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This paper examines the ongoing battle against the myopia epidemic in East Asia, including its cultural offshoots such as Singapore, where over 80% of young adults are myopic. East Asian societies share deeply rooted Confucian values that attach great importance to education and familial obligations, with heavy parental investment in education and the perception that academic excellence reflects filial piety. Coupled with a strong emphasis on standardised test results, East Asian children face intense educational pressures from a young age. Existing education-based myopia prevention strategies focus either on top-down school reforms to promote more outdoor time for students\u00a0during school hours or\u00a0on bottom-up awareness initiatives encouraging lifestyle changes. However, the entrenched Confucian worldview suggests that more extensive top-down reforms aimed at reducing competition in education, combined with widespread bottom-up awareness initiatives targeting the public\u2014particularly parents, given their active involvement in children\u2019s education outside of school\u2014may be required to truly turn the tide on myopia.<\/jats:p>","DOI":"10.1057\/s41271-024-00513-1","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T04:02:19Z","timestamp":1723262539000},"page":"786-798","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cultural roots of the myopia boom in Confucian Asia and their implications"],"prefix":"10.1057","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4730-7363","authenticated-orcid":false,"given":"Fabian","family":"Yii","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,10]]},"reference":[{"issue":"5","key":"513_CR1","doi-asserted-by":"publisher","first-page":"1036","DOI":"10.1016\/j.ophtha.2016.01.006","volume":"123","author":"BA Holden","year":"2016","unstructured":"Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, Wong TY, Naduvilath TJ, Resnikoff S. 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