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研究生: 陳怡茹
CHEN, I-Ju
論文名稱: 家長人口學變項、近視防治行為與學童近視之關聯性研究-以新北市某國小為例
Parental demographic factors, myopia-preventive behavior and their associations with school children's myopia:using an elementary school in New Taipei City as an example
指導教授: 廖邕
Liao, Yung
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2019
畢業學年度: 108
語文別: 中文
論文頁數: 62
中文關鍵詞: 家長近視防治行為學童近視
英文關鍵詞: parents, myopia-preventive behavior, children, myopia
DOI URL: http://doi.org/10.6345/NTNU202000024
論文種類: 學術論文
相關次數: 點閱:351下載:60
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  • 近年來台灣學童近視率逐年攀升,過去少有家長人口學變項、近視防治行為與學童近視之相關研究,因此本研究之目的為 (1) 調查國小學童近視之現况。(2) 瞭解家長人口學變項與學童近視之關聯性。(3) 探討家長近視防治行為與學童近視之關聯性。
    本研究以新北市某國小三、四年級的家長為研究對象,於2019年5 月至7月間利用問卷調查,共取得229份有效樣本,並以描述性統計、卡方檢定、獨立性樣本T檢定、二元邏輯斯迴歸進行統計分析數據。
    研究結果發現:
    一、學童有近視者佔46.7%,沒有近視佔53.3%。
    二、長人口學變項「性別」,女性族群的學童近視風險勝算比是男性族群的0.49倍(95%CI=0.26-0.91);「母親近視與否」變項,母親沒近視的近視風險勝算比是母親有近視的0.25倍(95%CI=0.26-0.91)。
    三、家長較常「提醒孩子,看電視或閱讀書籍時,不可躺著或趴者,以避免眼睛疲勞」以及「會要求孩子,讀書寫字應保持正確姿勢」,其小孩有較高的近視風險。
    本研究結果顯示,母親近視與學童的近視風險有正向的關聯性;然而,不同於本研究之假設,家長較常進行近視防治行為似乎也與學童近視風險具有正相關,因此,未來研究需要更進一步的確認家長近視防治行為與學童近視之間的因果關係。

    In recent years, the prevalence of myopia problem is increasing among school children. Limited studies have examined the associations of parental demographic factors and myopia-preventive behavior with school children's myopia Therefore, the main purpose of this study is to (1) to describe the prevalence of myopia among the school students. (2) to examine the associations between parental demographic variables and school students’ myopia. (3) to investigate the relationship between parental myopia-preventive behavior and children’s myopia. Subjects of the study were the parents whose children were in the middle grade in a public elementary school in New Taipei City. A total of 229 valid questionnaires collected.
    Descriptive statistics, chi-square test, independent T test, and binary logistic regression were conducted to analyze the data. The results are showed as below:
    (1)The results showed that there were 46.7% of the students had myopia in our smaple.
    (2)Among these school students, the female were less likely to have myopia (OR=0.49) than male. Moreover, the children whose mother without myopia were less likely to have myopia (OR=0.25) compared with the mother with myopia.
    (3)The parents who were more often to remind「their kids not to lie down when they’re watching TV or reading.」or ask「 their kids to have good posture when they’re writing」is related to higher odds of their children’s myopia.

    Our results showed that mother’s myopia is positively related to children’s myopia. However, parental myopia-preventive behaviors seem to be positively associated with children’s myopia. Future studies are needed to further confirm the causal relationship between parental myopia-preventive behaviors and their children’s myopia.

