A Latent Class Analysis of Student Eye Care Behavior: Evidence From a Sample of 6–17 Years Old in China

PurposeTo understand the latent classes and distribution of an adolescent eye care behavior, and to provide a basis for the formulation of appropriate adolescent vision health management interventions.MethodsInformation on eye behavior and eye health of primary and secondary school students in Wuhan...

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Main Authors: Mengying Li, Wenjing Wang, Boya Zhu, Xiaodong Tan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.914592/full
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author Mengying Li
Wenjing Wang
Boya Zhu
Xiaodong Tan
author_facet Mengying Li
Wenjing Wang
Boya Zhu
Xiaodong Tan
author_sort Mengying Li
collection DOAJ
description PurposeTo understand the latent classes and distribution of an adolescent eye care behavior, and to provide a basis for the formulation of appropriate adolescent vision health management interventions.MethodsInformation on eye behavior and eye health of primary and secondary school students in Wuhan was collected by multistage stratified cluster sampling. The latent class analysis (LCA) method was used to analyze the students' eye care behavior, and the latent class model (LCM) was built.ResultsA total of 6,130 students were enrolled in this study, of which 53.56% were males, aged from 6 to 17 years old, with an average age of 10.33 ± 2.60. The latent class results classified the adolescents' eye care behaviors into bad behaviors, moderate behaviors, and healthy behaviors. The model fitting results were as follows: Akaike Information Criterion (AIC) was 36,698.216, Bayesian Information Criterion (BIC) was 36,906.565, Adjusted Bayesian Information Criterion (aBIC) was 36,808.056, and entropy was 0.838.Compared with the healthy behaviors class, the bad behaviors class was more prevalent in high schools (p = 0.003), non-demonstration schools (p = 0.001), and most of this group had astigmatism (p = 0.002). The moderate behaviors class predominately consisted of females (p = 0.001), 15–17 years old (p = 0.005, 6~8 years old as the reference), from non-demonstration schools (p < 0.001), and most had myopia (p = 0.009).ConclusionThere were differences in basic demographic characteristics, visual acuity development level, and family visual environment among different classes. In the management and intervention of an adolescent vision health, we should continue to promote the visual health management of adolescents based on visual monitoring and realize the early intervention and guidance of individuals in bad behaviors class.
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spelling doaj.art-f1d51f0245664b79bc3c46598412b9e82022-12-22T03:30:01ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-06-011010.3389/fpubh.2022.914592914592A Latent Class Analysis of Student Eye Care Behavior: Evidence From a Sample of 6–17 Years Old in ChinaMengying LiWenjing WangBoya ZhuXiaodong TanPurposeTo understand the latent classes and distribution of an adolescent eye care behavior, and to provide a basis for the formulation of appropriate adolescent vision health management interventions.MethodsInformation on eye behavior and eye health of primary and secondary school students in Wuhan was collected by multistage stratified cluster sampling. The latent class analysis (LCA) method was used to analyze the students' eye care behavior, and the latent class model (LCM) was built.ResultsA total of 6,130 students were enrolled in this study, of which 53.56% were males, aged from 6 to 17 years old, with an average age of 10.33 ± 2.60. The latent class results classified the adolescents' eye care behaviors into bad behaviors, moderate behaviors, and healthy behaviors. The model fitting results were as follows: Akaike Information Criterion (AIC) was 36,698.216, Bayesian Information Criterion (BIC) was 36,906.565, Adjusted Bayesian Information Criterion (aBIC) was 36,808.056, and entropy was 0.838.Compared with the healthy behaviors class, the bad behaviors class was more prevalent in high schools (p = 0.003), non-demonstration schools (p = 0.001), and most of this group had astigmatism (p = 0.002). The moderate behaviors class predominately consisted of females (p = 0.001), 15–17 years old (p = 0.005, 6~8 years old as the reference), from non-demonstration schools (p < 0.001), and most had myopia (p = 0.009).ConclusionThere were differences in basic demographic characteristics, visual acuity development level, and family visual environment among different classes. In the management and intervention of an adolescent vision health, we should continue to promote the visual health management of adolescents based on visual monitoring and realize the early intervention and guidance of individuals in bad behaviors class.https://www.frontiersin.org/articles/10.3389/fpubh.2022.914592/fulladolescentlatent class analysisvisual health managementmyopiaeye care
spellingShingle Mengying Li
Wenjing Wang
Boya Zhu
Xiaodong Tan
A Latent Class Analysis of Student Eye Care Behavior: Evidence From a Sample of 6–17 Years Old in China
Frontiers in Public Health
adolescent
latent class analysis
visual health management
myopia
eye care
title A Latent Class Analysis of Student Eye Care Behavior: Evidence From a Sample of 6–17 Years Old in China
title_full A Latent Class Analysis of Student Eye Care Behavior: Evidence From a Sample of 6–17 Years Old in China
title_fullStr A Latent Class Analysis of Student Eye Care Behavior: Evidence From a Sample of 6–17 Years Old in China
title_full_unstemmed A Latent Class Analysis of Student Eye Care Behavior: Evidence From a Sample of 6–17 Years Old in China
title_short A Latent Class Analysis of Student Eye Care Behavior: Evidence From a Sample of 6–17 Years Old in China
title_sort latent class analysis of student eye care behavior evidence from a sample of 6 17 years old in china
topic adolescent
latent class analysis
visual health management
myopia
eye care
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.914592/full
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