摘要
目的调查河南地区7~15岁中小学生脊柱侧弯流行特征及其影响因素,为该地区相关部门制定中小学生脊柱侧弯防治策略提供重要参考依据。方法使用分层整群抽样方法抽取河南省14个地级市中小学校年龄在7~15岁的中小学生为研究对象,对其开展脊柱侧弯的筛查并进行调查问卷,采用单、多因素分析方法分析中小学生发生脊柱侧弯的影响因素。结果共调查27926名中小学生,男生14784人,女生13142人,共检出脊柱侧弯1067例,检出率为3.82%。二分类logistic回归分析结果显示女生(OR=1.853)、年龄10~12及13~15岁(OR=1.808、2.136)、父母有脊柱侧弯史(OR=1.536)、营养不良(OR=1.413)、背单肩包(OR=1.806)、书包负担较重或很重(OR=1.390)、每日体育锻炼<1 h(OR=1.868)、每日静坐时长≥10 h(OR=1.608)及体育锻炼以单侧力量为主(OR=1.670)是中小学生脊柱侧弯的危险因素。结论河南地区7~15岁中小学生脊柱侧弯检出率偏高,教育及卫生部门应加以重视,定期进行脊柱侧弯筛查,并加强脊柱侧弯相关健康知识教育。
Objective To investigate the epidemiological characteristics and influencing factors of scoliosis among primary and secondary school students aged 7-15 years in Henan Province,aiming to provide a valuable reference for regional authorities in formulating effective strategies for scoliosis prevention and control among this specific population.Methods The stratified cluster sampling method was used to select primary and secondary school students aged 7-15 years in Henan Province for this study.The scoliosis screening was carried out and the questionnaire was filled out.The uni‐variate and multivariate analysis methods were used to analyze the influencing factors of scoliosis among primary and sec‐ondary school students.Results A total of 27926 primary and secondary school students were surveyed,comprising 14784 boys and 13142 girls.A total of 1067 cases of scoliosis were identified,resulting in a detection rate of 3.82%.Bi‐nary logistic regression analysis showed that girls(OR=1.853),aged 10-12 years(OR=1.808)and 13-15 years(OR=2.136),parents with a history of scoliosis(OR=1.536),dystrophy(OR=1.413),back single shoulder bag(OR=1.806),heavy or very heavy bag burden(OR=1.390),daily physical exercise<1 hour(OR=1.868),daily sitting time≥10 hours(OR=1.608),and physical exercise mainly unilateral strength(OR=1.670)were risk factors for scoliosis among primary and secondary school students.Conclusions The prevalence of scoliosis among primary and secondary school students aged 7-15 years in Henan Province is significantly high.It is imperative for education and health authori‐ties to prioritize this issue by conducting regular scoliosis screenings and enhancing the dissemination of comprehensive knowledge on scoliosis‐related health aspects.
作者
张玮
刘锋伟
王俊辉
罗丽
马丹丹
王鹏亮
程明高
牛东林
ZHANG Wei;LIU Fengwei;WANG Junhui;LUO Li;MA Dandan;WANG Pengliang;CHENG Minggao;NIU Donglin(The Third Affiliated Hospital of Zhengzhou University(Maternal and Child Health Hospital of Henan Province),Zhengzhou 450000,China)
出处
《华南预防医学》
2023年第10期1239-1242,1247,共5页
South China Journal of Preventive Medicine
基金
河南省医学科技攻关计划联合共建项目(2018020210)。
关键词
学生
脊柱侧弯
流行病学
影响因素
Students
Scoliosis
Epidemiology
Influencing factor
