1. Childhood exposure to constricted living space: a possible environmental threat for myopia development
- Author
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Henry H. L. Chan, Zhe Chuang Li, Yamunadevi Lakshmanan, Kai Yip Choi, Wing Yan Yu, Man Pan Chin, Christie Hang I Lam, Paul H. Lee, Francisca Siu Yin Wong, and Chi Wai Do
- Subjects
Male ,Refractive error ,medicine.medical_specialty ,Living space ,Demographics ,Living environment ,Refraction, Ocular ,Population density ,03 medical and health sciences ,0302 clinical medicine ,Epidemiology ,Myopia ,Prevalence ,medicine ,Humans ,Child ,Retrospective Studies ,business.industry ,Confounding ,Environmental Exposure ,Axial length ,medicine.disease ,Sensory Systems ,Axial Length, Eye ,Ophthalmology ,030221 ophthalmology & optometry ,Hong Kong ,Optometry ,Female ,business ,030217 neurology & neurosurgery ,Follow-Up Studies ,Demography - Abstract
Purpose People in Hong Kong generally live in a densely populated area and their homes are smaller compared with most other cities worldwide. Interestingly, East Asian cities with high population densities seem to have higher myopia prevalence, but the association between them has not been established. This study investigated whether the crowded habitat in Hong Kong is associated with refractive error among children. Methods In total, 1075 subjects [Mean age (S.D.): 9.95 years (0.97), 586 boys] were recruited. Information such as demographics, living environment, parental education and ocular status were collected using parental questionnaires. The ocular axial length and refractive status of all subjects were measured by qualified personnel. Results Ocular axial length was found to be significantly longer among those living in districts with a higher population density (F2,1072 = 6.15, p = 0.002) and those living in a smaller home (F2,1072 = 3.16, p = 0.04). Axial lengths were the same among different types of housing (F3,1071 = 1.24, p = 0.29). Non-cycloplegic autorefraction suggested a more negative refractive error in those living in districts with a higher population density (F2,1072 = 7.88, p
- Published
- 2017
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