ArticleAnnals of medicine2025
Cross-sectional study of myopia prevalence and associated risk factors among children and adolescents in Shaanxi Province, China, in 2021.
Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of myopia in Chinese children and adolescents: a systematic review and meta-analysis.Journal of global health · 2026Pooled it
- Systemic Metabolic and Skeletal Muscle-Related Profiles Associated with Annual Axial Elongation Across Optical Myopia-Control Strategies in Adolescents: A Retrospective Cohort Study.Ophthalmology and therapy · 2026Article
- Global and Regional Burden of Refraction Disorders In Children, Adolescents and Young Adults from 1990 to 2021: Trends, Inequalities and Future Predictions with Machine Learning.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Article
- Age Modifies the Comparative Effectiveness of DIMS Versus HAL Spectacle Lenses for Myopia Control: A Real-World Study.Translational vision science & technology · 2026Article
- Mutation Screening ofGenes · 2026Article
- Prevalence and incidence of myopia and high myopia among children and adolescents in Qingdao, China (2022-2024): a longitudinal study.BMC public health · 2026Article
- Prevalence and Influencing Factors of Myopia Among Primary and Secondary School Students - Zhejiang Province, China, 2023.China CDC weekly · 2026Article
- Characterisation and risk factors of astigmatism among children and adolescents aged 3-20 years in Northwestern China.Journal of global health · 2026Article
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Authors and funding
8 authors.
Funding
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Abstract
purposeMyopia is a growing global health issue, particularly among Chinese children and adolescents. This study aimed to investigate the prevalence and risk factors of myopia among children and adolescents in Shaanxi Province, China.
methodsA cross-sectional study conducted in 2021 included 261,504 participants from Guanzhong, Southern Shaanxi, and Northern Shaanxi. Ophthalmological examinations were performed, and refractive error was assessed using non-cycloplegic refraction to determine the spherical equivalent (SE). Myopia was defined as SE ≤-0.5 D and categorized into low (SE >-3.0 D), moderate (SE >-6.0 D), and high myopia (SE ≤-6.0 D). Data on age, gender, education level, and ethnicity were collected using structured questionnaires administered through face-to-face interviews.
resultsThe overall prevalence of myopia was 67.4% (95% CI: 67.20%-67.50%), with high myopia at 4.63% (95% CI: 4.55%-4.71%). Myopia was more common in females and increased with educational level, reaching 92.48% in senior high school students. Northern Shaanxi exhibited the highest prevalence of both myopia and high myopia. Regression analysis identified gender, education level, and region as significant risk factors.
conclusionsMyopia is highly prevalent among children and adolescents in Shaanxi Province, with notable gender, educational, and regional disparities. The findings underscore the urgent need for region-specific and education-level-targeted myopia prevention strategies.
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