枣庄市青少年筛查性近视及影响因素分析

Objective To investigate the current status and influencing factors of myopia among adolescents in Zaozhuang City. Methods In October 2025, using stratified sampling, adolescents aged 10 to 18 in Zaozhuang City were selected as survey subjects for vision examination and questionnaire survey. Multivariate Logistic regression analyses were conducted on the occurrence of myopia. Results A total of 2,170 adolescents in Zaozhuang City were surveyed, among whom 1,628 were diagnosed with myopia, with a myopia prevalence rate of 75.02%. Compared to the non-myopia group, the proportion of high school students, urban residents, parents with myopia, those who take breaks indoors, those who spend at least 2 hours reading, writing, or doing homework after school, and those who read while walking or taking the bus in the myopia group were higher(P<0.05). The results of multiple Logistic regression analysis showed that high school students(OR=1.305), urban residence(OR=2.119), parents with myopia(OR=2.191), indoor activities during break time(OR=2.537), reading and doing homework for at least 2 hours after school every day(OR=2.125), and reading while walking or taking a bus(OR=2.892) were independent risk factors for myopia among adolescents in Zaozhuang City(P<0.05). Conclusion The detection rate of myopia among adolescents in Zaozhuang City is relatively high, which is related to factors such as grade, place of residence, parents' myopia, activity venues during breaks, daily reading and writing/homework time after school, and reading books while walking or riding. It is necessary to enhance eye health education for adolescents and protect their visual health.