顾昉, 徐韵涵, 高雷, 沈郁, 孟佳, 李娟娟, 邹艳, 章荣华. 2021年浙江省中小学生脊柱侧弯现状及影响因素分析[J]. 凯发娱乐加盟代理.
引用本文: 顾昉, 徐韵涵, 高雷, 沈郁, 孟佳, 李娟娟, 邹艳, 章荣华. 2021年浙江省中小学生脊柱侧弯现状及影响因素分析[J]. 凯发娱乐加盟代理.
Gu Fang, Xu Yunhan, Gao Lei, Shen Yu, Meng Jia, Li Juanjuan, Zou Yan, Zhang Ronghua. Prevalence of scoliosis and influencing factors in primary and secondary school students in Zhejiang 2021[J]. Disease Surveillance.
Citation: Gu Fang, Xu Yunhan, Gao Lei, Shen Yu, Meng Jia, Li Juanjuan, Zou Yan, Zhang Ronghua. Prevalence of scoliosis and influencing factors in primary and secondary school students in Zhejiang 2021[J]. Disease Surveillance.

2021年浙江省中小学生脊柱侧弯现状及影响因素分析

Prevalence of scoliosis and influencing factors in primary and secondary school students in Zhejiang 2021

  • 摘要:
    目的 了解浙江省中小学生脊柱侧弯的流行病学特征,探究其相关影响因素,为制定疾病预防控制措施提供参考依据。
    方法 采用分层随机整群抽样方法,于2021年9 — 11月在浙江省11个地级市抽取176所中小学校,选取9~17岁中小学生31 308人开展脊柱侧弯检查和影响因素问卷调查。 脊柱侧弯检查按照《儿童青少年脊柱弯曲异常的筛查》(GB/T 16133-2014)执行。 采用 SPSS 17.0 软件进行统计分析,采用χ2 检验对脊柱侧弯率进行比较,多因素logistic回归分析影响因素。
    结果 浙江省中小学生脊柱侧弯检出1084人,检出率3.46%。 女生检出率为4.24%,高于男生的2.75%(χ2=52.33,P<0.001)。 城区检出率为4.49%,高于郊区的2.10%(χ2=131.35,P<0.001)。 脊柱侧弯检出率随着学段的升高而升高,高中(5.51%)>初中(4.12%)>小学(1.40%)(χ2=269.31,P<0.001)。 多因素logistic 回归分析显示,女性[比值比(odds ratio,OR)=1.54,95%置信区间(confidence interval,CI): 1.36~1.74]、地区郊区(OR=0.47,95%CI:0.41~0.54)、初中(OR=2.87,95%CI:2.39~3.45),高中(OR=2.87,95%CI:2.39~3.45)、经济中等(OR=1.68,95%CI:1.45~1.94),欠发达(OR=1.29,95%CI:1.09~1.52),每天放学后静态作业时长(2~h:OR=1.18,95%CI:1.01~1.38;>3 h:OR=1.29,95%CI:1.08~1.53)、近距离作业期间的间隔休息时长(0.5~h:OR=1.20,95%CI:1.04~1.38;>2 h:OR=1.25,95%CI:1.02~1.53)是浙江省中小学生脊柱侧弯的影响因素(均P<0.05)。
    结论 浙江省中小学生脊柱侧弯检出率在性别、城乡、学段等方面均存在差异,需重点关注女生、城区学生、中学生,积极控制脊柱侧弯影响因素,有针对性的开展干预,减少中小学生脊柱侧弯的发生。

     

    Abstract:
    Objective To understand the epidemiological characteristics of scoliosis in primary and secondary school students in Zhejiang province, identify related influencing factors and provide evidence for the prevention and control of scoliosis.
    Methods A stratified random cluster sampling method was used to select 176 primary and secondary schools from 11 prefectures in Zhejiang from September to November 2021. A questionnaire survey was conducted in 31308 primary and secondary school students aged 9–17 years. The dtection of scoliosis was carried out in accordance with the “Guideline for Screening of Abnormal Spinal Curvature in Children and Adolescents” (GB/T 16133-2014). Statistical analysis was conducted by using software SPSS 17.0. The incidence of scoliosis was compared with χ2 test, and the influencing factors were identified by logistic regression analysis.
    Results Scoliosis was detected in 1084 primary and secondary school students in Zhejiang, the detection rate was 3.46%. The detection rate in girls was 4.24%, higher than that in boys (2.75%) (χ2=52.33, P<0.001). The detection rate in urban area was 4.49%, higher than that in suburban area (2.10%) (χ2=131.35, P<0.001). The detection rate of scoliosis increased with the increase of school grade, with the highest detection rate in senior high school students (5.51%), followed by that in junior high school students (4.12%) and primary school students (1.40%) (χ2=269.31, P<0.001). Multivariate Logistic regression analysis showed that being girl odds ratio (OR)= 1.54, 95% confidence interval (CI ): 1.36–1.74), living in suburban (OR=0.47, 95%CI : 0.41–0.54), being junior high school student (OR= 2.87, 95%CI: 2.39–3.45), being senior high school student (OR=2.87, 95%CI: 2.39–3.45), moderate economy status (OR=1.68, 95%CI: 1.45–1.94), Underdevelopment (OR=1.29, 95%CI: 1.09–1.52), >2 hours home work time (OR=1.18, 95%CI: 1.01–1.38), >3 hours (OR=1.29, 95%CI: 1.08–1.53), interval of 0.5 hours between home work (OR=1.20, 95%CI: 1.04–1.38), >2 hours (OR=1.25, 95%CI: 1.02–1.53) were the factors influencing the prevalence of scoliosis in primary and secondary school students in Zhejiang (All P<0.05).
    Conclusion There were gender, area and school grade specific differences in the detection rate of scoliosis in primary and secondary school students in Zhejiang. It is necessary to pay close attention to girl students, urban students and secondary school students, actively control the influencing factors for scoliosis, and carry out targeted interventions to reduce the incidence of scoliosis in primary and secondary school students.

     

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