2002년 부산, 울산 및 경상남도 19세 남자의 근시 유병률 = Prevalence of Myopia in 19-Year-Old Men in Gyeongsangnam-do, Ulsan and Busan in 2002

국문 초록 (Abstract)

목적: 부산, 울산 및 경남지역 19세 남자의 근시 및 고도근시 유병률을 추정하고 거주지역, 학력수준, 신장, 체중 등의 영향을 분석하였다.
대상과 방법: 2002년 1월에서 12월까지 부산, 울산, 경남지역에 거주하는 징병신체검사자 중 시력이 0.8 이하인 사람 50,243명에게
시행된 자동굴절검사 결과를 분석대상으로 하였다. 굴절이상이 -0.5D 이상이면 근시로, -6.0D 이상이면 고도근시로 정의하였으며
거주지역, 학력수준, 신장, 체중 등에 따라 표준화하여 유병률을 비교하고 굴절검사 누락자를 활용하여 추정 유병률을 계산하였다.
결과: 조사대상자의 근시 유병률과 고도근시 유병률은 각각 45.60% (95% CI: 45.17~46.03), 11.50% (95% CI: 11.23~11.77)로 나타났으
며 1차 시력검사 결과 0.5 이하이면서 2차 굴절검사를 시행하지 않은 자 9,575명을 고려한 추정 근시 유병률은 54.31% (95% CI: 53.88~
54.74)이었다.
결론: 부산, 울산 및 경남지역 만19세 남성의 근시 유병률은 45.60%, 추정 근시 유병률은 54.31%, 고도근시 유병률은 11.50%로 나타났다.

다국어 초록 (Multilingual Abstract)

Purpose: To investigate the prevalence of myopia and its influencing factors in an epidemiologic study of conscripts living in
Gyeongsangnam-do, Ulsan and Busan.
Methods: A cross-sectional study was conducted in 19-year-old conscripts in Gyeongsangnam-do, Ulsan and Busan. Health
checkup data of the conscripts were collected and analyzed along with subjective visual acuity, noncycloplegic autorefraction
test, biometric data, and social factors such as education level and residence area. Myopia and high myopia were defined as
having a refractive error of more than -0.5D, -6.0D, respectively. To analyze the social and biometric effects, we classified
social factors into three groups and biometric factors into five groups. The estimated myopic prevalence was calculated adding
excluded conscripts who scored under 0.5 on the subjective visual acuity test and missed autorefraction data. Data analysis
was performed with descriptive analysis and the chi square test for trends using the Statistical Package for the Social Sciences
(SPSS) version 14.0K.
Results: From 66,917 eligible conscripts, 50,243 were analyzed. The prevalence of myopia and high myopia in 19-year-old men
in Gyeongsangnam-do, Ulsan and Busan were 45.60% (95% CI: 45.17~46.03) and 11.50% (95% CI: 11.23~11.77). The estimated
myopic prevalence using 66,917 eligible conscripts was 54.31% (95% CI: 53.88~54.74).
Conclusions: The prevalence of myopia and high myopia and the estimated prevalence of myopia in 19–year-old men in
Gyeongsangnam-do, Ulsan and Busan were 45.60%, 11.50% and 54.31%, respectively.

참고문헌 (Reference)

1 백순철, "소아시력검사에서 나안시력과 굴절이상과의 상관관계" 대한안과학회 45 (45): 19-19, 2004

2 강지은, "도시 초등학교 4학년의 굴절이상과 안 계측치" 대한안과학회 45 (45): 15-15, 2004

3 강신희, "대한민국 만19세 남자의 근시 유병율: 유병율과 교육수준 및 도시화의 관계" 대한안과학회 45 (45): 18-18, 2004

4 Javitt JC, "The socioeconomic aspect of laser refractive surgery" 112 : 1526-1530, 1994

5 Wong TY, "The relationship between ocular dimension and refraction with adult stature: the Tanjong Paper Survey" 42 : 1237-1242, 2001

6 Mitchell P, "The relationship between glaucoma and myopia:the Blue Mountains Eye Study" 106 : 2010-2015, 1999

7 Jermy AG, "The heritability of myopia: a reanalysis of Goldschmidt’s data" 37 : 227-231, 2000

8 Lam DS, "The effect of parental history of myopia on children’s eye size and growth :results of a longitudinal study" 49 : 873-876, 2008

