机构：[1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Laboratory, Beijing, China首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Handan Eye Hospital, Hebei Province, China[3]Singapore Eye Research Institute, Yong Loo Lin School of Medicine, National University of Singapore[4]Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Australia[5]Centre for Vision Research, University of Sydney, Australia[6]School of Public Health, Peking University, Beijing, China[7]Wilmer Eye Institute, The Johns Hopkins University, Baltimore, Maryland[8]Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Purpose: To describe the prevalence of and risk factors for myopia and other refractive errors in a rural, adult, Chinese population. Design: Population-based, cross-sectional study. Participants: A clustered, random sampling procedure was used to select 7557 Chinese people aged >= 30 years from Handan, China. Methods: All eligible subjects were invited to undergo a comprehensive eye examination, including standardized refraction. Myopia, high myopia, and hyperopia were defined as a spherical equivalent (SE) in the right eye of more than -0.5 diopter (D), less than -5.0 D, and 0.5 D or more, respectively. Astigmatism was less than -0.5 D of cylinder. Anisometropia was defined as a difference in SE of >1.0 D between the 2 eyes. Only phakic eyes were analyzed. Main Outcome Measures: Myopia and other refractive errors. Results: We included 6491 (85.9% participation rate) eligible subjects in this study. Adjusted to the 2000 China population census, the prevalence rate of myopia was 26.7% (95% confidence interval [CI], 25.6-27.8), hyperopia 15.9 % (95% CI, 15.0-16.8), astigmatism 24.5% (95% CI, 23.5-25.5), and anisometropia 7.7% (95% CI, 7.0-8.4). The prevalence of high myopia was 1.8% (95% CI, 1.5-2.1). Using a multivariate regression model, current smoking (odds ratio [OR], 0.7, 95% CI, 0.5-0.9), hours of reading (OR, 1.2; 95% CI, 1.1-1.4), diabetes (OR, 8.4; 95% CI, 2.2-32.5), and number of family members with myopia (OR, 1.3; 95% CI, 1.1-1.7, for each family member) were associated with myopia in younger persons (30-49 years). High school or higher education (OR, 1.8; 95% CI, 1.1-3.1), diabetes (OR, 1.6; 95% CI, 1.2-2.7), nuclear opacity (OR, 1.7; 95% CI, 1.2-2.3), and number of family members with myopia (OR, 1.5; 95% CI, 1.2-1.9) were risk factors in persons >= 50 years of age. Conclusions: Myopia affects more than one quarter of rural Chinese persons >= 30 years of age. Myopia is more common in younger people and is associated with different risk factors than in older people. Financial Disclosure(s): The authors have no proprietary or commercial interest in any materials discussed in this article. Ophthalmology 2009;116:2119-2127 (C) 2009 by the American Academy of Ophthalmology.
基金：
Supported by National Basic Research Program of China (973 Program),
Grant 2007CB512201 from the Ministry of Science and Technology of the
People’s Republic of China, Program of Health Policy for blindness
prevention from Ministry of Health the People’s Republic of China, Partially funded by the Key Technologies R&D Program. No.2006-10903
from Bureau of Science and Technology of Handan city, Hebei Province,
China. With additional support from Beijing Tongren Hospital and the key
discipline fund of Bureau of Health, Handan city, Hebei Province, China.
第一作者机构：[1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Laboratory, Beijing, China[2]Handan Eye Hospital, Hebei Province, China
通讯作者：
通讯机构：[1]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Laboratory, Beijing, China[*1]Capital Med Univ, Tongren Hosp, Beijing Tongren Eye Ctr, Beijing Ophthalmol & Visual Sci Key Lab, 1 Dong Jiao Min Xiang, Beijing 100730, Peoples R China
推荐引用方式(GB/T 7714)：
Liang Yuan Bo,Wong Tien Yin,Sun Lan Ping,et al.Refractive Errors in a Rural Chinese Adult Population The Handan Eye Study[J].OPHTHALMOLOGY.2009,116(11):2119-2127.doi:10.1016/j.ophtha.2009.04.040.
APA：
Liang, Yuan Bo,Wong, Tien Yin,Sun, Lan Ping,Tao, Qiu Shan,Wang, Jie Jin...&Friedman, David S..(2009).Refractive Errors in a Rural Chinese Adult Population The Handan Eye Study.OPHTHALMOLOGY,116,(11)
MLA：
Liang, Yuan Bo,et al."Refractive Errors in a Rural Chinese Adult Population The Handan Eye Study".OPHTHALMOLOGY 116..11(2009):2119-2127
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