滁州市中小学生脊柱侧弯筛查结果

Results of scoliosis screening among primary and middle school students in Chuzhou City

目的 了解安徽省滁州市中小学生脊柱侧弯筛查结果,并分析脊柱侧弯的影响因素,为制定防治中小学生脊柱侧弯的措施提供依据。方法 于2023年4—6月,采用分层随机整群抽样方法抽取滁州市6所中小学校的学生为调查对象,通过问卷调查收集人口学信息、日常行为习惯与姿势和运动情况;依据《儿童青少年脊柱弯曲异常的筛查》筛查并诊断脊柱侧弯,并采用logistic回归模型分析中小学生脊柱侧弯的影响因素。结果 发放问卷1 823份,回收有效问卷1 768份,问卷有效率为96.98%。调查小学生537人,初中生1 000人,高中生231人;年龄为(13.40±1.92)岁。男生948人,占53.62%;女生820人,占46.38%。脊柱侧弯筛查阳性131例,阳性率为7.41%。多因素logistic回归分析结果显示,性别(女,OR=1.759,95%CI:1.135~2.727)、体质指数(OR=0.593,95%CI:0.538~0.654)、睡眠姿势(侧卧,OR=0.598,95%CI:0.377~0.951;俯卧,OR=2.336,95%CI:1.201~4.545)、床上阅读频率(经常,OR=2.099,95%CI:1.201~3.670)、背书包方式(双肩,OR=0.580,95%CI:0.370~0.908)和运动等级(OR=0.428,95%CI:0.296~0.618)是中小学生脊柱侧弯的影响因素。结论 滁州市中小学生脊柱侧弯筛查阳性率为7.41%,受到性别、年龄、体质指数、睡眠姿势、床上阅读、背书包方式和运动等级的影响。

Objective To investigate the screening results of adolescent scoliosis in Chuzhou City,Anhui Province,and analyze the influencing factors for scoliosis,so as to provide insights into the prevention and control of scoliosis among adolescents.Methods Students were selected from six primary and middle schools in Chuzhou City using the stratified random cluster sampling method from April to June 2023.Demographic information,daily behaviors and postures,and exercise status were collected through questionnaire surveys.Scoliosis was screened and diagnosed according to the Screening for Abnormal Spinal Curvature in Children and Adolescents.Influencing factors for scoliosis among primary and middle school students were identified using a multivariable logistic regression model.Results A total of 1823 questionnaires were allocated,and 1768 effective questionnaires were recovered,with an effective response rate of 96.98%.There were 537 primary school students,1000 junior high school students and 231 senior high school students,with an average age of(13.40±1.92)years.There were 948 male students(53.62%)and 820 female students(46.38%).A total of 131 cases of scoliosis were screened positive,with a positive rate of 7.41%.The results of multivariable logistic regression analysis showed that gender(female,OR=1.759,95%CI:1.135-2.727),body mass index(OR=0.593,95%CI:0.538-0.654),sleeping position(side lying,OR=0.598,95%CI:0.377-0.951;prone lying,OR=2.336,95%CI:1.201-4.545),frequency of reading in bed(often,OR=2.099,95%CI:1.201-3.670),way of carrying backpack(shoulders,OR=0.580,95%CI:0.370-0.908),and exercise level(OR=0.428,95%CI:0.296-0.618)were influencing factors of scoliosis among primary and middle school students.Conclusion The positive rate of scoliosis screening among primary and middle school students in Chuzhou City was 7.41%,which was influenced by gender,age,body mass index,sleeping posture,reading in bed,way of carrying backpack and exercise level.