Association of visual acuity with educational outcomes: a prospective cohort study

Catherine Jan, Shi-Ming Li, Meng-Tian Kang, Luoru Liu, He Li, Ling Jin, Xuezheng Qin, Nathan Congdon, Ningli Wang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND/AIM: To quantify the impact of baseline presenting visual acuity (VA), refractive error and spectacles wear on subsequent academic performance among Chinese middle school children.

METHODS: A prospective, longitudinal, school-based study on grade 7 Chinese children (age, mean±SD, 12.7±0.5 years, range=11.1-15.9) at four randomly selected middle schools in Anyang, China. Comprehensive eye examinations including cycloplegic autorefraction were performed at baseline, and information on demographic characteristics, known risk factors for myopia and spectacle wear was collected. Academic test scores for all subjects in the curriculum were obtained from the local Bureau of Education. Main outcome measure was total test scores for five subjects at the end of grade 9, adjusted for total scored at the beginning of grade 7.

RESULTS: Among 2363 eligible children, 73.1% (1728/2363) had seventh grade test scores available. 93.9% (1623/1728) completed eye examinations, and 98.5% (1599/1623) of these had ninth grade test scores. Adjusting only for baseline test score, the following were significantly associated with higher ninth grade scores: younger age, male sex, less time outdoors, better baseline presenting VA, higher parental education and income and parental myopia, but refractive error and spectacle wear were not. In the full multivariate model, baseline test score (p<0.001), presenting VA (p<0.01), age (p<0.001), quality of life (p<0.05) and parental education (p<0.001) and myopia (either: p<0.05; both: p<0.05) remained significantly associated with better ninth grade scores.

CONCLUSIONS: In this longitudinal study, better presenting VA, but not cycloplegic refractive error or spectacle wear, was significantly associated with subsequent academic performance.

LanguageEnglish
JournalBritish Journal of Ophthalmology
Early online date18 Jan 2019
DOIs
Publication statusEarly online date - 18 Jan 2019

Fingerprint

Visual Acuity
Refractive Errors
Myopia
Cohort Studies
Prospective Studies
Mydriatics
Education
Curriculum
Longitudinal Studies
China
Quality of Life
Demography
Outcome Assessment (Health Care)

Bibliographical note

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Cite this

Jan, Catherine ; Li, Shi-Ming ; Kang, Meng-Tian ; Liu, Luoru ; Li, He ; Jin, Ling ; Qin, Xuezheng ; Congdon, Nathan ; Wang, Ningli. / Association of visual acuity with educational outcomes : a prospective cohort study. In: British Journal of Ophthalmology. 2019.
@article{9c4048d5399648139ead36e32007b7a9,
title = "Association of visual acuity with educational outcomes: a prospective cohort study",
abstract = "BACKGROUND/AIM: To quantify the impact of baseline presenting visual acuity (VA), refractive error and spectacles wear on subsequent academic performance among Chinese middle school children.METHODS: A prospective, longitudinal, school-based study on grade 7 Chinese children (age, mean±SD, 12.7±0.5 years, range=11.1-15.9) at four randomly selected middle schools in Anyang, China. Comprehensive eye examinations including cycloplegic autorefraction were performed at baseline, and information on demographic characteristics, known risk factors for myopia and spectacle wear was collected. Academic test scores for all subjects in the curriculum were obtained from the local Bureau of Education. Main outcome measure was total test scores for five subjects at the end of grade 9, adjusted for total scored at the beginning of grade 7.RESULTS: Among 2363 eligible children, 73.1{\%} (1728/2363) had seventh grade test scores available. 93.9{\%} (1623/1728) completed eye examinations, and 98.5{\%} (1599/1623) of these had ninth grade test scores. Adjusting only for baseline test score, the following were significantly associated with higher ninth grade scores: younger age, male sex, less time outdoors, better baseline presenting VA, higher parental education and income and parental myopia, but refractive error and spectacle wear were not. In the full multivariate model, baseline test score (p<0.001), presenting VA (p<0.01), age (p<0.001), quality of life (p<0.05) and parental education (p<0.001) and myopia (either: p<0.05; both: p<0.05) remained significantly associated with better ninth grade scores.CONCLUSIONS: In this longitudinal study, better presenting VA, but not cycloplegic refractive error or spectacle wear, was significantly associated with subsequent academic performance.",
author = "Catherine Jan and Shi-Ming Li and Meng-Tian Kang and Luoru Liu and He Li and Ling Jin and Xuezheng Qin and Nathan Congdon and Ningli Wang",
note = "{\circledC} Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2019",
month = "1",
day = "18",
doi = "10.1136/bjophthalmol-2018-313294",
language = "English",
journal = "British Journal of Ophthalmology",
issn = "0007-1161",
publisher = "BMJ Publishing Group",

}

Association of visual acuity with educational outcomes : a prospective cohort study. / Jan, Catherine; Li, Shi-Ming; Kang, Meng-Tian; Liu, Luoru; Li, He; Jin, Ling; Qin, Xuezheng; Congdon, Nathan; Wang, Ningli.

