Current situation and health influencing factors of adolescent scoliosis among primary and middle school students aged 6 to 20 in Nantong City
Objective To understand the detection rate of scoliosis and its influencing factors among primary and secondary students in Nantong City,Jiangsu Province,so as to provide reference basis for the development of scoliosis intervention.Methods A stratified cluster random sampling method was used to select 4 196 students from 12 primary and middle schools in Chongchuan and Qidong District of Nantong City in 2021.The students were investigated for spinal examinations and influencing factors of adolescent scoliosis.Multivariate Logistic regression model was used to analyze the risk and protective factors of adolescent scoliosis in students.Results The detection rate of adolescent scoliosis in primary and middle school students in Nantong was 3.69％(155/4 196),and the detection rates of thoracic,lumbar thoracic and lumbar scoliosis were 1.36％(57/4 196),1.67％(70/4 196)and 1.91％(80/4 196),respectively.The detection rate of adolescent scoliosis significantly varied among primary and middle school students,which was related to whether myopia or not,different grades and different frequency of physical education classes,days with high-intensity exercise above 60min in the past week,daily outdoor time,sleep time,indoor sedentary time,as well as students'different self-requirements for sitting and standing positions(P＜0.05).Multivariate Logistic regression analysis showed that junior high school(OR=2.781)and senior high school(OR=2.819)were risk factors for adolescent scoliosis,while physical education classes frequency≥4 sessions a week(OR=0.432),days with high-intensity exercise above 60min in the past week≤3days and daily sleep duration of 7-＜9 hours(OR=0.551)were protective factors against scoliosis.Conclusions The situation of adolescent scoliosis among primary and middle school students in Nantong City should not be ignored.The influencing factors for adolescent scoliosis include academic grade,frequency of physical education classes and sleep time etc.Interventions are of great significance to be targeted at these factors to reduce the incidence of scoliosis among students.
adolescenscoliosisprimary and middle school students
NETL
NSTL
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