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Jiang N, Chen J, Cao H, Liu Y, Zhang Y, Wang Q, Wang T, Zhao H, Lu H, Yang L, Wang J. Parents' intentions toward preschool children's myopia preventive behaviors: Combining the health belief model and the theory of planned behavior. Front Public Health 2022; 10:1036929. [PMID: 36504939 PMCID: PMC9730702 DOI: 10.3389/fpubh.2022.1036929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 11/10/2022] [Indexed: 11/25/2022] Open
Abstract
Objective This study aimed to develop an integrated model based on the health belief model (HBM) and the theory of planned behavior (TPB) to explore the influencing factors of parents' intentions toward preschool children's myopia preventive behaviors. Methods This cross-sectional study was conducted in Minhang District, Shanghai, China in January 2022. One thousand six hundred and twenty-eight parents of preschool children from seven preschools were recruited in the study. A four-part questionnaire was used to collect data on socio-demographic characteristics, HBM variables, TPB variables and parental intentions. This study used exploratory factor analysis to analyze HBM and TPB items. Hierarchical multiple regression analysis was performed to explore the relationship between independent variables and parents' intentions toward preschool children's myopia preventive behaviors. Results The final integrative model showed that perceived severity, perceived barriers, attitudes, subjective norms, and perceived behavioral control were associated with parents' intentions toward preschool children's myopia preventive behaviors. In model 1, Child's age was entered as a control variable and explained 0.6% of the variance (F = 7.241, p = 0.007). When the HBM variables were entered in model 2, the proportion of variance increased to 25.4% (F = 73.290, P < 0.001). In model 3, TPB variables were entered and explained 63.2% of the variance (F = 246.076, p < 0.001). Conclusion The integrated model of HBM and TPB constructed in this study significantly improved the degree of explanation of parents' intentions toward preschool children's myopia preventive behaviors. Parents' perceived severity, perceived barriers, attitudes, subjective norms, and perceived behavioral control can be prioritized intervention targets for myopia preventive practices in preschool children.
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Affiliation(s)
- Nan Jiang
- Key Lab of Health Technology Assessment of Ministry of Health, School of Public Health, Fudan University, Shanghai, China
| | - Jiayue Chen
- Huacao Community Health Service Center, Shanghai, China,*Correspondence: Jiayue Chen
| | - He Cao
- Key Lab of Health Technology Assessment of Ministry of Health, School of Public Health, Fudan University, Shanghai, China
| | - Yongyi Liu
- School of Public Health, University of Washington, Seattle, WA, United States
| | - Yuxin Zhang
- Key Lab of Health Technology Assessment of Ministry of Health, School of Public Health, Fudan University, Shanghai, China
| | - Quqin Wang
- Key Lab of Health Technology Assessment of Ministry of Health, School of Public Health, Fudan University, Shanghai, China
| | - Ting Wang
- Key Lab of Health Technology Assessment of Ministry of Health, School of Public Health, Fudan University, Shanghai, China
| | - Huilan Zhao
- Huacao Community Health Service Center, Shanghai, China
| | - Hui Lu
- Huacao Community Health Service Center, Shanghai, China
| | - Lei Yang
- Huacao Community Health Service Center, Shanghai, China
| | - Jiwei Wang
- Key Lab of Health Technology Assessment of Ministry of Health, School of Public Health, Fudan University, Shanghai, China,Jiwei Wang
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Liu SM, Chang FC, Chen CY, Shih SF, Meng B, Ng E, Hsu CH, Chiang YT, Mao XJ, Yi MY, LePage B, Fang WT. Effects of Parental Involvement in a Preschool-Based Eye Health Intervention Regarding Children's Screen Use in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:11330. [PMID: 34769844 PMCID: PMC8582736 DOI: 10.3390/ijerph182111330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Revised: 10/21/2021] [Accepted: 10/25/2021] [Indexed: 11/16/2022]
Abstract
In this digital era, young children spend a considerable amount of time looking at telephone, tablet, computer and television screens. However, preventative eye health behavior education could help avoid and relieve asthenopia. The effects of parental influence on their children's eye health behavior through the preschool eye health education intervention program were examined. The Health Belief Model was used to develop parental involvement strategy and eye health curriculum. The study was conducted in a large public preschool with five branches in Beijing, China. A total of 248 parent-child pairs participated in the baseline and follow-up surveys, of which 129 were in the intervention group and 119 were in the comparison group. The generalized estimating equation analysis results indicated that parental involvement in preschool-based eye health intervention on screen uses had positive influence on parents' eye health knowledge, cues to action, and parenting efficacy. The intervention program also had positive effects on the increasing level of children's eye health knowledge, beliefs, cues to action, self-efficacy, and behaviors. The results supported the implementation of a preschool-based eye health intervention program with parental involvement, which could potentially enhance children's and parents' eye health beliefs and practices.
