上海市崇明区中小学生脊柱侧凸筛查及影响因素分析

Scoliosis screening and analysis of influencing factor in primary and middle school students in Chongming District,Shanghai

目的研究上海市崇明区2020年中小学生脊柱侧凸筛查阳性率及影响因素,为中小学生脊柱侧凸的防治工作提供参考。方法按照分层整群抽样的原则,于2020年9月对上海市崇明区小学至高中(含普高和职高)共2369名学生进行脊柱侧凸筛查,计算筛查阳性率,分析其影响因素。结果2020年崇明区中小学生脊柱侧凸筛查阳性率为5.7%。大于等于10岁的学生阳性率更高(7.6%);普高学生阳性率最高(16.9%),小学生最低(1.1%)。在二元Logistic回归分析中,女生(OR=1.746,95%CI:1.089~2.800)、≥10岁(OR=6.249,95%CI:1.243~31.414)、身高越高(OR=1.047,95%CI:1.015~1.080)、普高学生(OR=7.108,95%CI:3.115~16.218)筛查阳性风险高;体质量增长(OR=0.960,95%CI:0.942~0.978)筛查阳性风险低(P均<0.05)。结论崇明区中小学生脊柱侧凸筛查阳性率在年龄、性别、身高、体质量等方面差异均有统计学意义。需要重点关注学生的身高、体质量以及普高学生的脊柱情况,家校联合共同促进学生脊柱健康。

Objective To study the positive rate and influencing factors of scoliosis screening among primary and middle school students in Chongming District,Shanghai,in 2020,to provide a reference for the prevention and treatment of scoliosis in primary and middle school students.Methods Based on the strategy of hierarchical cluster sampling,2369 students from primary schools to senior high schools,which including general high and vocational high schools,in the Chongming District were screened for scoliosis in September 2020.The screening positive rates and influencing factors were computed and analyzed.Results The positive rate for scoliosis screening in primary and middle school students in Chongming District was 5.7%.Students aged 10 years or older reported a higher positive rate(7.6%),with the highest positive ratewas reported in generalhigh school students(16.9%),and lowest in primary school students(1.1%).Results of binary logistic regression analysis showed thatgirls(OR=1.746,95%Cl:1.089-2.800),students aged 10 years or older(OR=6.249,95%CI:1.243-31.414),higher body height(0R=1.047,95%CI:1.015-1.080),and general high school students(OR=7.108,95%Cl:3.115-16.218)had a high risk of positive screening;growth in body weight(OR=0.960,95%CI:0.942-0.978)had a low risk of positive screening(all P<0.05).Conclusion Statistically significant differences in the positive scoliosis screening rate among primary and middle school students in Chongming District in terms of age,gender,height,and body weight.The focus needs to be on students'height,body weight,and the spine condition of the general high school student.Schools and families should work together to promote the spinal health of students.