Status of abnormal spinal curvature and its influencing factors among primary and secondary school students of the Tujia ethnicity in Zhangjiajie
WANG Fei1, XIAO Tian-li2, LI Kai-yu1, ZHENG Chan-juan2, CHEN Yan-hua1, YANG Yi-de2
1. Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan 410005, China; 2. Department of Child and Adolescent Health, Faculty of Preventive Medicine, School of Medicine, Hunan Normal University, Changsha, Hunan 410013, China
Abstract：Objective To investigate the condition of abnormal spinal curvature and its influencing factors in primary and secondary school students of the Tujia ethnic minority in Zhangjiajie, and to provide scientific evidence for prevention and control of this disease. Methods From October to November 2020, a stratified cluster sampling method was used to select primary and secondary school students in Zhangjiajie for screening and questionnaire survey of abnormal spinal curvature. χ2 test and logistic regression analysis were employed to analyze the factors influencing the incidence rate of abnormal spinal curvature. Results Among the 4,866 valid respondents, the detection rate of abnormal spinal curvature was 2.59% (n=126), of which the detection rate of Tujia ethnicity students (n=4,036) was 2.53% (n=102). Among the primary and secondary school students of the Tujia ethnicity, there were statistically significant differences in the prevalence of abnormal spinal curvature among individuals with different educational levels, different nutritional status and from different areas (urban areas and suburban counties). There were 96 (94.12%) cases of abnormal spinal curvature degree Ⅰ and 6 (5.88%) cases of abnormal spinal curvature degree Ⅱ, but no cases of abnormal spinal curvature degree Ⅲ were detected. Logistic regression analysis revealed that female students (OR=0.59, 95%CI:0.37-0.93) and teachers frequently or always reminding students to pay attention to reading and writing posture (OR=0.45, 95%CI:0.26-0.79) were the protective factors for abnormal spinal curvature in the primary and secondary school students of the Tujia ethnicity in Zhangjiajie. High school students had higher risk of abnormal spinal curvature than pupils (OR=2.01, 95%CI:1.07-3.78). Conclusion The detection rate of abnormal spinal curvature in the primary and secondary school studentsof the Tujia ethnicity in Zhangjiajie is relatively high. To strengthen health education about reading and writing posture in schools may be an important measure to prevent scoliosis.
王非, 肖田莉, 李开宇, 郑婵娟, 陈艳华, 阳益德. 张家界地区土家族中小学生脊柱弯曲异常状况及影响因素分析[J]. 实用预防医学, 2023, 30(6): 688-692.
WANG Fei, XIAO Tian-li, LI Kai-yu, ZHENG Chan-juan, CHEN Yan-hua, YANG Yi-de. Status of abnormal spinal curvature and its influencing factors among primary and secondary school students of the Tujia ethnicity in Zhangjiajie. , 2023, 30(6): 688-692.
[1] 董彬,霍卓平.儿童青少年脊柱弯曲异常的防治[J].中国学校卫生,2008,29(12):1163-1165. [2] 陶芳标.儿童少年卫生学[M]. 第8版.北京:人民卫生出版社,2017:175-176. [3] 国家教育委员会,卫生部.学校卫生工作条例[Z].1990-06-04. [4] 唐锡麟.关于“儿童少年脊柱弯曲异常的初筛”标准研制的说明[J].中国学校卫生,1995,16(3):171-173. [5] 李尚乐,张强,荣霞.西藏地区中小学生脊柱弯曲异常状况分析[J].中国学校卫生,2021,42(9):1384-1387. [6] 孙云芬,郑志军,孙丽娟,等.唐山市曹妃甸区中小学生脊柱弯曲异常与视力不良现况[J].河南预防医学杂志,2021,32(8):637-639. [7] 文献英,徐浩天,刘念,等.2019年绵阳市7～18岁中小学生脊柱弯曲异常调查结果分析[J].预防医学情报杂志,2021,37(6): 828-832. [8] 周正颖,叶玉钦.仙游县2019年学生常见病患病情况分析[J].海峡预防医学杂志,2021,27(2):55-57. [9] 亓德云,李丽平,江艳微,等.上海市虹口区儿童青少年脊柱弯曲异常现状及影响因素分析[J].中国学校卫生,2021,42(3):444-447,453. [10] 邓万霞,张金枝,杜锐,等.襄阳市区中小学生脊柱弯曲异常现状及影响因素分析[J].中国校医,2016,30(4):285-287. [11] Dunn J,Henrikson NB,Morrison CC,et al. Screening for adolescent idiopathic scoliosis: evidence report and systematic review for the US preventive services task force[J]. JAMA, 2018, 319(2):173-187. [12] 国家卫生和计划生育委员会.儿童青少年脊柱弯曲异常的筛查: GB/T 16133-2014 [S].北京:中国标准出版社,2014,1-3. [13] Zhang H,Guo C,Tang M,et al. Prevalence of scoliosis among primary and middle school students in Mainland China: a systematic review and meta-analysis[J]. Spine (Phila Pa 1976),2015,40(1):41-49. [14] 徐帅,苏永佳,王振波,等.中国大陆中小学生脊柱侧凸的患病特点:关于72项研究的meta分析[J].中国脊柱脊髓杂志,2021,31(10):901-910. [15] Cai Z, Wu R,Zheng S,et al. Morphology and epidemiological study of idiopathic scoliosis among primary school students in Chaozhou, China[J].Environ Health Prev Med, 2021, 26(1):71. [16] Campbell M, Matsumoto H, St Hilaire T, et al. Burden of care in families of patients with early onset scoliosis[J].J Pediatr Orthop B, 2020, 29(6):567-571. [17] Li C,Miao J,Gao X,et al. Factors associated with caregiver burden in primary caregivers of patients with adolescent scoliosis: a descriptive cross-sectional study[J].Med Sci Monit, 2018, 24:6472-6479. [18] 刘萍,张锋,吴小燕,等.西安市2017—2018学年享受“营养改善计划”的中小学生营养状况分析[J].公共卫生与预防医学,2020,31(2):78-81. [19] 海波,沈蕙,刘萌萌,等.苏州市中小学生脊柱侧弯调查[J].预防医学,2021,33(9):940-943. [20] 何丽丽,王文军,常杰,等.甘肃省庆阳市2020年学生常见病发病状况分析[J].实用预防医学,2021,28(8):995-998. [21] 陈玉娟,李立,杨惠玲,等.石家庄儿童脊柱侧弯现状及影响因素分析[J].中国学校卫生,2021,42(11):1674-1678.
2023, Vol. 30 