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Affiliation(s)
- Shu-Mei Liu
- Department of Preschool Education, Jing Hengyi College of Education, Hangzhou Normal University, Hangzhou 311121, China;
| | - Fong-Ching Chang
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei 106, Taiwan;
| | - Cheng-Yu Chen
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei 106, Taiwan;
| | - Shu-Fang Shih
- Department of Health Administration, College of Health Professions, Virginia Commonwealth University, Richmond, VA 23298, USA;
| | - Bo Meng
- Department of Surgery, Shanxi Provincial People’s Hospital, Taiyuan 030012, China;
| | - Eric Ng
- School of Business, University of Southern Queensland, Toowoomba, QLD 4350, Australia;
| | - Chia-Hsuan Hsu
- Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan; (C.-H.H.); (Y.-T.C.); (B.L.)
| | - Yi-Te Chiang
- Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan; (C.-H.H.); (Y.-T.C.); (B.L.)
| | - Xiao-Jie Mao
- Health Care Center, The First Kindergarten in Fengtai District, Beijing 100071, China; (X.-J.M.); (M.-Y.Y.)
| | - Ming-Yan Yi
- Health Care Center, The First Kindergarten in Fengtai District, Beijing 100071, China; (X.-J.M.); (M.-Y.Y.)
| | - Ben LePage
- Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan; (C.-H.H.); (Y.-T.C.); (B.L.)
- Academy of Natural Sciences, Philadelphia, PA 19103, USA
| | - Wei-Ta Fang
- Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei 116, Taiwan; (C.-H.H.); (Y.-T.C.); (B.L.)
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Liu J, Zhang R, Sun L, Zheng Y, Chen S, Chen SL, Xu Y, Pang CP, Zhang M, Ng TK. Genotype-phenotype correlation and interaction of 4q25, 15q14 and MIPEP variants with myopia in southern Chinese population. Br J Ophthalmol 2021; 105:869-877. [PMID: 31604699 DOI: 10.1136/bjophthalmol-2019-314782] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Revised: 09/24/2019] [Accepted: 09/27/2019] [Indexed: 02/05/2023]
Abstract
BACKGROUND/AIMS To determine the association and interaction of genome-wide association study-reported variants for Asian populations with myopia and ocular biometric parameters in southern Chinese population. METHODS Totally, 1462 unrelated Han Chinese subjects were recruited with complete ophthalmic examinations, including 1196 myopia and 266 control subjects. A total of nine variants were selected for TaqMan genotyping. The genetic association, joint additive effect and genotype-phenotype correlation were investigated. RESULTS The 4q25 variant rs10034228 (p=0.002, OR=0.56) and MIPEP variant rs9318086 (p=0.004, OR=1.62) were found to be significantly associated with myopia as well as different severity of myopia. Moreover, 15q14 variant rs524952 (p=0.015, OR=1.49) also showed mild association with myopia and high myopia. However, there was no significant association of CTNND2, vasoactive intestinal peptide receptor 2 and syntrophin beta 1 variants with myopia. Joint additive analysis revealed that the subjects carrying 6 risk alleles of the 3 associated variants were 10-fold higher risk predisposed to high myopia. Genotype-phenotype correlation analysis revealed that high myopia subjects carrying 4q25 rs10034228 T allele showed thicker central corneal thickness, whereas high myopia subjects carrying 15q14 rs524952 A allele were associated with longer axial length and larger curvature ratio. CONCLUSION This study revealed significant association of 4q25, 15q14 and MIPEP variants with myopia and different severity of myopia in southern Chinese population, joint additively enhancing 10-fold of risk predisposing to high myopia. The correlation of these associated variants with axial length and corneal parameters suggests their contribution to the refractive status in high myopia subjects.
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Affiliation(s)
- Junbin Liu
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
| | - Riping Zhang
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
| | - Lixia Sun
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
| | - Yuqian Zheng
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
| | - Shaowan Chen
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
| | - Shao-Lang Chen
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
| | - Yanxuan Xu
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
| | - Chi-Pui Pang
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
- Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong
| | - Mingzhi Zhang
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
| | - Tsz Kin Ng
- Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong, China
- Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong
- Shantou University Medical College, Shantou, Guangdong, China
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Xerri O, Bernabei F, Philippakis E, Burin-Des-Roziers C, Barale PO, Laplace O, Monin C, Bremond-Gignac D, Guerrier G, Valleix S, Brezin A, Rothschild PR. Choroidal and peripapillary changes in high myopic eyes with Stickler syndrome. BMC Ophthalmol 2021; 21:2. [PMID: 33397304 PMCID: PMC7784261 DOI: 10.1186/s12886-020-01777-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Accepted: 12/15/2020] [Indexed: 12/03/2022] Open
Abstract
Background To compare different clinical and Spectral-Domain Optical Coherence Tomography (SD-OCT) features of high myopic eyes with Stickler syndrome (STL) with matched controls. Methods Patients with genetically confirmed STL with axial length ≥ 26 mm and controls matched for axial length were included. The following data were obtained from SD-OCT scans and fundus photography: choroidal and retinal thickness (respectively, CT and RT), peripapillary atrophy area (PAA), presence of posterior staphyloma (PS). Results Twenty-six eyes of 17 patients with STL and 25 eyes of 19 controls were evaluated. Compared with controls, patients with STL showed a greater CT subfoveally, at 1000 μm from the fovea at both nasal and temporal location, and at 2000 and 3000 μm from the fovea in nasal location (respectively, 188.7±72.8 vs 126.0±88.7 μm, 172.5±77.7 vs 119.3±80.6 μm, 190.1±71.9 vs 134.9±79.7 μm, 141.3±56.0 vs 98.1±68.5 μm, and 110.9±51.0 vs 67.6±50.7 μm, always P< 0.05). Furthermore, patients with STL showed a lower prevalence of PS (11.5% vs 68%, P< 0.001) and a lower PAA (2.2±2.1 vs 5.4±5.8 mm2, P=0.03), compared with controls. Conclusions This study shows that high myopic patients with STL show a greater CT, a lower PAA and a lower prevalence of PS, compared with controls matched for axial length. These findings could be relevant for the development and progression of myopic maculopathy in patients with STL.
