Authors

Affiliations

1 Department of Environmental Engineering, Da-Yeh University, Taiwan; a0908819180@gmail.com

2 Public Healthcare Center of Tianwei Town, Taiwan; a0908819180@gmail.com

3 Department of Environmental Engineering, Da-Yeh University, Taiwan; yiching@mail.dyu.edu.tw

*Corresponding author: yiching@mail.dyu.edu.tw; Tel.: +886–939107419

Abstracts

Although many studies have discussed visual acuity (VA), the childhood myopia epidemic has not been alleviated and requires further investigation. In this study, investigations were carried out on the difference in kids’ VA by their environmental factors, such as various family structures, the effect of visual health attitudes (VHA) and visual health behaviours (VHB) on VA. The research subjects are selected for kids in low socioeconomic status (SES) families in Changhua County, Taiwan. This study conducted purposive sampling based on a questionnaire survey and combining a VA examination. There were 260 questionnaires collected, and significantly over 60% of the samples of low SES elementary school kids were not living with their both parents. Of these kids, the highest proportion (33.5%) lived with their mothers, sequentially, 32.7% with their grandparents and 30.0% with their fathers. In fact, 48.8% of these low SES kids’ visions were below 0.9, which is 2.7% higher than the defective vision rate in Taiwan. These kids with poor VA mostly in worse VHA can lead to unhealthy VHB and ultimately to myopia. Some parents at low SES families were busy at making money rather than taking care of kids. Thus, kids addicted to playing 3C products at home without participating in leisure sports result in the rapid increase of myopia. According to the results of the study, “correct” VHA can lead to “correct” VHB; nevertheless, leisure sports participation (LSP) can lead to “correct” VHB for ensuring good VA for kids.

Keywords

Cite this paper

Hsiao, Y.T.; Chen, Y.CThe assessment of visual acuity for low socioeconomic status kids by their environmental factors. VN J. Hydrometeorol 2021, 9, 1-8.

References

1. World Health Organization. Visual impairment and blindness, Fact Sheet No. 282  2014. Retrived from: http://www.who.int/mediacentre/factsheets/fs282/en/

2. Lin, L.L.K.; Shih, Y.F.; Hsiao, C.K.; Chen, C.J. Prevalence of myopia in Taiwanese schoolchildren: 1983 to 2000. Ann. Acad. Med. 2004, 33(1), 27–33.

3. Wu, P.C.; Tsai, C.L.; Wu, H.L.; Yang, Y.H.; Kuo, H.K. Outdoor activity during class recess reduces myopia onset and progression in school children. Ophthalmology 2013, 120(5), 1080–1085.

4. Lyu, Y.; Zhang, H.; Gong, Y.; Wang, D.; Chen, T.; Guo, X.; Yang, S.; Liu, D.; Kang, M. Prevalence of and factors associated with myopia in primary school students in the Chaoyang district of Beijing, China. Jpn. J. Ophthalmol. 2015, 59(6), 421–429.

5. Tsai, D.C.; Lin, L.J.; Huang, N.; Hsu, C.C.; Chen, S.Y.; Chiu, A.W.H.; Liu, C.J.L. Study design, rationale and methods for a population-based study of myopia in schoolchildren: The Myopia Investigation study in Taipei. Clin. Exp. Ophthalmol. 2015, 43(7), 612–620.

6. Wang W.; Yan, W.; Müller, A.; Keel, S.; He, M. Association of Socioeconomics With Prevalence of Visual Impairment and Blindness. JAMA Ophthalmo. 2017, 135(12), 1295–1302.

7. Lee, Y.Y.; Lo, C.T.; Sheu, S.J.; Yin L.T. Risk factors for and progression of myopia in young Taiwanese men. Ophthalmic Epidemiology 2015, 22(1), 66–73.

8. Holden, B.; Sankaridurg, P.; Smith, E.; Aller, T.; Jong, M.; He, M. Myopia, an underrated global challenge to vision: Where the current data takes us on myopia control. Eye 2014, 28(2), 142–146.

9. Ramamurthy, D.; Lin Chua, S. Y.; Saw, S. M. A review of environmental risk factors for myopia during early life, childhood and adolescence. Clin. Exp. Optometry 2015, 98(6), 497–506.

10. Fishbein, M.; Ajzen, I. Predicting and changing behavior: The Reasoned Action Approach. Taylor & Francis, New York, 2010.

11. Ajzen, I. The Theory of Planned Behavior. Organizational Behav. Hum. Decis. Processes 1991, 50, 179–211.

12. Godin, G.; Kok, G. The Theory of Planned Behavior: A Review of Its Applications to Health-related Behaviors. Am. J. Health Promot. 1996, 11, 87–98.

13. Morgan, I.; Rose, K. How genetic is school myopia? Prog. Retinal Eye Res. 2005, 24(1), 1–38.

14. Lim, L.T.; Gong, Y.; Ah-kee, E.Y.; Xiao, G.; Zhang, X.; Yu, S. Impact of parental history of myopia on the development of myopia in Mainland China school-aged children. Ophthalmol. Eye Dis. 2014, 6, 31–35.

15. He, M.; Zheng, Y.; Xiang, F. Prevalence of myopia in urban and rural children in Mainland China. Optometry Vision Sci. 2009, 86(1), 40–44.

16. Nishi, M., Miyake, H.; Shikai, T.; Takeuchi, M.; Tanaka, H.; Minagawa, N.; Morimoto, Y.; Wada, M. Factors influencing the visual acuity of primary school pupils. J. Epidemiol. 2000, 10(3),179–182.

17. Rose, K.A.; Morgan, I.G.; Smith, W.; Burlutsky, G.; Mitchell, P.; Saw, S.M. Myopia, lifestyle, and schooling in students of Chinese ethnicity in Singapore and Sydney. Arch. Ophthalmol. 2008, 126(4), 527–530.

18. Saw, S.M.; Chua, W.H.; Hong, C.Y.; Wu, H.M.; Chan, W.Y.; Chia, K.S.; Stone, R.A.; Tan, D. Near work in early-onset myopia. Clin. Epidemiologic Res. 2002, 43(2), 332–339.

19. You, Q.S.; Wu, L.J.; Duan, J.L.; Luo, Y.X.; Liu, L.J.; Li, L.; Gao, Q.; Wang, W.; Xu, L.; Jonas, J.B.; Guo, X.H. Factors associated with myopia in school children in China: The Beijing Childhood Eye Study. PLoS ONE 2012, 7(12), e52668.

20. Hair, J.F.J.; Anderson, R.E.; Tatham, R.L.; Black, W.C. Multivariate data analysis: Prentice-Hall, New Jersey, 1998.

21. Wu, P.C.; Chang, L.C.; Niu, Y.Z.; Chen, M.L.; Liao, L.L.; Chen, C.T. Myopia prevention in Taiwan. Ann. Eye Sci. 2018, 3(12), 1–4.