ANALYSIS OF RISK FACTORS FOR THE PROGRESSION OF MYOPIA IN SCHOOLCHILDREN OF A MODERN MEGAPOLIS

  • Ирина Николаевна Горбачевская Saint-Petersburg State Pediatric Medical University Saint-Petersburg, Russia, 194100
  • Василий Иванович Орел Saint-Petersburg State Pediatric Medical University Saint-Petersburg, Russia, 194100
  • Владимир Всеволодович Бржеский Saint-Petersburg State Pediatric Medical University Saint-Petersburg, Russia, 194100
  • Регина Владимировна Ершова GBUZ “Diagnostic Center N 7” 191028, St. Petersburg
Keywords: myopia, myopia progression, children, schoolchildren, meta analysis, binary logistic regression

Abstract

Myopia can be represented as a dichotomous condition with two outcomes: the disease progresses or does not progress. Determining the risk factors for the progression of myopia allows to create a model to determine probability of progressing the disease in a given person. Thus the purpose of the study was to identify risk factors for the progression of myopia and to draw up a model to determine probability of progressing the disease. We examined 60 schoolchildren aged 7 to 16, of which 27 boys (45%) and 33 girls (55%). All examined children had myopia of various degrees. Using a questionnaire survey of the parents of the children under the study, the risk factors for the progression of myopia that are possible from their point of view were identified. The analysis also includes risk factors for the progression of myopia, relevant from the perspective of the attending ophthalmologist. Statistical data processing was carried out in several stages. First, the coefficients of binary logistic regression (a total of 9) of all factors and their significance levels were obtained. At subsequent stages of the calculation, those factors whose coefficients were regarded as statistically insignificant were removed from the model. As a result of the calculations, it turned out that only two factors statistically significantly affect the prognosis: if a child followed the daily schedule and is regularly observed by a ophthalmologist. Other factors do not affect the prognoses and therefore may not be taken into account. Using the method of binary logical regression, two main factors were identified that affect the progression of myopia in schoolchildren - following the daily regimen and observation by a permanent ophthalmologist. However, the studied group of schoolchildren in the amount of 60 people is not enough for a full fledged statistical analysis and requires further research.

Author Biographies

Ирина Николаевна Горбачевская, Saint-Petersburg State Pediatric Medical University Saint-Petersburg, Russia, 194100
Litovskaya str., 2; postgraduate student of the Department of Ophthalmology, head physician of medical center «Dimira»
Василий Иванович Орел, Saint-Petersburg State Pediatric Medical University Saint-Petersburg, Russia, 194100
Litovskaya str., 2
Владимир Всеволодович Бржеский, Saint-Petersburg State Pediatric Medical University Saint-Petersburg, Russia, 194100
Litovskaya str., 2
Регина Владимировна Ершова, GBUZ “Diagnostic Center N 7” 191028, St. Petersburg
ul. Mokhovaya, d. 38
Published
2020-05-21
How to Cite
Горбачевская, И. Н., Орел, В. И., Бржеский, В. В., & Ершова, Р. В. (2020). ANALYSIS OF RISK FACTORS FOR THE PROGRESSION OF MYOPIA IN SCHOOLCHILDREN OF A MODERN MEGAPOLIS. Medicine and Organization of Health Care, 4(3), 26-31. Retrieved from https://ojs3.gpmu.org/index.php/medorg/article/view/588
Section
Статьи