Peculiarities and risks of myopia in children attending comprehensive schools with different educational programs

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I.Е. Shtina, S.L. Valina, О.Yu. Ustinova, L.V. Zamotina, О.А. Maklakova


Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation


The contemporary educational process involves growing diversity and complexity of educational programs and intensity of educational loads. All this, in its turn, affects schoolchildren’s health. Diseases of the eye and adnexa occupy the leading place among pathologies that are caused by unfavorable educational conditions. Prevalence of such diseases grows steadily over the whole period of getting secondary education.
The aim of this study was to examine peculiarities and assess risks of myopia in children attending comprehensive schools with different educational programs.

Overall, we examined 804 children from the 1st to 11th grade. The test group was made of 312 children who attended comprehensive schools with profound studies of some subjects. The reference group included 492 children who attended ordinary comprehensive schools. Both groups were identical as regards sex and age (р = 0.203–0.479). The study involved handing out questionnaires; estimating whether the organization of the educational processes conformed to the sanitary legislation of the Russian Federation. The research data were analyzed by conventional statistical methods, ROC-analysis, and logistic modeling.

We established several leading risk factors that caused myopia in students of comprehensive schools with profound studies of some subjects. They included 5.4–19.2 % higher educational loads; 1.4 times longer periods of PC use during classes; 1.5 times longer periods of work with digital technologies. The children from the test group tended to have myopia, including moderate and high one, 1.3–2.4 times more frequently; the disease occurred at a younger age; risks of the disease were typically higher in such schools (OR = 1.48–2.5). Causation of myopia by factors related to the educational process and digital initiation equaled R2 = 0.52–0.77. Use of ROC-curves identified cut-off points that showed how long it took myopia to develop under the specific educational conditions in comprehensive schools with profound studies of some subjects (the 5th grade) and in ordinary comprehensive schools (the 7th grade).

ROC-analysis data indicate it is necessary to apply a differentiated approach to organizing preventive activities for children who attend comprehensive schools with different educational programs.