9 Wu MM, "The effect of having myopic parents: An analysis of myopia in the three generation" 76 : 341-342, 1999

10 Sorsby A, "Statistical note on the comparison of ocular refraction twins" 55 : 47-49, 1964

11 Eye disease case-control study group, "Risk factors for idiopathic rhegmatogenous retinal detachment" 139 : 749-759, 1993

12 Chung TM, "Relationship between visual acuity and refractive error in myopia" 18 : 305-315, 1977

13 Kim C, "Relationship between stature and axial length of the eye in myopic patients" 19 : 113-117, 1992

14 Wu SY, "Refractive error in a black adult population:the Barbados Eye Study" 40 : 2179-2184, 1999

15 Varughese S, "Refractive error at birth and its relation to gestational age" 30 : 423-428, 2005

16 Naidoo KS, "Refractive error and visual impairment in African children in South Africa" 44 : 3764-3770, 2003

17 He M, "Refractive error and impairment in urban children in southern China" 45 : 793-799, 2004

18 Robert NK, "Refractive error and ethnicity in children" 121 : 1141-1147, 2003

19 Kim DS, "Refraction in young adult" 24 : 711-715, 1983

20 Vitale S, "Prevalence of visual impairment in United States" 295 : 2158-2163, 2006

21 Lu P, "Prevalence of ocular disease in Tibetian primary school children" 43 : 95-99, 2008

22 Speroduto RD, "Prevalence of myopia in the United States" 101 : 405-407, 1983

23 Lam CS, "Prevalence of myopia in local and international school in Hongkong" 81 : 317-322, 2004

24 Wensor M, "Prevalence and risk factors of myopia in Victoria, Australia" 117 : 658-663, 1999

25 Wong TY, "Prevalence and risk factors for refractive errors in adult Chinese in Singapore" 41 : 2486-2494, 2000

26 Buch H, "Prevalence and causes of visual impairment and blindness among 9980 Scandinavian adults: the Copenhagen City Eye Study" 111 : 53-61, 2004

27 Saw SM, "Nearwork in early-onset myopia" 43 : 332-339, 2002

28 Saw SM, "Near-work activity, night-lights, and myopia in the Singapore-China study" 120 : 620-627, 2002

29 Fielder AR, "Myopia of prematurity: nature, nature, or disease?" 81 : 2-3, 1997

30 Seet B, "Myopia in Singapore:taking a public health approach" 85 : 521-526, 2001

31 van de Berg R, "Myopia and personality: The gene in myopia (GEM) personality study" 49 : 882-886, 2008

32 Parssinen O, "Myopia and myopic progression among schoolchildren: a three-year follow-up study" 34 : 1329-1335, 1993

33 Yang HN, "Inter-relationship between visual acuity and refractive error in myopia and hyperopia among children with decreased visual acuity" 26 : 639-644, 1985

34 Ronser M, "Intelligence, education, and myopia in males" 105 : 1508-1511, 1987

35 Saw SM, "Incidence and progress of myopia in Singaporean school childern" 46 : 51-57, 2005

36 Saw SM, "IQ and the association with myopia in children" 45 : 2943-2948, 2004

37 Saw SM, "Height and its relationship to refraction and biometry parameters in Singapore Chinese children" 43 : 1408-1413, 2002

38 Hammond CJ, "Genes and environment in refractive error: the twin eye study" 42 : 1232-1236, 2001

39 Saw SM, "Epidemiology of myopia" 18 : 175-187, 1996

40 Ojaimi E, "Effect of stature and other anthropometric parameters on eye size and refraction in a population- based study of Australian children" 46 : 4424-4429, 2005

41 David Adams, "Duke-Elder’s Practice of refraction, 10th ed" Churchill Livingstone 184-, 1999

42 Hui J, "Correlations between familial refractive error and children’s non-cycloplegic refractions" 35 : 1353-1358, 1995

43 Kim JC, "A study of prevailing feature and causes of myopia and visual impairment in urban school children" 29 : 165-181, 1988

44 Kim JC, "A statistical analysis of the ocular status of young adults in Seoul" 26 : 1055-1061, 1985