国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (20): 3503-3508.DOI: 10.3760/cma.j.issn.1007-1245.2024.20.031
上海市宝山区中小学生超重肥胖与视力不良流行趋势及其相关性研究
麦依依1 黄爱益1 赵海磊2 李光萍3 吉伟3 罗颖3 孙秀丽4 戎芬1
1上海中医药大学公共健康学院流行病与卫生统计学教研室,上海 201203;2上海中医药大学公共健康学院预防医学教研室,上海 201203;3上海市宝山区中西医结合医院健康管理中心,上海 201999;4上海中医药大学图书馆(杂志社),上海 201203
Prevalence and correlation between overweight and obesity and poor vision among primary and middle school students in Baoshan District, Shanghai
Mai Yiyi1, Huang Aiyi1, Zhao Hailei2, Li Guangping3, Ji Wei3, Luo Ying3, Sun Xiuli4, Rong Fen1
1 Department of Epidemiology and Health Statistics, School of Public Health, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; 2 Department of Preventive Medicine, School of Public Health, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; 3 Health Management Center, Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai 201999, China; 4 Library of Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
摘要:
目的 了解2013—2019年上海市宝山区中小学生超重肥胖和视力不良流行趋势及其相关性,为预防中小学生超重肥胖和视力不良提供依据。方法 基于2013—2019年上海市宝山区中小学生体检数据,选取资料完整的507 993名中小学生作为研究对象,其中男269 327人(53.0%)、女238 666人(47.0%),小学330 621人(65.0%)、初中131 796人(25.9%)、高中45 576人(8.9%)。分析中小学生超重肥胖和视力不良流行趋势及其相关性,趋势分析采用趋势卡方检验,组间比较采用Kruskal-Wallis H检验。结果 2013—2019年中小学生超重肥胖和视力不良检出率均呈上升趋势(均P<0.001)。小学生超重肥胖率[35.47%(117 272/330 621)]高于初中生[31.88%(42 010/131 796)]和高中生[27.39%(12 485/45 576)](P<0.001),男生超重肥胖率[40.37%(108 725/269 327)]高于女生[26.41%(63 042/238 666)](P<0.001)。高中生视力不良率[89.13%(40 623/45 576)]高于小学生[51.08%(168 877/330 621)]和初中生[79.72%(105 065/131 796)](P<0.001),女生视力不良率[64.02%(155 191/238 666)]高于男生[59.17%(159 374/269 327)](P<0.001)。小学生超重/肥胖者中度视力不良检出率较高[20.19%(11 173/55 343)、20.73%(12 833/61 919)],初中生和高中生超重/肥胖者重度视力不良检出率较高[初中生:51.70%(11 790/22 804),49.31%(9 471/19 206);高中生:69.86%(5 422/7 761),68.88%(3 254/4 724)]。结论 2013—2019年上海市宝山区中小学生超重肥胖和视力不良检出率呈上升趋势,且超重肥胖与视力不良存在相关性,应采取综合防控措施。