    謝辭 i 摘要 ii 目次 iii 表目次 v 圖目次 vi 第一章緒論 1 第一節 研究背景與動機 1 第二節 研究目的 3 第三節 研究問題 4 第四節 研究假設 4 第五節 名詞解釋 4 第六節 研究限制 5 第二章文獻探討 6 第一節 國內外近視流行病學 6 第二節 家長人口學變項對學童近視之相關研究 11 第三節 家長近視防治行為與學童近視之關聯性 15 第三章研究方法 20 第一節 研究架構 20 第二節 研究對象 21 第三節 研究工具 22 第四節 研究步驟 25 第五節 資料處理與分析 26 第四章 研究結果與討論 27 第一節 家長人口學變項、近視防治行為與學童近視之描述 27 第二節 家長人口學變項、近視防治行為與學童近視之關係 32 第三節 家長人口學變項、近視防治行為與學童有無近視之二元邏輯斯迴歸分析 35 第四節 綜合討論 39 第五章 結論與建議 41 第一節 結論 41 第二節 建議 42 參考文獻 44 中文部分 英文部分 附錄一 授權使用同意書 54 附錄二 預試問卷 55 附錄三 正式問卷 59

    一、中文文獻

    丁怡方、吳澈娥、池易釧、游文長、苗其至、魏川淵、張麗春(2010)。北部某地區低年級國小學童家長協助孩童視力保健行為與學童近視相關性。醫護科技期刊,13(1),27-39。

    牛玉珍、謝佳玟、歐怡君、林惠華、黃瑛琦、陳怡伶、劉潔心 (2013) 。學童視力保健行為教育介入成效探討-PRECEDE-PROCEED模式之應用。學校衛生護理雜誌,23,49-60。

    中華民國眼科醫學會 (2016)。2016全民護眼趨勢調查。未出版之統計數據。取自http://www.oph.org.tw/

    倪翊茹、顏暐晉 、 廖彥如、 趙櫻花(2017)。學齡期兒童視力保健健康信念模式之探討。健康與建築雜誌,4(2),64 -71。

    沈秉衡 (2004)。視力發育與小兒眼部檢查的基本原則。臺兒醫誌, 45(5),42-45。

    沈希哲、陳政友、劉婉柔、黃世欣、盧玉玫、蔡宛珊、謝雅萍(2008)。台北縣家長對學童採取預防近視及其相關因素研究。健康促進暨衛生教育雜誌,28,17-30。

    林隆光(2014)。近視歷年流行病學調查結果。台北:衛生福利部國民健康署,2014。取自
    http:// www.hpa.gov.tw/Pages/Detail.aspx?nodeid=609&pid=1081近視歷年流行病學調查結果.pdf.

    林超群 (2006)。台灣的學童與環境和遺傳的關係。臺灣醫界,49 (8),13-16。
    林生傳 (2005)。教育社會學四版。台北:巨流圖書公司。

    施永豐 (2004)。國內外屈光問題相關文獻探討-近視流行病學及防治篩檢。文獻回顧計劃研究報告。台北:行政院衛生署。

    陳政友 (2013)。我國學幼童近視問題與對策。學校衛生,63,103-110。

    翁瑞文 (2009)。淺談學童近視保健。傳統醫學雜誌,20 (1), 117-122。

    陳佳欣(2014)。教師視力保健教學行為意圖及其相關因素研究~以台北市某國小為例(未發表碩士論文) 。國立臺灣師範大學,台北。

    教育部統計處 (2017)。國小視力不良統計。未出版之統計數據。取自
    https://depart.moe.edu.tw/ED4500/cp.aspx?n=1B58E0B736635285&

    教育部統計處 (2017)。教育統計簡訊。2017年10月25日。取自
    http://stats.moe.gov.tw/files/brief/高級中等以下學校學生視力狀況分析.pdf

    張麗春、吳佩昌、牛玉珍、陳敏麗、廖梨伶(2016)。台灣校園近視防治軌跡。台灣公共衛生雜誌, 35(1),17-30。

    張麗春、林潔君、黃婉萍、廖梨伶、洪麗玲 (2016) 。學童視力保健之健康訊息關注-以新視力保健 FB 粉絲專頁之訊息偏好分析為例。學校衛生,68,25-43。

    彭秀英、林隆光、吳仁宇 (2010)。國小及幼稚園教師對學童視力保健知識、態度、行為效能的相關因素研究。學校衛生,56,21-38。

    彭秀英 (2011)。學齡前兒童家長實施幼童近視防治行為與其相關因素研究。學校衛生,58,83-102。

    黃淑貞、洪文綺、陳曉玟 (2004)。家庭因素和學業表現對我國國小學童視力保健與運動行為影響。衛生教育學報,12,1-18。
    黃美溶 (2003)。兒童近視與父母的知識態度行為相關因素探討(未發表碩士論文) 。中國醫藥學院,台中。

