医学生与非医学生颈肩痛患病现状及影响因素

Comparative study on neck and shoulder pain and its influencing factors between medical and non-medical college students

目的比较医学生与非医学生的颈肩痛患病现状及主要影响因素。方法采用分层整群抽样的方法抽取5所大学共1 117名医学生和非医学生进行问卷调查,应用logistic回归模型分析颈肩痛的影响因素。结果18.8%的大学生患颈肩痛,其中医学生为22.5%,非医学生为17.5%,差异无统计学意义(P>0.05)。多因素logistic回归分析显示,医学生颈肩痛的危险因素是睡眠质量差、每天伏案学习时间≥2 h以及书包重量重;保护因素是每周体育锻炼≥3次。非医学生颈肩痛的危险因素是女性以及1次连续伏案时间≥1 h。结论医学生与非医学生颈肩痛的影响因素不同,应有针对性地对其进行干预。

Objective To compare the status and influencing factors of neck and shoulder pain between medical and non-medical college students. Methods A total of 1 117 college students from 5 colleges（including medical and non-medical students） were selected with the stratified randomized cluster sampling method and interviewed by self-designed questionnaires. The results were analyzed with the multivariate logistic regression for the influencing factors of neck and shoulder pain. Results The total prevalenceof neck and shoulder pain was 18.8%, and the prevalence rates were22.5% and 17.5% in medical students and non-medical students, respectively, and there was no significant difference between the two groups（P〉0.05）. The multivariate logistic regression showed that, for medical students, poor quality sleep,working at desk for at least two hours each day, and heavy bags were the three risk factors influencing the status of neck and shoulder pain, while, regular physical exercises（at least 3times a week） were the protective factor. For the non-medical students, female and working at desk continuously for at least one hour were the main risk factors. Conclusion The influencing factors of neck and shoulder pain were different between the medical and non-medical college students.Therefore, to reduce the prevalence, the targeted interventions should be adopted.