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Affiliation(s)
- Olivia Xerri
- Service d'Ophtalmologie, Hôpital Necker-Enfants Malades, AP-HP, F-75014, Paris, France
| | - Federico Bernabei
- Service d'Ophtalmologie, Ophtalmopôle de Paris, Hôpital Cochin, AP-HP, 27 rue du Faubourg Saint Jacques, 75014, Paris, France
| | - Elise Philippakis
- Service d'Ophtalmologie, Hôpital Lariboisière, AP-HP, F-75014, Paris, France
| | - Cyril Burin-Des-Roziers
- Service d'Ophtalmologie, Ophtalmopôle de Paris, Hôpital Cochin, AP-HP, 27 rue du Faubourg Saint Jacques, 75014, Paris, France.,Université de Paris, Centre de Recherche des Cordeliers, INSERM, UMR_1138, F-75006, Paris, France
| | | | - Olivier Laplace
- Service d'Ophtalmologie, Hôpital des Quinze-Vingts, Paris, France
| | - Claire Monin
- Service d'Ophtalmologie, Hôpital des Quinze-Vingts, Paris, France
| | - Dominique Bremond-Gignac
- Service d'Ophtalmologie, Hôpital Necker-Enfants Malades, AP-HP, F-75014, Paris, France.,Université de Paris, Centre de Recherche des Cordeliers, INSERM, UMR_1138, F-75006, Paris, France
| | - Gilles Guerrier
- Anaesthetic and Intensive Care Department, Hôpital Cochin, Paris Descartes university, 75014, Paris, France
| | - Sophie Valleix
- Université de Paris, Centre de Recherche des Cordeliers, INSERM, UMR_1138, F-75006, Paris, France.,Laboratoire de Génétique Moléculaire, Faculté de Médecine Paris, Hôpital Necker-Enfants Malades, Université de Paris, AP-HP; Inserm, U_1163, Institut IMAGINE, F-75014, Paris, France
| | - Antoine Brezin
- Service d'Ophtalmologie, Ophtalmopôle de Paris, Hôpital Cochin, AP-HP, 27 rue du Faubourg Saint Jacques, 75014, Paris, France.,Université de Paris, Centre de Recherche des Cordeliers, INSERM, UMR_1138, F-75006, Paris, France
| | - Pierre-Raphaël Rothschild
- Service d'Ophtalmologie, Ophtalmopôle de Paris, Hôpital Cochin, AP-HP, 27 rue du Faubourg Saint Jacques, 75014, Paris, France. .,Université de Paris, Centre de Recherche des Cordeliers, INSERM, UMR_1138, F-75006, Paris, France.
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Wang YR, Bian HL, Wang Q. Atropine 0.5% eyedrops for the treatment of children with low myopia: A randomized controlled trial. Medicine (Baltimore) 2017; 96:e7371. [PMID: 28682887 PMCID: PMC5502160 DOI: 10.1097/md.0000000000007371] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Revised: 05/31/2017] [Accepted: 06/06/2017] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND This study aimed to assess the efficacy and safety of atropine 0.5% eyedrops (ATE) for the treatment of children with low myopia (LM). METHODS In this study, a total of 126 children with LM were randomly divided into an intervention group (administered 0.5% ATE) and a control group (administered a placebo), with 63 children in each group. The outcome measurements were changes in the spherical equivalent (SE), and axial length (AL), as well as adverse events (AEs). RESULTS Compared with placebo, administration of 0.5% ATE led to less progression in LM, as measured by SE, and less increase in AL (P < .01). In addition, no serious AEs occurred in both the groups. CONCLUSION About 0.5% ATE was efficacious and safe for controlling myopia in children with LM.
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Affiliation(s)
- Yan-rong Wang
- Department of Ophthalmology, The People's Hospital of Yan’an
| | - Hong-Li Bian
- Department of Ophthalmology, Affiliated Hospital of Yan’an University, Yan’an, China
| | - Qi Wang
- Department of Ophthalmology, The People's Hospital of Yan’an
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