    楊心慈、陳政友 (2015)。桃園市幼兒國家長對孩童使用3C 產品的視力保健行為及其相關因素研究:健康信念模式之應用。健康促進與衛生教育學報,44。

    楊靜昀、張彩秀、劉潔心 (2013)。國小學童近視之相關因子。學校衛生護理期刊,23,61-69。

    謝佩玲、吳佳玲、廖梨伶、陳敏麗、牛玉珍、周明慧、張麗春 (2015)。國小學童近視之相關因子。北市醫學雜誌,12 (2),184-194。

    劉慧萍、熊德筠、張彩秀 (2015)。國小高年級學童視力保健行為之探討以台中布大肚區為例。弘光學報,75,13-28。

    劉乃昀 (2006)。台北市家長對學童採取近視防治行為及其相關因素研究-健康信念模式之應用(未發表碩士論文)。國立臺灣師範大學,臺北市。

    劉乃昀、陳政友 (2006)。國小學童學習壓力及用眼行為與近視相關之研究。實證研究,48,39-61。

    劉乃昀、陳政友 (2008)。台北市家長對學童採取近視防治行為及其相關因素研究-健康信念模式之應用。實證研究,52,13-35。

    蘇巧雲 (2011)。台中縣填答人性別視力保健態度與幼兒視力保健行為之相關研究 (未發表碩士論文) 。國立臺灣師範大學,臺北市。

    魏以宣 (2012)。臺大醫院健康電子報。2012年11月。取自
    http://epaper.ntuh.gov.tw/health/201211/child 1.htm1

    二、英文文獻
    Chiu, S. C., Chung, Y. C., Pai, L. W., & Chang, S. F. (2016). Using a Qualitative Triangulation Method to Explore the Challenge of Myopia Prevention in School Children for the Role of School Health Nursing. International Journal of Nursing, 3(1), 55-64. DOI: 10.15640/ijn.v3n1a7

    Chung, Y. C., Kauppinen, M., Chang, S. F., & Viljanen, A. P. (2014). The progression of myopia from its onset at age 8-12 to adulthood and the influence of heredity and extenal factors o on myopic progression. A 23-year follow-up study. Acta Ophthalmol, 92(8), 730-739. doi:10.l111/aos.12387

    Foster, P. J., & Jiang, Y. (2013). Epidemiology of myopia. International the American Academy of Ophthalmology, 28(2), 202-208.
    doi: 10.1038 / eye.2013.280

    Fishbein, M. & Ajzen, I. (1975), Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research. Location:Wesley.

    French, A. N., Hons, B., Morgan, I. G., Mitchell, P., & Rose, K. A. (2013). Risk Factors for Incident Myopia in Australian Schoolchildren. the American Academy of Ophthalmology, 120(10), 2100-2108. http://dx.doi.org/10.1016/j.ophtha.2013.02.035

    Guggenbeim, J. A., Nortbstone, K., McMabon, G., Ness, A. R., Deere, K., Mattocks, C., Pourcain, B. S., & Williams, C. (2012). Time Outdoors and Physical Activity as Predictors of Incident Myopia in Childhood: A Prospective Cohort Study. Investigative Ophthalmology & Visual Science, 53(6), 2856-2865. DOI:10.1167/iovs.11-9091

    Gong, Y., Zang, X., Tian, D., Wang, D., & Xiao, G. (2014). Parental myopia, near work, hours of sleep and myopia in Chinese children. Health, 6(1), 64-70.

    He, M., Xiang, F., Zeng, Y., Mai, J., Chen, Q., Zhang, J., Smith, W., Rose, K., & Morgan, I.G. (2015). Effect of Time Spent Outdoors at School on the Development of Myopia Among Children in China: A andomized Clinical Trial. The Journal of the American Medical Association, 314(11), 1142-1148. doi:10.1001/jama.2015.10803

    Health Promotion Board, Singapore. Eye checks for your pre-schooler. Available at: http://www.hpb.gov. sg/HOPPortal/health-article/520. Accessed Septemper 22, 2015.

