Abstract
Purpose
To determine the prevalence of self-reported myopia nationwide in Taiwan and its association with degrees of urbanization and education levels.
Methods
Data were obtained from the 2005 Taiwan National Health Interview Survey, a nationwide survey using multistage stratified systematic sampling. The presence of myopia, current residential areas, and education levels were ascertained by a structured questionnaire in participants ≥12 years of age.
Results
A total of 20 609 eligible persons were included in this study. The overall weighted prevalence of myopia in Taiwan was 46.7% (95% confidence interval: 45.9, 47.5%). The prevalence of myopia for persons aged 12–19, 20–39, 40–64, and ≥65 years was 70.3%, 65.4%, 30.4%, and 5.6%, respectively. Women had significantly higher rates of myopia than men for persons younger than 40 years of age (P<0.001). Myopia was significantly associated with both higher degrees of urbanization of current residential areas and higher education levels (both P<0.001). In young adult and adult groups, the effect of education levels on myopia was stronger than that of degrees of urbanization.
Conclusion
The study provides a nation-wide prevalence data on myopia in Taiwan. Both degrees of urbanization and education levels are risk factors for myopia.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Kempen JH, Mitchell P, Lee KE, Tielsch JM, Broman AT, Taylor HR et al. The prevalence of refractive errors among adults in the United States, Western Europe, and Australia. Arch Ophthalmol 2004; 122 (4): 495–505.
Hsu WM, Cheng CY, Liu JH, Tsai SY, Chou P . Prevalence and causes of visual impairment in an elderly Chinese population in Taiwan: the Shihpai Eye Study. Ophthalmology 2004; 111 (1): 62–69.
Lin LL, Shih YF, Hsiao CK, Chen CJ . Prevalence of myopia in Taiwanese schoolchildren: 1983 to 2000. Ann Acad Med Singapore 2004; 33 (1): 27–33.
Lin LL, Chen CJ, Hung PT, Ko LS . Nation-wide survey of myopia among school children in Taiwan, 1986. Acta Ophthalmol Suppl 1988; 185: 29–33.
Lin LL, Shih YF, Tsai CB, Chen CJ, Lee LA, Hung PT et al. Epidemiologic study of ocular refraction among schoolchildren in Taiwan in 1995. Optom Vis Sci 1999; 76 (5): 275–281.
Cheng CY, Hsu WM, Liu JH, Tsai SY, Chou P . Refractive errors in an elderly Chinese population in Taiwan: the Shihpai Eye Study. Invest Ophthalmol Vis Sci 2003; 44 (11): 4630–4638.
National Health Interview Survey. Available at http://nhis.nhri.org.tw/2005nhis.html (in Chinese) (accessed 19 December 2011).
Bureau of Health Promotion (2005) Available at http://www.bhp.doh.gov.tw/BHPnet/English (accessed 19 December 2011).
NHIS Working Group: Sampling design for the 2005 National Health Interview Survey. The 2005 National Health Interview Survey Research Brief, 2nd ed. National Health Research Institutes & Bureau of Health Promotion: Taipei, Taiwan, 2007 (in Chinese).
Liu CY, Hung YT, Chuang YL, Chen YJ, Weng WS, Liu JS et al. Incorporating development stratification of Taiwan townships into sampling design of large scale health interview survey. J Health Manage 2006; 4 (1): 1–22.
Wen CP, Cheng CW, Cheng TY, Tsai MK, Chiang PH, Tsai SP et al. Trends in betel quid chewing behavior in Taiwan-exploring the relationship between betel quid chewing and smoking. Taiwan J Public Health 2009; 28 (5): 407–419.
Wong TY, Foster PJ, Hee J, Ng TP, Tielsch JM, Chew SJ et al. Prevalence and risk factors for refractive errors in adult Chinese in Singapore. Invest Ophthalmol Vis Sci 2000; 41 (9): 2486–2494.
Wu SY, Nemesure B, Leske MC . Refractive errors in a black adult population: the Barbados Eye Study. Invest Ophthalmol Vis Sci 1999; 40 (10): 2179–2184.
Wensor M, McCarty CA, Taylor HR . Prevalence and risk factors of myopia in Victoria, Australia. Arch Ophthalmol 1999; 117 (5): 658–663.
Seet B, Wong TY, Tan DT, Saw SM, Balakrishnan V, Lee LK et al. Myopia in Singapore: taking a public health approach. Br J Ophthalmol 2001; 85 (5): 521–526.
Wong TY, Loon SC, Saw SM . The epidemiology of age related eye diseases in Asia. Br J Ophthalmol 2006; 90 (4): 506–511.
Ip JM, Rose KA, Morgan IG, Burlutsky G, Mitchell P . Myopia and the urban environment: findings in a sample of 12-year-old Australian school children. Invest Ophthalmol Vis Sci 2008; 49 (9): 3858–3863.
Vitale S, Ellwein L, Cotch MF, Ferris III FL, Sperduto R . Prevalence of refractive error in the United States, 1999–2004. Arch Ophthalmol 2008; 126 (8): 1111–1119.
Saw SM, Chua WH, Hong CY, Wu HM, Chia KS, Stone RA et al. Height and its relationship to refraction and biometry parameters in Singapore Chinese children. Invest Ophthalmol Vis Sci 2002; 43 (5): 1408–1413.
Acknowledgements
The data used in this study were from the 2005 National Health Interview Survey in Taiwan funded by the National Health Research Institutes and the Bureau of Health Promotion, Department of Health, Taiwan.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Guo, YH., Lin, HY., Lin, L. et al. Self-reported myopia in Taiwan: 2005 Taiwan National Health Interview Survey. Eye 26, 684–689 (2012). https://doi.org/10.1038/eye.2012.9
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/eye.2012.9
Keywords
This article is cited by
-
The increasing prevalence of myopia and high myopia among high school students in Fenghua city, eastern China: a 15-year population-based survey
BMC Ophthalmology (2018)
-
Astigmatism in Chinese primary school children: prevalence, change, and effect on myopic shift
Japanese Journal of Ophthalmology (2018)
-
The increasing prevalence of myopia in junior high school students in the Haidian District of Beijing, China: a 10-year population-based survey
BMC Ophthalmology (2017)
-
Effects of topical atropine on intraocular pressure and myopia progression: a prospective comparative study
BMC Ophthalmology (2016)
-
Prescription of atropine eye drops among children diagnosed with myopia in Taiwan from 2000 to 2007: a nationwide study
Eye (2013)