目的 对厦门市某中学初中学生视力不良检出情况进行分析,为制订防控措施及效果评价提供依据。方法 采用整群抽样的方法,使用“厦门i教育综合服务平台——学生视力与体质监测管理”中的数据,分析2019 —2023年在校学生体检视力不良情况。结果 2019 —2023年学生视力不良检出率分别为80.21%、77.53%、80.25%、 78.37%和 77.79%,无线性趋势(χ2趋势=8.97,P>0.05),其中女生视力不良检出率呈下降趋势(χ2趋势=4.53,P=0.033)。除2020年,其余年份视力不良检出率随年级增加呈上升趋势(P<0.01);各年级学生视力不良检出率随年份变化均无线性趋势(P均>0.05)。追踪2019、2020、2021级学生3年视力不良检出率,均随年级增加呈上升趋势(P均<0.01)。结论 2019 —2023年厦门市某中学初中学生视力不良检出率未见线性趋势,5年视力不良检出率均高于全国平均水平,家庭、学校、医疗卫生机构、政府相关部门和其他社会各界力量应主动参与建设视觉友好环境。　

Objective This study analyzed the detection status of visual impairment among students at a middle school in Xiamen, to provide a basis for formulating prevention and control measures, and evaluating their effectiveness. Methods With a cluster sampling method, data from “Xiamen i Education Comprehensive Service Platform-Student Vision and Physical Fitness Monitoring and Management” were used to collect visual examination data for students in the school from 2019 to 2023. SPSS statistical software was used for data analysis. Results The detection rates of poor vision among students in 2019 to 2023 were 80.21%, 77.53%, 80.25%, 78.37%, and 77.79%, respectively, and showed no linear trend (P>0.05). A decreasing trend was observed in female students (P=0.033). The detection rate of visual impairment showed an increasing trend with grade level in all years except 2020 (P<0.01). The detection rate of poor vision among students in each grade showed no linear trend over the years (all P>0.05). Tracking the detection rate of poor vision among students over a 3-year period in 2019, 2020, and 2021 indicated an increasing trend with grade level (all P<0.01). Conclusions From 2019 to 2023, no linear trend were observed in the detection rate of visual impairment among junior high school students at a middle school in Xiamen. The detection rate of visual impairment exceeded the national average for the past 5 years. Families, schools, medical and health institutions, relevant government departments, and other sectors of society should actively participate in building a visually friendly environment.