In: British Journal of Ophthalmology, 18.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Association of visual acuity with educational outcomes

T2 - British Journal of Ophthalmology

AU - Jan, Catherine

AU - Li, Shi-Ming

AU - Kang, Meng-Tian

AU - Liu, Luoru

AU - Li, He

AU - Jin, Ling

AU - Qin, Xuezheng

AU - Congdon, Nathan

AU - Wang, Ningli

N1 - © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2019/1/18

Y1 - 2019/1/18

N2 - BACKGROUND/AIM: To quantify the impact of baseline presenting visual acuity (VA), refractive error and spectacles wear on subsequent academic performance among Chinese middle school children.METHODS: A prospective, longitudinal, school-based study on grade 7 Chinese children (age, mean±SD, 12.7±0.5 years, range=11.1-15.9) at four randomly selected middle schools in Anyang, China. Comprehensive eye examinations including cycloplegic autorefraction were performed at baseline, and information on demographic characteristics, known risk factors for myopia and spectacle wear was collected. Academic test scores for all subjects in the curriculum were obtained from the local Bureau of Education. Main outcome measure was total test scores for five subjects at the end of grade 9, adjusted for total scored at the beginning of grade 7.RESULTS: Among 2363 eligible children, 73.1% (1728/2363) had seventh grade test scores available. 93.9% (1623/1728) completed eye examinations, and 98.5% (1599/1623) of these had ninth grade test scores. Adjusting only for baseline test score, the following were significantly associated with higher ninth grade scores: younger age, male sex, less time outdoors, better baseline presenting VA, higher parental education and income and parental myopia, but refractive error and spectacle wear were not. In the full multivariate model, baseline test score (p<0.001), presenting VA (p<0.01), age (p<0.001), quality of life (p<0.05) and parental education (p<0.001) and myopia (either: p<0.05; both: p<0.05) remained significantly associated with better ninth grade scores.CONCLUSIONS: In this longitudinal study, better presenting VA, but not cycloplegic refractive error or spectacle wear, was significantly associated with subsequent academic performance.

AB - BACKGROUND/AIM: To quantify the impact of baseline presenting visual acuity (VA), refractive error and spectacles wear on subsequent academic performance among Chinese middle school children.METHODS: A prospective, longitudinal, school-based study on grade 7 Chinese children (age, mean±SD, 12.7±0.5 years, range=11.1-15.9) at four randomly selected middle schools in Anyang, China. Comprehensive eye examinations including cycloplegic autorefraction were performed at baseline, and information on demographic characteristics, known risk factors for myopia and spectacle wear was collected. Academic test scores for all subjects in the curriculum were obtained from the local Bureau of Education. Main outcome measure was total test scores for five subjects at the end of grade 9, adjusted for total scored at the beginning of grade 7.RESULTS: Among 2363 eligible children, 73.1% (1728/2363) had seventh grade test scores available. 93.9% (1623/1728) completed eye examinations, and 98.5% (1599/1623) of these had ninth grade test scores. Adjusting only for baseline test score, the following were significantly associated with higher ninth grade scores: younger age, male sex, less time outdoors, better baseline presenting VA, higher parental education and income and parental myopia, but refractive error and spectacle wear were not. In the full multivariate model, baseline test score (p<0.001), presenting VA (p<0.01), age (p<0.001), quality of life (p<0.05) and parental education (p<0.001) and myopia (either: p<0.05; both: p<0.05) remained significantly associated with better ninth grade scores.CONCLUSIONS: In this longitudinal study, better presenting VA, but not cycloplegic refractive error or spectacle wear, was significantly associated with subsequent academic performance.

U2 - 10.1136/bjophthalmol-2018-313294

DO - 10.1136/bjophthalmol-2018-313294

M3 - Article

JO - British Journal of Ophthalmology

JF - British Journal of Ophthalmology

SN - 0007-1161

ER -