Abstract
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC? Myopia has been identified as a significant emerging challenge and policy priority among children and adolescents in China by the Ministry of Education and seven other departments. Limited research has been conducted to investigate the collective impact of outdoor time and other modifiable factors on the incidence of myopia. WHAT IS ADDED BY THIS REPORT? This study provides support for the protective effect of combining increased outdoor time with other prevention strategies in reducing the incidence of myopia. The results indicate the presence of a dose-response relationship. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE? To effectively prevent myopia, it is important to implement comprehensive interventions that encompass various aspects such as outdoor time, eye-use habits, eye-use environments, and lifestyle modifications.