myopia, refractive disorders, accommodative dysfunctions, students, schools with different educational programs, educational process, relative risk, ROC-analysis, cut-off point
Shtina I.Е., Valina S.L., Ustinova О.Yu. , Zamotina L.V., Maklakova О.А. Peculiarities and risks of myopia in children at-tending comprehensive schools with different educational programs. Health Risk Analysis, 2023, no. 2, pp. 80–87. DOI: 10.21668/health.risk/2023.2.07.eng
  1. Proskurina O.P., Markova E.Yu., Brzheskij V.V., Efimova E.L., Efimova M.N., Chvatova N.N., Slychalova N.N., Egorova A.V. The Prevalence of Myopia in Schoolchildren in Some Regions of Russia. Oftal'mologiya, 2018, vol. 15, no. 3, pp. 348–353. DOI: 10.18008/1816-5095-2018-3-348-353 (in Russian).
  2. World report on vision. World Health Organization, 2019. Available at: (March 27, 2023).
  3. Holden B.A., Fricke T.R., Wilson D.A., Jong M., Naidoo K.S., Sankaridurg P., Wong T.Y., Naduvilath T.J., Resnikoff S. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology, 2016, vol. 123, no. 5, pp. 1036–1042. DOI: 10.1016/j.ophtha.2016.01.006
  4. Kuchma V.R., Rapoport I.K., Sukhareva L.M., Skoblina N.A., Sedova A.S., Chubarovsky V.V., Sokolova S.B. The health of children and adolescents in school ontogenesis as a basis for improving the system of school health care and sanitary-epidemiological wellbeing of students. Zdravookhranenie Rossiiskoi Federatsii, 2021, vol. 65, no. 4, pp. 325–333. DOI: 10.47470/0044-197X-2021-65-4-325-333 (in Russian).
  5. Rapoport I.K., Tsameryan A.P. Peculiarities of forming nervo-mental disorders and visual impairment among Moscow students during the learning process at school. ZNiSO, 2019, no. 5 (314), pp. 20–27. DOI: 10.35627/2219-5238/2019-314-5-20-27 (in Russian).
  6. Novikova I.I., Erofeev Yu.V., Denisov A.V. Results of complex hygienic assessment of health of schoolchildren. ZNiSO, 2018, no. 4 (301), pp. 31–35. DOI: 10.35627/2219-5238/2018-301-4-31-35 (in Russian).
  7. Harrington S.C., Stack J., O’Dwyer V. Risk factors associated with myopia in schoolchildren in Ireland. Br. J. Oph-thalmol., 2019, vol. 103, no. 12, pp. 1803–1809. DOI: 10.1136/bjophthalmol-2018-313325
  8. Skoblina N.A., Popov V.I., Eryomin A.L., Markelova S.V., Milushkina O.Yu., Obrubov S.A., Tsameryan A.P. Risks of developing diseases of an eye and its adnexa in students in conditions of the violation of hygienic rules for the use of electronic devices. Gigiena i sanitariya, 2021, vol. 100, no. 3, pp. 279–284. DOI: 10.47470/0016-9900-2021-100-3-279-284 (in Russian).
  9. Czepita D., Mojsa A., Ustianowska M., Czepita M., Lachowicz E. Role of gender in the occurrence of refractive errors. Ann. Acad. Med. Stetin., 2007, vol. 53, no. 2, pp. 5–7.
  10. Enthoven C.A., Tideman J.W.L., Polling J.R., Yang-Huang J., Raat H., Klaver C.C.W. The impact of computer use on myopia development in childhood: The Generation R study. Prev. Med., 2020, vol. 132, pp. 105988. DOI: 10.1016/j.ypmed.2020.105988
  11. Eisfeld D.А., Ustinova О.Yu., Zaitseva N.V., Savochkina А.А. Assessment of potential hazards posed by influence of risk-inducing environmental factors and factors related to the educational process on somatic health of schoolchildren in different schools. Health Risk Analysis, 2022, no. 4, pp. 72–86. DOI: 10.21668/health.risk/2022.4.07.eng
  12. Setko A.G., Terekhova E.A., Tyurin A.V., Mokeeva M.M. Peculiarities of neuro-psychic state and life quality of children and teenagers formed under influence exerted by risk factors existing in educational environment. Health Risk Analysis, 2018, no. 2, pp. 62–69. DOI: 10.21668/health.risk/2018.2.07.eng
  13. Kuchma V.R., Shubochkina E.I., Ibragimova E.M. Hygiene problems of organization of education in profile classes in colleges. Gigiena i sanitariya, 2015, vol. 94, no. 4, pp. 8–10 (in Russian).
  14. Gritsina O.P., Trankovskaya L.V., Perelomova O.V., Parichuk K.A., Schepinskaya O.L. Features of the state of health of children attending of additional education. Zdorov'e. Meditsinskaya ekologiya. Nauka, 2016, no. 1 (64), pp. 33–37 (in Russian).
  15. Gritsina O.P., Trankovskaya L.V., Nagirnaya L.N. Hygienic assessment of day mode and mental performance in children attending establishments of additional education. Gigiena i sanitariya, 2016, vol. 95, no. 2, pp. 185–189. DOI: 10.18821/0016-9900-2016-95-2-185-189 (in Russian).
  16. Lanca C., Yam J.C., Jiang W.-J., Tham Y.-C., Hassan Emamian M., Tan C.-S., Guo Y., Liu H. [et al.]. Near work, screen time, outdoor time and myopia in schoolchildren in the Sunflower Myopia AEEC Consortium. Acta Ophthalmol., 2022, vol. 100, no. 3, pp. 302–311. DOI: 10.1111/aos.14942
  17. Babaev A.B., Khalimova Z.S., Makhmadov Sh.K. Impact adverse factors of educational process to vision organ of school-age children. Vestnik Pedagogicheskogo universiteta, 2014, no. 5 (60), pp. 164–168 (in Russian).
  18. Kumar Singh N., James R.M., Yadav A., Kumar R., Asthana S., Labani S. Prevalence of Myopia and Associated Risk Factors in Schoolchildren in North India. Optom. Vis. Sci., 2019, vol. 96, no. 3, pp. 200–205. DOI: 10.1097/OPX.0000000000001344
  19. Shilovskikh, O.V. Rate of ophthalmological diseases in Sverdlovsk region. Oftal'mokhirurgiya, 2010, no. 3, pp. 43–47 (in Russian).
  20. Baird P.N., Saw S.-M., Lanca C., Guggenheim J.A., Smith Iii E.L., Zhou X., Matsui K.-O., Wu P.-C. [et al.]. Myopia. Nat. Rev. Dis Primers, 2020, vol. 6, no. 1, pp. 99. DOI: 10.1038/s41572-020-00231-4
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