    Huang, H. M., Chang, D. S. T., & Wu, P. C.(2015). The Association between Near Work Activities and Myopia in Children—A Systematic Review and Meta-Analysis. PLOS ONE Journal, 10(10), 1/15-15/15.
    DOI:10.1371/journal.pone.0140419

    Hsu, C. C., Huang, N., Lin, P. Y., Tsai, D. C., Tsai, C. Y., Woung, L. C., & Liu, J. L. (2016). Prevalence and risk factors for myopia in second-grade primary school children in Taipei: A population-based study. Journal of Chinse Medical Association, 79(11), 625-632.
    DOI:10.1016 / j.jcma.2016.02.011

    Leo, S. W., Ling, Y., Wong, T. Y & Quah, B. L. (2007). Report of the national myopia prevention and control workgroup 2006: a summary. Ann Acad Med Singapore, 36(10):65-71.

    Li, S., Liu., L. R, et al. Full correction and undercorrection of Myopia Evaluation Trial: design and baseline data of a randomized, controlled, doubleblind trial. (2013). PLOS ONE, 28(2), 202-208. doi:10.1111/j.1442-9071.2012.02884.x.

    Lam, D. C., Fan, D. C., Lam, R. F., Rao, S. K., Chong, K.S., Lau, J. F., Lai, R. K., Meillier, L. K., Lund, A. B., & Kok, G. (1997). Cues to action in the process of changinglifestyle. Patient Education and Counseling, 30(1), 37-51.

    Lim, L. K., Gong, Y., Kee, E. Y. A., Xiao, G., Zhang, X., & Yu, S. (2014, Jun 24 ). Impact of Parental History of Myopia on the Development of Myopia in Mainland China School-Aged Children. Ophthalmic Eye Dis, 6, 31-35. DOI:10.4137/OED.S16031
    Morgan, I., & Rose, K. (2005). Epidemiology of myopia. Progress in Retinal and Eye Research , 24(1), 1-38. doi:10.1016/j.preteyeres.2004.06.004

    Moynihan, S., Paakkari, L., Nightingale, C. M., Välimaa, R., Jourdan, D. & Mannix, M. P. (2015).Teacher Competencies in Health Education Results of a Delphi Study. PLOS ONE, 10(12), 1-17. doi:10.1371/journal.pone.0143703

    Mccrann, S., Lalor, K., Butler, J., Bush, A., & Loughman, J. (2018). Parental attitudes to myopia: a key agent of change for myopia control?
    Ophthalmic Physiol Opt, 38(3), 298-308. DOI: 10.1111 / opo.12455

    Pan, C., Ramamurthy, D., & Saw S. M. (2012). Worldwide prevalence and risk factors for myopia. Ophthalmic Physiol , 32(1) , 3-16.

    Parssinen, O., Kauppinen, M., & Viljanen, A. (2014). The progression of myopia from its onset at age 8-12 to adulthood and the influence of heredity and external factors on myopic progression. Acta Ophthalmol , 92(1), 730-739. doi:10.1111/aos.12387.

    Repka, M. X. (2015). Prevention of Myopia in Children. The Journal of the American Medical Association, 314(11), 1137-1139. doi:10.1001/jama.2015.10723

    Rudenicka, A. R., Owen, C. G., Nightingale, C. M., Cook, D. G. & Whincup, P. H. (2010). Ethnic Differences in the Prevalence of Myopia and Ocular Biometry in 10-and 11-Year-Old Children:The Child Heart and Health Study in England. IOVS, 51(12), 6270-6276.

