A survey of health belief and knowledge mastery of body posture among adolescents
Objective To explore the current status of body posture health belief and knowledge mastery among Chinese adolescents.Methods Adolescents'body posture questionnaire was designed based on health belief model including health belief and health knowlege about body posture.The survey was con-ducted on 72 classes in 6 provinces using stratified cluster sampling,and 3 513 valid questionnaires were ob-tained.Descriptive analysis,the rank sum test,and x2-test were used for statistical analysis by SPSS 25.0 software.Results(1)The scores of all dimensions of body posture health belief decreased with the in-crease of academic stage.In participants from primary schools,middle schools and high schools,the scores of perceived susceptibility were(27.32±4.28),(26.51±4.59),and(25.87±3.68)respectively,the scores of perceived severity were(27.27±5.26),(26.30±5.44),and(25.52±4.91)respectively,the scores of per-ceived benefits were(21.10±2.93),(20.57±3.19),and(20.00±2.93)respectively,the scores of per-ceived barriers were(24.18±5.24),(23.14±5.04),and(22.63±4.51)respectively,the scores of self-ef-ficacy were(24.64±3.19),(24.12±3.31),and(23.58±3.11)respectively,and the differences were all statistically significant among different academic stages(H=78.27,80.98,71.40,56.74,53.73,all P<0.01).(2)Participants with better family socioeconomic status and urban participants had higher scores in perceived susceptibility,perceived severity and perceived benefits than other participants(all P<0.01).(3)In terms of knowlege mastery,the proportions of students with good,general and poor knowledge mastery were 5.5%(193/3 513),69.5%(2 440/3 513)and 25%(880/3 513).Among urban,town and rural adoles-cents,the proportion of students with good knowledge mastery were 6.6%(961/1 461),3.7%(39/1 043),and 2.7%(27/1 009),respectively,and there was a statistical difference between urban and rural areas(x2=36.67,P<0.01).Among adolescents with good,general and poor family socioeconomic status,the pro-portion of students with good knowledge mastery were 8.9%(87/974),5.0%(80/1 595)and 2.8%(26/944),respectively(x2=41.79,P<0.01).Conclusion Adolescents lack health knowledge of body posture and awareness of the related risk factors,and have difficulty in adopting health behaviors.Adolescents from high school,ru-ral areas and families with lower socioeconomic status need more targeted spine-related health education.
Body postureSpinal healthHealth belief modelHealth knowledgeAdolescents