Status and correlation of neck-shoulder pain,low back pain and mental sub-health among adolescents
Objective To explore the association among neck-shoulder pain(NSP),low back pain(LBP)and co-occurring symptoms with mental sub-health in adolescents,so as to provide evidence for improving physical and mental health of adolescents.Methods Stratified cluster random sampling method was used to select 7 986 students from 12 middle and high schools in Shenz-hen,Nanchang,and Shenyang cities from October to December 2019.The Assessment of Spinal Health of Youth(ASHY)and the Brief Instrument on Psychological Health of Youth(BIOPHY)were used to assess NSP,LBP and mental sub-health.Binary Logis-tic regression model was used to analyze the association between NSP,LBP and co-occurring symptoms with mental sub-health in adolescents.Results The detection rates of adolescents with NSP,LBP and co-occurring symptoms and mental sub-health were 9.1％,9.8％,9.5％,and 10.0％,respectively.The co-occurring rate of neck shoulder pain,low back pain and mental sub-health was 3.2％.After adjusting for confounding variables such as gender,age,being an only child,family residence,and parental edu-cation level,NSP(0R=6.01,95％CI=5.02-7.19),LBP(OR=5.08,95％CI=4.25-6.07),and co-occurring symptoms(OR=5.96,95％CI=4.98-7.12)in adolescents were positively correlated with mental sub-health risk(P＜0.01).Stratifying the gender,boys with NSP,LBP and co-occurring symptoms(OR=6.84,5.80,6.74)had a higher risk of mental sub-health compared to girls(OR=5.52,4.65,5.49)(P＜0.01).Conclusions NSP,LBP and co-occurring symptoms in adolescents are associated with men-tal sub-health.The mental health status of boys is more affected by NSP,LBP and their co-occurring symptoms.Measures should be taken to improve spinal health in adolescents to reduce the incidence of mental sub-health.
Shoulder painNeck painLow back painMental healthRegression analysisAdolescent
NETL
NSTL
万方数据
