摘要
目的 了解浙江省中学生脊柱弯曲异常情况及影响因素,为制定学生脊柱弯曲异常干预措施提供依据.方法 基于2022年学生常见病和健康影响因素监测项目,采用分层随机整群抽样方法抽取浙江省90个县(市、区)的中学生开展脊柱弯曲异常筛查,并通过问卷调查、体格检查收集基本信息、营养状况、静坐时间和睡眠时间等资料;采用多因素logistic回归模型分析中学生脊柱弯曲异常的影响因素.结果 调查93988人,有效应答92559人,应答率为98.48％.其中男生48578人,占52.48％;女生43981人,占47.52％.检出脊柱弯曲异常1690人,占1.83％.多因素logistic回归分析结果显示,女生(OR=1.331,95％CI:1.204～1.471)、居住在郊县(OR=1.254,95％CI:1.135～1.385)、年龄≥14岁(14～16岁,OR=1.252,95％CI:1.108～1.414;>16岁,OR=1.273,95％CI:1.090～1.486)和静坐时间>10 h/d(OR=1.162,95％CI:1.034～1.305)的中学生脊柱弯曲异常风险较高,超重肥胖(OR=0.491,95％CI:0.426～0.565)、定期调整课桌椅高度(OR=0.883,95％CI:0.797～0.979)和睡眠时间≥8 h/d(OR=0.850,95％CI:0.765～0.945)的中学生脊柱弯曲异常风险较低.结论 浙江省中学生脊柱弯曲异常与性别、地区、年龄、静坐时间、营养状况、定期调整课桌椅高度和睡眠时间有关.
Abstract
Objective To investigate the status and influencing factors of abnormal spinal curvature among middle school students in Zhejiang Province,so as to provide insights into formulating intervention measures of abnormal spinal curvature among students.Methods Middle school students were selected from 90 counties (cities or districts) for ab-normal spinal curvature screening using the stratified random cluster sampling method based on the Student Common Diseases and Influencing Factors Program in 2022.Basic information,nutritional status,sedentary time and sleep time were collected through questionnaire surveys and physical examination.Influencing factors for abnormal spinal curvature among middle school students were identified using a multivariable logistic regression model.Results Totally 93988 students were recruited,and 92559 students responded effectively,with a response rate of 98.48％.There were 48578 males (52.48％) and 43981 females (47.52％).A total of 1690 students with abnormal spinal curvature were detected,accounting for 1.83％.Multivariable logistic regression analysis showed that the students who were female (OR=1.331,95％CI:1.204-1.471),lived in suburb areas (OR=1.254,95％CI:1.135-1.385),were at ages of 14 years and above (14 to 16 years,OR=1.252,95％CI:1.108-1.414;>16 years,OR=1.273,95％CI:1.090-1.486) and had sedentary time great-er than 10 h/d (OR=1.162,95％CI:1.034-1.305) might have higher risks of abnormal spinal curvature,while the stu-dents who were overweight or obesity (OR=0.491,95％CI:0.426-0.565),regularly adjust the heights of the desks and chairs (OR=0.883,95％CI:0.797-0.979),and slept 8 hours or more per day (OR=0.850,95％CI:0.765-0.945) might have lower risks of abnormal spinal curvature.Conclusion The prevalence of abnormal spinal curvature among middle school students in Zhejiang Province is associated with gender,region,age,nutritional status,regularly adjusting the heights of desks and chairs,sedentary time and sleep time.
维普
万方数据