ArticleBMJ open ophthalmology2024
Effects of myopia on health-related quality of life in adolescents: a population-based cross-sectional causal empirical survey.
Article in BMJ open ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
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Who cites it
4 citing papers in PubMed.
- Symptoms of Depression and Anxiety among Myopes: A Systematic Review and Meta-Analysis.The British and Irish orthoptic journal · 2026Review
- Assessment of the Quality of Life in Children and Adolescents with Myopia from the City of Varna.Journal of clinical medicine · 2025Article
- Research on the predictive performance of using ROC curve to evaluate axial length for myopia in children and adolescents.BMC ophthalmology · 2025Article
- Corneal Biomechanics as a Causal Factor in Myopia and Astigmatism: Evidence from Mendelian Randomization.Ophthalmology scienceArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMyopia is a prevalent disease affecting adolescent vision and harms various health outcomes. However, the evidence about the effects of myopia on adolescents' overall health status is limited. Using health-related quality of life (HRQoL), a comprehensive health measurement indicator, this study aims to evaluate the effects of myopia on adolescents' HRQoL. METHODS AND ANALYSIS: Adolescents' HRQoL was measured by the Child Health Utility 9D instrument. Data were collected from a population-based cross-sectional survey conducted in Shandong province of China. To mitigate the potential endogeneity bias, parents' myopia degree was used as the instrumental variable for adolescents' myopia status. The causal model was built to explore the effects and potential mediators of myopia on the HRQoL of adolescents. Heterogeneity analysis was used to identify susceptible groups.
results108 657 adolescents with an average age of 12 were included in the analysis. Compared with adolescents without myopia, the health utility value of individuals with low, moderate and high decreases by 0.5%, 1.1% and 2.2%, respectively. The reduction of outdoor activity time and increase in electronic device usage time play the mediator role. Myopia leads to a greater decrease in the health utility value of adolescents in higher grades, boarding schools and low-income households compared with their counterparts.
conclusionMyopia impairs adolescents' HRQoL and damages the overall health level of adolescents. The frequency of outdoor activity and electronic device usage could be the potential mediators. The susceptibility of adolescents in higher grades, boarding schools and low-income households would be exacerbated.
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