    Rose, K. A., Morgan, I. G., Ip, J., Kifley, A., Huynh, S., Smith, W., & Mitchell, P. (2008). Outdoor Activity Reduces the Prevalence of Myopia in Children. the American Academy of Ophthalmology, 115(8), 1279-1285. doi:10.1016/j.ophtha.2007.12.019

    Saw, S. M., Sbankar, A., Tan, S. B., Taylor, H., Tan, D. T. H., Stone, R. A., & Wong, T. Y. (2006). A Cohort Study of Incident Myopia in
    Singaporean Children. Investigative Ophthalmology & Visual Science, 47(5), 1839-1844. DOI:10.1167/iovs.05-1081

    Saunders, T. J., & Vallance, J. K. (2016). Epidemiology of myopia. Appl Health Econ Health Policy, 15(3), 323-331.
    DOI 10.1007/s40258-016-0289-3
    Sherwin, J. C., Reacher, M. H., Keogh, R. H., Khawaja, A. P., Mackey, D. A., & Foster, P. (2012). The Association between Time Spent
    Outdoors and Myopia in Children and Adolescents. the American Academy of Ophthalmology, 119(10), 2141-2151. http://dx.doi.org/10.1016/j.ophtha.2012.04.020

    Shah, R. L., Huang, Y., Guggenheim, J. A., & Williams, C.(2017). Time outdoors at specific ages during early childhood and the risk of incident myopia. Invest Ophthalmol Vis Sci., 58(2),1158-1166. DOI:10.1167/iovs.16-20894

    Saxena, R., Vashist, P., Tandon, R., Pandey, R. M., Bhardawaj, A., Gupta V., & Menon V. (2017, February 26). Incidence and progression of myopia and associated factors in urban school children in Delhi: The North India Myopia Study (NIM Study). PLoS One, 12(12), 1-11.
    DOI:10.1371 / journal.pone.0189774

    Tsai, D. C., Fang, S. Y., Huang, N., Hsu, C. C., Chen, S. Y., Chiu, A. W. H., & Liu, C. J. L. (2016). Myopia Development Among Young Schoolchildren: The Myopia Investigation Study in Taipei. Invest
    Ophthalmol Vis Sci, 57(15), 6852-6860. DOI:10.1167/iovs.16-20288

    Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activites. Educational and Psychological Measurement, 30, 607-610.

    Wu, P. C., Tsai, C. L., Wu, H. L., Yang, Y. H., & Kuo, H. K. (2013). Outdoor Activity during Class Recess Reduces Myopia Onset and Progression in School Children.Ophthalmology, 120(5), 1080-1085.

    World Health Organization. (2017). Visual impairment and blindness. Available at: http://www.who.int/mediacentre/factsheets/fs282/en/. Accessed May 31, 2017.

    Wu, P. C., Tsai, C. L., Hu, C. H., & Yang, Y. H. (2010). Effects of Outdoor Activities on Myopia Among Rural School Children in Taiwan. Ophthalmic Epidemiology, 17(5), 338-342. DOI:10.3109/09286586.2010.508347

    World Health Organization. (2013). Globa1 Action Plan 2014-2019 :Towards Universa1 Eye Hea1th. Retrieved from
    https://www.who.int/publications/list/universal_eye_health/zh/

    Holden, B. A., Mariotti, S. P., Kocur, I., Resnikoff, S., He, M., Naidoo, K., & Jong, M. (2015, March). Report of the Joint World Health Organization–Brien Holden Vision Institute Global Scientific Meeting on Myopia . Location: University of New South Wales, Sydney, Australia.

    Zhang, X., Qu, X., & Zhou, X. (2017). Association between parental myopia and the risk of myopia in a child. Exp Ther Med, 9(6), 2420-2428. DOI:10.3892 / etm.2015.2415

    Zhou, S., Yang, L., Lu, B., Wang, H., Xu, T., Du, D., Wu, S., Li, X., & Lu, M. (2017). Association between parents’ attitudes and behaviors toward children's visual care and myopia risk in school-aged children
    .Observational study, 96(52), 1-6. DOI: 10.1097/MD.0000000000009270

    Donoghue, L., Kapetanankis, V. V., Mcclelland, J. F., Logan, N. S, Owen, C. G, Saunders, K. J, & Rudnicka, A. R., (2018). Risk Factors for Childhood Myopia: Findings From the NICER Study. Invet Ophthalmology Vis, 56, 1524-1530.

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