Myopia, Spectacle Wear, and Risk of Bicycle Accidents Among Rural Chinese Secondary School Students

  • The purpose of this study was to investigate the effect of myopia and spectacle wear on bicycle-related injuries in rural Chinese students.

  • A school-based survey was conducted on a cluster-based random sample of children in junior middle school years 1 and 2 in rural China

  • Refractive and accident data were available for 1539 participants (81.3%).

  • More than 90% of the participants used bicycles to get to school on daily basis.

  • 2931 accidents were reported by 423 participants, with 68 requiring medical attention.

  • Male sex (odds ratio, 1.55; P<.001) and spectacle wear (odds ratio, 1.38; P=.04) were associated with a higher risk of accident.

  • Habitual visual acuity and myopia were not linked with the crash risk, after adjusting for age, sex, time spent riding, and risky riding behaviours.

  • This study showed consistence on motor vehicle and bicycle accidents implicating peripheral vision (potentially compromised by spectacle wear) more strongly than central visual acuity in mediating crash risk.

This article was identified as a reference for a VII-commissioned systematic review on the Impact of URE on Children.

Publication date

December 7, 2016


JAMA Ophthalmology


Morgan, I.G. and Rose, K.A.
Share this