Ophthalmologic health among elementary students in rural and urban Hohhot
With the advancement of science and technology since the last decades, many with technology and products with screens are introduced more and more into the Chinese family life. This has resulted in vision health concerns of elementary students. Moreover, under the competitive and stressful nature of the Chinese education, the eyesight of elementary students may exacerbate. In 2005, the elementary students myopia rate was 31.67% (39.72% urban and rural 23.44%), 8.5 percentage points more than in 2000; in 2010, this data is 40.89% (urban 48.81%, rural 32.98%), 9.22 percentage points more than in 2005. In this context, the students’ eyesight situation is worrying. It is necessary to investigate and analyze the status quo of students’ eyesight, to perform contrast analysis followed by intervention, so as to support with data and evidence for government intervention program.
1. To suggest that the school and parents see great importance on the protection of the eyesight of students, and for students to have greater awareness of the importance of eye health.
2. To suggest that the school to reduce schoolwork, homework, pay attention to students' reading and writing posture, and to increase the student extracurricular activity time.
3. To suggest that parents to intervene children on watching television, playing computer and smart phone.
4. Regularly conduct primary school students’ vision screening, use results to educate students on the protection of eyesight.
Choose 5 elementary schools each from rural and city areas (10 in total) to conduct survey on 1-6 graders. The results are:
1. The survey of elementary school students poor vision detection rate of 31.53% (including city at 32.78%, rural 30.28%).
2. In the survey, only 31.72% of the students have regular outdoor activities.
3. In the survey, 86.44% of the students are doing eye exercises, but all are done in the school during the arranged time, the percentage of students who take initiative to do eye exercises is only 18.67%.
4. As students get older with more schoolwork, there are more students with myopia in senior grade (4-6) than in the lower grade (grade 1 to 3). The seniors’ poor vision detection rate was 30.31%, the lower grade poor vision detection rate of 26.45%.
5. Students who spend a longer time online, who like to play online games, and use mobile phones have a great percentage of having myopia.
6. According to parents' feedback, the causes of myopia among the students are:
Excessive use of electronic products; Bad habits on reading and writing; Heavy schoolwork; Parents do not urge children to protect their own eyes; Living near factory area and experiencing environmental pollution.
After the project, the schools pay more attention on eye health education; Parents intervene more with their children’s eye care habits.