Evidence map›Paper›PMID 35312694›Full record

ArticlePloS one2022

The change of myopic prevalence in children and adolescents before and after COVID-19 pandemic in Suqian, China.

Hongyan Chen, Ya Liao, Wen Zhou, Lei Dong, Wei Wang, Xiaojuan Wang

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Regional variations and temporal trends of childhood myopia prevalence in Africa: A systematic review and meta-analysis.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022
    Pooled it
  4. Induction of lipid A modification genes inJournal of medical microbiology · 2025
    Article
  5. Increasing myopia in Scotland at age of 3.5-5.5 years: A retrospective epidemiological study.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Hongyan ChenDepartment of Ophthalmology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical university, Xuzhou, Jiangsu Province, China.
Ya LiaoDepartment of Ophthalmology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical university, Xuzhou, Jiangsu Province, China.
Wen ZhouDepartment of Ophthalmology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical university, Xuzhou, Jiangsu Province, China.
Lei DongThe Primary and Middle School Health Care Center in Suqian, Suqian, Jiangsu Province, China.
Wei WangSchool of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu Province, China.
Xiaojuan WangDepartment of Ophthalmology, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical university, Xuzhou, Jiangsu Province, China.ORCID 0000-0002-3986-8814
Xuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to investigate the change of myopic prevalence in students with different demographic characteristics before and after the COVID-19 pandemic in Suqian, China.

methodsA retrospective, cross-sectional study was conducted. Student data from 52 schools in 2019 and 2020 were collected from the electronic medical records database through cluster sampling. Ophthalmic examinations were conducted on students from September to December in 2019 and 2020. Measurements of uncorrected visual acuity (UCVA) and noncycloplegic autorefraction were included to obtain the spherical equivalent refraction (SER) and prevalence of myopia. The difference in the rate of myopia and SER of students ages 6 to 18 with various demographic characteristics was compared between the two years.

resultsRecords from 118,479 students in 2019 and the 121,881 students in 2020 were obtained. In 2019 and 2020, the prevalence of overall myopia increased from 43.1% to 48.9% (5.8 percentage point), and a substantial shift in myopic rate occurred in grades 4 to 6 (6.9 percentage point). The change in the prevalence of myopia in girls (5.9 percentage point) was approximately equal to that in boys (5.8 percentage point) and it was more common in rural students (5.9 percentage point) than in urban students (5.1 percentage point). The prevalence of low myopia increased more in children, and the prevalence of moderate myopia increased more in adolescents. The mean spherical equivalent refraction (SER) (-1.34±2.03 D) was lower in 2020 than in 2019 (-1.16±1.92 D), while SER decreased mainly at ages 7 to 15. The SER presented myopic status at the age of 9 (-0.55±1.26 D in 2019, -0.71±1.42 D in 2020), and attained moderate myopia at the age of 15 (-3.06±2.41 D in 2019, -3.22±2.40 D in 2020).

conclusionsAfter the COVID-19 pandemic, myopia increased in this population with variable rates of increase in different demographic groups. The change of myopia in children was comparatively greater than that in adolescents. Therefore, we should take measures to prevent and control the development of myopia after the COVID-19 pandemic, especially for younger students.

Indexed as

AdolescentChildChinaCOVID-19Cross-Sectional StudiesFemaleHumansMaleMyopiaPrevalenceRefractive ErrorsRetrospective StudiesRural HealthRural PopulationVisual Acuity

Identifiers

PMID35312694
PMCPMC8937315
OpenAlexW4220987831

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.