摘要
目的 了解深圳地区成年人的脊柱健康状况,探究脊柱相关疾病的影响因素,提高人们脊柱保护意识,为科学防范脊柱相关疾病提供科学依据。方法 研究共纳入59051名成人,横断面调查内容包括脊柱相关疾病的患病情况、社会经济学基本特征、生活习惯以及居住环境,并以单因素、多因素分析脊柱相关疾病的危险因素。结果 本次调查的59051名深圳市成人的平均年龄为54.6±14.7岁,其中女性占比50.9%,调查人群腰椎间盘突出、颈椎病和肩周炎的患病率分别为2.6%、1.4%和1.0%,其自报的脊柱患病相关自测指标(高低肩、两侧肩胛骨高低不等、腰线不对称、脊柱歪斜、弯腰时后背两侧高低不等、骨盆/臀线不一样高、脊柱侧弯)患病率为0.4%。通过多因素logistic回归分析可知女性(OR=1.58,95%CI:1.42~1.75)、BMI增高(OR=1.03,95%CI:1.02~1.05)、饮酒(OR=1.22,95%CI:1.09~1.37)、工作时间保持固定姿势(OR=1.96,95%CI:1.71~2.24)以及住房附近没有公园(OR=1.14,95%CI:1.05~1.25)是脊柱相关疾病的共同危险因素,其中经常锻炼(OR=1.20,95%CI:1.02~1.41)为肩周炎的特异危险因素,而大学及以上学历(OR=0.84,95%CI:0.73~0.96)则可能是脊柱相关疾病的保护因素。结论 深圳成人脊柱相关疾病患病率较低,但仍需要注意减少与危险因素相关的行为。
Objective To investigate the prevalence of adult spine-related diseases in Shenzhen, and explore the risk factors of spine-related diseases, so as to raise the awareness of protecting the spine, and provide scientific evidence for policy makers to develop spinal health care strategies.Methods A cross-sectional study of 59051 adults in Shenzhen was performed to collect the information including epidemiological feature of spine-related diseases, socio-economical feature, life style and residential environment.Generalized linear models were applied to analyze the risk factors of spine-related diseases.Results Among 59051 adults(average age: 54.6±14.7,proportion of female: 50.9%),the prevalence of lumbar intervertebral disc, cervical spondylosis, frozen shoulder and spin-related self-test index was 2.6%,1.4%,1.0% and 0.4%,respectively.In multivariate logistic regression analysis showed that female(OR=1.58,95%CI=1.42-1.75),BMI index increase(OR=1.03,95%CI:1.02-1.05),drinking(OR=1.22,95%CI=1.09-1.37),keeping a posture during working(OR=1.96,95%CI=1.71-2.24),living without any park nearby(OR=1.14,95%CI=1.05-1.25)were the common risk factors of spine-related diseases, and usually doing sports(OR=1.20,95%CI:1.02-1.41)was the specific risk factor of frozen shoulder.And graduated from university was the common protective factor(OR=0.84,95%CI:0.73-0.96).Conclusion The prevalence of adult spine-related diseases is lower, but we still need to pay attention to the risk factors mentioned above.
作者
吴思翰
汪乐炳
龚彦晨
林科宇
董光辉
胡立文
Wu Sihan;Wang Lebing;Gong Yanchen(Department of Occupational and Environmental Health,School of Public Health,Sun Yat-Sen University(510080),Guangzhou)
出处
《中国卫生统计》
CSCD
北大核心
2022年第2期197-201,共5页
Chinese Journal of Health Statistics
基金
广州市科技计划项目(201803010054)。
