Refractive errors and factors associated with myopia in an adult Japanese population.
OBJECTIVE
To investigate the refractive status and factors associated with myopia by a population-based survey of Japanese adults.


METHODS
A total of 2168 subjects aged 40 to 79 years, randomly selected from a local community, were assessed in a cross-sectional study. The spherical equivalent of the refractive error was calculated and used in a multiple logistic regression analysis to evaluate the relationships between myopia and possible related factors.


RESULTS
The mean (+/- SD) of the spherical equivalent was -0.70 +/- 1.40 diopters (D) in men, and -0.50 +/- 1.44 D in women. Based on +/- 0.5 D cutoff points, the prevalence of myopia, emmetropia, and hypermetropia were 45.7%, 40.8%, and 13.5% in men, and 38.3%, 43.1%, and 18.6% in women, respectively. A 10-year increase in age was associated with reduced risk of myopia [men: odds ratio (OR) = 0.53, 95% confidence interval (CI): 0.44-0.62; women: OR = 0.65, 95% CI: 0.54-0.78]. In men, myopia was significantly associated with higher education (high school: OR = 1.6, 95% CI: 1.1-2.3; college: OR = 2.0, 95% CI: 1.3-3.1) and management occupations (OR = 1.6, 95% CI: 1.0-2.4). For women, high income (OR = 1.5, 95% CI: 1.1-2.2), and clerical (OR = 1.5, 95% CI: 1.0-2.4) and sales/service occupations (OR = 1.7, 95% CI: 1.1-2.6) were also associated with myopia.


CONCLUSIONS
The prevalence of myopia in a Japanese population was similar to that in other Asian surveys but higher than in black or white populations. Our study confirmed a higher prevalence of myopia among younger vs. older populations, and a significant association with education levels and socioeconomic factors.
Shimizu
Naoko
N
Department of Ophthalmology, Chubu Rosai Hospital, Nagoya, Japan.
Nomura
Hideki
H
Ando
Fujiko
F
Niino
Naoakira
N
Miyake
Yozo
Y
Shimokata
Hiroshi
H
D000328:Adult; D000368:Aged; D000375:Aging; D001824:Body Constitution; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000208:ethnology* / Q000209:etiology / Q000503:physiopathology; D009790:Occupations; D016017:Odds Ratio; D015995:Prevalence; D012029:Refraction, Ocular / Q000502:physiology; D012307:Risk Factors; D012923:Social Class