Status quo of abnormal spinal curvature and its influencing factors among primary and middle school students in Jing'an District of Shanghai Municipality
Objective To understand the detection status of spinal curvature abnormalities among primary and secondary school students aged 9-15 years in Jing'an District of Shanghai Municipality,and to analyze the factors influencing spinal curvature abnormalities among the students so as to provide a theoretical basis for the government to conduct prevention and treatment of spinal curvature abnormalities among the students in future.Methods A stratified cluster random sampling method was used to randomly select four primary and secondary school students from Grades 4-9 in Jing'an District of Shanghai Municipality in 2021.Spinal curvature abnormalities were screened,and their influencing factors were investigated.Chi-squared test was employed to compare the detection rate of abnormal spinal curvature,and logistic regression analysis was performed to identify the factors influencing abnormal spinal curvature,with α=0.05.Results A total of 1,173 primary and middle school students aged 9-15 years were enrolled into this study,including 615 males and 558 females.A total of 129 cases of abnormal spinal curvature were detected in the primary and secondary school students,with the detection rate of 10.99％.The results of multivariate logistic regression analysis displayed that frequently/constantly sitting and lying down(OR=1.177,OR=1.391),daily off-campus video time＞60 minutes(OR=2.174),daily sleep duration ≤9 hours(OR=2.579),and difficulty falling asleep most of the time(OR=2.691)were the risk factors for abnormal spinal curvature in the primary and secondary school students.Conclusion The detection rate of abnormal spinal curvature among the primary and secondary school students in Jing'an District of Shanghai Municipality is relatively high.The health department should strengthen early screening and diagnosis of spinal curvature in adolescents,and guide schools to take early intervention measures.
primary and secondary school studentsabnormal spinal curvatureinfluencing factorregression analysis
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