ArticleScientific reports2025
Prevalence of high myopia and its associated factors among secondary school students at Finote-selam town, Northwest Ethiopia, 2023.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
High myopia is a severe form of myopia defined as a refractive error of –6.00 diopters or more associated with a high risk of irreversible visual impairment and blindness. However, data on its magnitude and determinants among school-aged children in Ethiopia are scarce. This school-based cross-sectional study was conducted from May 10 to June 10, 2023, among 408 secondary school students in Finote-Selam town, Northwest Ethiopia, selected using systematic random sampling. Data were collected using a pretested structured questionnaire, and refraction was assessed through dry retinoscopy followed by subjective refraction. High myopia was defined as a spherical equivalent refractive error of ≥−6.00 diopters in either eye. Data were entered into EpiData 4.6 and analyzed using SPSS version 25. Variables with a p-value < 0.05 in the multivariable analysis were considered statistically significant. The prevalence of high myopia was 3.77% (95% CI: 1.90–5.70). Factors significantly associated with high myopia included a family history of myopia (AOR = 2.80; 95% CI: 1.46–20.02), ocular comorbidity (AOR = 5.02; 95% CI: 1.40–18.06), low outdoor activity (AOR = 3.68; 95% CI: 1.20–11.29), and prolonged near-work activity (AOR = 5.25; 95% CI: 1.13–24.46). High myopia was present among a notable proportion among secondary school students, and both genetic and behavioral factors contributed to its occurrence. Promoting outdoor activities, monitoring high-risk individuals, limiting excessive near-work, and managing ocular comorbidities are recommended to reduce the burden of high myopia.
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