男生的27.14%(49 819/183 591),城区学生戴镜率为33.35%(44 597/133 707),高于郊县学生的28.33%(61 695/217 790),差异均有统计学意义(P<0.05)。学生戴镜率随学段呈上升趋势,趋势检验差异有统计学意义(P<0.05)。
河南省中小学生近视配镜矫正率为50.34%(101 948/202 518),近视学生未矫欠矫率为64.42%(130 469/202 518),男生未矫欠矫率为65.71%(65 789/100 113),高于女生的63.16%(64 680/102 405);郊县学生未矫欠矫率为65.53%(80 322/122 579),高于城区的62.73%(50 147/79 939),差异均有统计学意义(P<0.05)。近视学生未矫欠矫率随学段呈下降趋势,趋势检验差异有统计学意义(P<0.05)。
河南省近视学生戴镜率6岁~组最低,为7.04%(259/3 679),且随年龄呈上升趋势(χ2趋=23 217.076,P<0.001);视力未矫欠矫率6岁~组最高,为95.8%(3 523/3 679),且随年龄呈下降趋势,趋势检验差异有统计学意义(χ2趋=14 073.153,P<0.001)。
以近视学生是否配镜矫正进行单因素分析。结果表明,不同父母近视情况、近1年视力检查次数、自我视力认知、日常戴镜和配镜前检查情况近视学生配镜矫正与未矫欠矫情况差异均有统计学意义(均P<0.05)。
以是否视力未矫欠矫为因变量(足矫=0,未矫欠矫=1),以配镜矫正单因素分析差异有统计学意义的因素作为自变量,调整性别、地区、学段和年龄等因素后,进行多因素logistic回归分析。结果显示,自认为不近视(OR=3.940,95%CI=3.122~4.973)、有时佩戴眼镜(OR=2.157,95%CI=2.090~2.227)、从不佩戴眼镜(OR=2.592,95%CI=2.488~2.701)与近视学生视力未矫欠矫率升高有关;近1年视力检查1~2次(OR=0.593,95%CI=0.557~0.631)和≥3次(OR=0.494,95%CI=0.462~0.529)、配镜前仅验光(OR=0.616,95%CI=0.586~0.648)、仅散瞳(OR=0.733,95%CI=0.669~0.797)以及验光和散瞳(OR=0.593,95%CI=0.563~0.624)与近视学生视力未矫欠矫降低有关。
本研究结果显示,2023年河南省中小学生总体戴镜率为30.24%,低戴镜率较于其他研究中学生视力不良高检出率(77.5%)有较大差距[9]。从戴镜类型来看,框架眼镜佩戴率接受程度较高,占99.10%。原因可能是角膜塑形镜是通过镜片机械压迫等作用,在短时期内降低近视度,是一种较好的视力矫正选择,但在佩戴方便性的优势不明显,且普及性和价格上不如框架眼镜[10]。学生戴镜率随学段的升高逐渐上升,可能与高年级学生近视程度加深以及学生自身和家长健康知识的积累有关[11]。
本研究显示,河南省近视中小学生戴镜率为50.34%,高于安徽省近视小学生戴镜水平(25.19%)[12],与北京市大兴区近视学生戴镜率(47.08%)[13]相近,低于西部两省视力不良学生戴镜水平(65.4%)[14]。相关研究显示,无论是学生还是家长均存在对科学配镜认知不足的问题,认为近视后戴眼镜会加重近视,还有传统文化和美观因素的影响[15–16]。实际上,近视患者若不及时矫正视力,会导致眼睛长期处于调节紧张状态,反而会使近视程度加深,正确佩戴眼镜可防止近视进一步发展;另外,佩戴不合适的眼镜会使调节性集合不足,可能诱发外斜视的发生[17]。本调查中,河南省近视中小学生视力未矫欠矫率高达64.42%,与安徽省、徐州市研究结果相类似,其欠矫率分别高达47.77%和39.77%[12,18]。男生未矫欠矫率高于女生,可能与女生更加关注自身视力健康状况有关;郊县学生高于城区,可能与偏远农村地区经济发展水平较低和配镜可获得性较低有关[14,19]。值得关注的是,低年龄学生未矫欠矫率远高于高年龄学生,6岁组近视学生未矫欠矫率高达95.76%。有关近视增长速度研究显示,近视增长速度随年龄呈近似“抛物线”形状,近视增长速度在10~15岁开始减慢,城区学生甚至在8岁左右就处于峰值状态[20]。因此,相关部门应更加关注低龄儿童的视力状况,定期开展视力监测,指导学生特别是低龄学生及时科学配镜矫正。
单因素分析中,近视学生视力未矫欠矫与父母近视情况有相关性,但未进入回归方程,而学生中自认为不近视的学生视力未矫欠矫率是自认为近视学生的3.940倍。通常认为近视父母会更关注孩子视力,但研究发现,父母掌握的眼保健及视力矫正知识,才是促使学生主动寻求视力健康服务、保护视力的关键因素,其影响远超单纯的关注[21]。另外,学生对自我视力认知情况也是促使他们寻求视力矫正的关键因素。因此,要帮助学生树立“每个人都是自身健康的第一责任人”意识,只有自身先意识到个人视力的问题,才会进一步采取干预和治疗措施。视力检查是发现视力问题的重要手段。本研究显示,近1年视力筛查1~2次、≥3次均与学生视力未矫欠矫率呈负相关。视力筛查能够及时有效地发现儿童的视力异常状况,可及时采取措施进行视力矫正[22]。儿童青少年睫状肌调节作用较强,长时间视近作业会引起暂时的假性近视,如果不进行调节放松直接验光,可能会导致屈光度数偏高,验光结果缺乏科学性[23]。本研究也显示配镜前进行验光和散瞳学生视力未矫欠矫率是未进行检查的0.593倍,也从侧面验证了上述结论。
综上所述,河南省中小学生戴镜率较低,近视学生未矫欠矫率较高,应引导学生科学矫正视力。对此,本研究建议如下:(1)视力监测要更加关注低年龄段儿童,及时发现近视高危群体,引导其尽早进行视力矫正,延缓近视发生发展。(2)建立并及时更新学生视力健康档案,对视力异常者提出个性化、针对性的干预措施。(3)加强视力矫正的健康教育,建议到正规医疗机构进行检查,并及时采取治疗措施。(4)强化学生的视力健康意识,主动关注自身视力变化,如有异常及时检查治疗。
本研究存在一定局限性:在分析影响学生视力欠矫因素时不够全面,忽略了如经济条件、教育资源分配不均等对视力矫正可能产生的影响,今后将进一步完善研究。

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2026年第42卷第6期
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doi: 10.11847/zgggws1147099
  • 接收时间:2025-02-14
  • 首发时间:2026-10-23
  • 出版时间:2026-06-10
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  • 收稿日期:2025-02-14
  • 修回日期:2025-09-16
  • 录用日期:2025-11-25
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    河南省疾病预防控制中心,郑州 450016

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许凤鸣,E-mail:
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2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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