机构:[1]Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China[2]First Affiliated Hospital of Nanjing Medical University, Nanjing, China江苏省人民医院[3]First Affiliated Hospital of Kunming Medical University, Kunming, China昆明医科大学附属第一医院[4]Kunming Medical University, Kunming, China
PURPOSE. To determine the prevalence of myopia and ocular biometry in population-based samples of ethnic Yi and Han people living in an inland rural community in China. METHODS. A randomcluster sampling strategy was used to select ethnicHan and Yi adults aged 50 years or older living in Yunnan. Refractive error was determined by subjective refraction and ocular biometric parameters, including axial length (AL), anterior chamber depth (ACD), vitreous chamber depth (VCD), and lens thickness (LT), which were measured using an Echoscan. RESULTS. Adults of Yi ethnicity had lower prevalence of myopia (10.3% vs. 8.1%; P = 0.02) and high myopia (2.3% vs. 1.6%; P = 0.10) than their counterparts of Han ethnicity. The prevalence of myopia increased with age (P for trend < 0.05), whereas the mean AL did not differ significantly among age groups in both ethnic groups (both P for trend > 0.05). In multivariate analysis, time spent outdoors was associated with myopia (P = 0.003) and AL (P < 0.001) but not high myopia (P = 0.33). No interaction effect was detected between ethnicity and other risk factors on myopia (all P > 0.05). Adjustment for lens nuclear opacity score reduced the excess prevalence of myopia in Han ethnicity by 37.5%. CONCLUSIONS. There was little evidence showing that ethnic disparities existed in the prevalence and risk factors between the major and minor ethnic groups living in the same communities in rural China. The "cohort effect" on myopia observed in many other populations was not seen in this study.
基金:
National Natural Science Foundation of China
Grants 30860309, 81160121, and 81371016, and Soowchow
University Grant SDY2014B06.
第一作者机构:[1]Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Medical College of Soochow University, Suzhou, China
共同第一作者:
通讯作者:
通讯机构:[*1]Department of Ophthalmology, First Affiliated Hospital of Kunming Medical University, No. 295 Xichang Road, Kunming 650032, PR China
推荐引用方式(GB/T 7714):
Pan Chen-Wei,Chen Qin,Sheng Xun,et al.Ethnic Variations in Myopia and Ocular Biometry Among Adults in a Rural Community in China: The Yunnan Minority Eye Studies[J].INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE.2015,56(5):3235-3241.doi:10.1167/iovs.14-16357.
APA:
Pan, Chen-Wei,Chen, Qin,Sheng, Xun,Li, Jun,Niu, Zhiqiang...&Zhong, Hua.(2015).Ethnic Variations in Myopia and Ocular Biometry Among Adults in a Rural Community in China: The Yunnan Minority Eye Studies.INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE,56,(5)
MLA:
Pan, Chen-Wei,et al."Ethnic Variations in Myopia and Ocular Biometry Among Adults in a Rural Community in China: The Yunnan Minority Eye Studies".INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE 56..5(2015):3235-3241