Abstract: Objective Investigate the current status of visual health literacy in families of primary school students with simple high myopia, explore the underlying family-related factors behind the progression of myopia, and improve the level of visual health literacy in their families. Methods From June 2022 to November 2022, 11 cases of primary school students with simple high myopia and their parents who visited the First People's Hospital of Xiangyang City were selected as the research objects. Semi-structured in-depth interviews and questionnaires were conducted. Results The content of the interviews yielded three aspects: ①Student and parental factors, including disease perception, parent-child communication barriers, lack of knowledge, and misconceptions; ②Economy-related factors related to vision; ③Social security factors related to vision. In addition, the questionnaire results showed that learning-related factors might be the main cause of most students' vision problems, and the highest item of parental concern about video usage was students' incorrect eye behaviors. Conclusion The family visual health literacy of primary school students with simple high myopia is related to various factors. Improvement efforts should focus on psychological counseling, popular science education, medical security, market supervision, etc., to enhance the awareness of visual protection for primary school students and parents and establish a good family visual environment.

Key words: high myopia, pupils, visual acuity, health literacy