Design,methodology,and baseline of whole city‑million scale children and adolescents myopia survey(CAMS)in Wenzhou,China

查看全文 作　　者：Liangde [1,2,3]Xu;Youyuan [1,3]Zhuang;Guosi [1,3]Zhang;Yunlong [1,3]Ma;Jian [1,3]Yuan;Changseng [1,4]Tu;MiaoMiao [1,4]Li;Wencan [1,3]Wang;Yaru [1,3]Zhang;Xiaoyan [1,3]Lu;Jing [1,5]Li;Xinting [1,2]Liu;Zhengbo [1,2]Xue;Meng [1,3]Zhou;Jie [1,3]Sun;Jinhua [1,2,4]Bao;Ming [1,2,4]Li;Fan [1,2,4]Lu;Hong [1,3]Wang;Jianzhong [1,2,3]Su;Jia [1,2,4]Qu

机构地区：[1]School of Ophthalmology and Optometry and Eye Hospital,Wenzhou Medical University,Wenzhou 325027,China;[2]State Key Laboratory of Ophthalmology,Optometry and Visual Science,Wenzhou 325027,China;[3]Institute of Biomedical Big Data,Wenzhou Medical University,Wenzhou 325027,China;[4]National Clinical Research Center for Ocular Disease,Wenzhou 325027,China;[5]College of Bioinformatics Science and Technology,Harbin Medical University,Harbin 150081,People’s Republic of China

出　　处：《Eye and Vision》索引2021年第8卷第1期,共14页

基　　金：supported by the Key Research and Development Program of Zhejiang Province(Grant Numbers 2020C03036 and 2021C03102);the National Natural Science Foundation of China(Grant Numbers 31801098 and 81830027);National Key Research and Development Program for Active Health and Aging Response(Grant Number 2020YFC2008200);the Major Scientific and Technological Innovation Projects of Wen Zhou(Grant Number ZY2020013);the Internal Fund Project of Eye Hospital of Wenzhou Medical University(Grant Numbers YJGG20181001 and KYQD20190101). 摘　　要：Background:Myopia is the most common visual impairment in children and adolescents worldwide.This study described an economical and effective population-based screening pipeline and performed the project of a million scale children and adolescents myopia survey(CAMS),which will shed light on the further study of myopia from the level of epidemiology and precision medicine.Methods:We developed a novel population-based screening pattern,an intelligent screening process and internetbased information transmission and analysis system to carry out the survey consisting of school children in Wenzhou,China.The examination items include unaided distance visual acuity,presenting distance visual acuity,and noncycloplegic autorefraction.Myopia and high myopia were defined as spherical equivalent(SE)≤−1.00 diopters(D)and SE≤−6.00 D,respectively.Next,the reports of the vision checking were automatically sent to parents and the related departments.The CAMS project will be done two to four times annually with the support of the government.An online eyesight status information management system(OESIMS)was developed to construct comprehensive and efficient electronic vision health records(EVHRs)for myopia information inquiry,risk pre-warning,and further study.Results:The CAMS completed the first-round of screening within 30 days for 99.41%of Wenzhou students from districts and counties,in June 2019.A total of 1,060,925 participants were eligible for CAMS and 1,054,251(99.37%participation rate)were selected through data quality control,which comprised 1305 schools,and 580,609,251,050 and 170,967 elementary,middle,and high school students.The mean age of participants was 12.21±3.32 years(6-20 years),the female-to-male ratio was 0.82.The prevalence of myopia in elementary,middle,and high school students was 38.16%,77.52%,and 84.00%,respectively,and the high myopia incidence was 0.95%,6.90%,and 12.98%.Conclusions:The CAMS standardized myopia screening model involves automating large-scale information collection,data transmission,data analysis and early warning,thereby supporting myopia prevention and control.The entire survey reduced 90%of staff,cost,and time consumption compared with previous surveys.This will provide new insights for decision support for public health intervention. 关键词：BASELINE Vision screening Myopia prevention and control POPULATION-BASED

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Design,methodology,and baseline of whole city‑million scale children and adolescents myopia survey(CAMS)in Wenzhou,China

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