Abstract: ObjectiveTo investigate the status of low vision and it's risk factors among primary and secondary school students in Xingtai area. MethodsUsing cluster sampling method, students were selected separately from 2 primary schools and 2 secondary schools in urban area and Nanhe County in Xingtai to conduct visual examination and questionnaire survey. Univariate and multivariate logistic regressions were used to analyze the risk factors. Results A total of 10 822 students from 8 primary and secondary schools were investigated, including 5 527 secondary school students and 5 295 primary school students. Of them, 5 594 were boys and 5 228, girls; 5 455 were from the urban area and 5 367, from the county town. The prevalence of low vision was 50.15% (5 427/10 822). Multivariate logistic regression analysis showed that the girl (OR=1.09), middle school student (OR = 2.21), family history of myopia (OR = 1.46), less exercises between classes (OR =2.30), incorrect reading and writing postures (OR =1.65), continuous learning time more than or equal to 2 hours per day (OR =1.97), continuous screen contact time more than or equal to 2 hours per day (OR =1.48), and without eye protection (OR =2.02) were risk factors for the occurrence of low vision.ConclusionThe prevalence of low vision was high among primary and secondary school students in Xingtai and the main influencing factors were the bad habits of using eyes and not paying attention to eye protection.