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预防医学  2022, Vol. 34 Issue (4): 395-399    DOI: 10.19485/j.cnki.issn2096-5087.2022.04.015
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
儿童青少年脊柱侧弯的影响因素研究
邹艳1, 林云2, 何海涛3, 孟佳1, 李娟娟1, 顾昉1, 章荣华1
1.浙江省疾病预防控制中心营养与食品安全所,浙江 杭州 310051;
2.嘉兴市疾病预防控制中心,浙江 嘉兴 314050;
3.嘉兴市秀洲区疾病预防控制中心,浙江 嘉兴 314000
Factors affecting scoliosis among children and adolescents
ZOU Yan1, LIN Yun2, HE Haitao3, MENG Jia1, LI Juanjuan1, GU Fang1, ZHANG Ronghua1
1. Department of Nutrition and Food Safety, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou,Zhejiang 310051, China;
2. Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang 314050, China;
3. Xiuzhou Center for Disease Control and Prevention, Jiaxing, Zhejiang 314000, China
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摘要 目的 了解浙江省嘉兴市中小学生脊柱侧弯发生情况,并分析其影响因素,为儿童青少年脊柱侧弯防控提供依据。方法 于2019年采用分层整群抽样方法,选择嘉兴市小学四~六年级和初中一~三年级学生为调查对象,通过问卷调查收集人口学信息、饮食习惯、体力活动、学习环境和习惯等资料;采用直立位全脊柱X线摄片筛查脊柱侧弯;采用多因素logistic回归模型分析脊柱侧弯的影响因素。结果 调查2 568人,其中男生1 352人,占52.65%;女生1 216人,占47.35%。小学1 335人,占51.99%;初中1 233人,占48.01%。检出脊柱侧弯93例,脊柱侧弯率为3.62%。多因素logistic回归分析结果显示,年龄(OR=0.826,95%CI:0.710~0.960)、性别(OR=2.079,95%CI:1.343~3.221)和过去7 d有重体力活动(OR=2.514,95%CI:1.248~5.063)是中小学生脊柱侧弯的影响因素。结论 嘉兴市中小学生脊柱侧弯率较高,年龄、性别和体力活动可能影响儿童青少年脊柱侧弯的发生。建议将脊柱侧弯筛查纳入中小学生常规体检。
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邹艳
林云
何海涛
孟佳
李娟娟
顾昉
章荣华
关键词 脊柱侧弯影响因素儿童青少年    
AbstractObjective To investigate the prevalence of scoliosis and identify the influencing factors among children and adolescents in Jiaxing City, Zhejiang Province, so as to provide insights into the management of scoliosis among children and adolescents. Methods The fourth, fifth and sixth grade primary school students and the first, second and third grade junior high school students were selected using the stratified cluster sampling method in Jiaxing City in 2019. Students' demographic features, diet habits, physical activity and learning environments and habits were collected using questionnaire surveys. Scoliosis was screened using whole-spine X-ray scans in an upright position, and the factors affecting scoliosis were identified using multivariable logistic regression analysis. Results Valid surveys were completed among 2 568 students, including 1 352 boys ( 52.65% ) and 1 216 girls ( 47.35% ), and there were 1 335 primary school students ( 51.99% ) and 1 233 junior high school students ( 48.01% ). A total of 93 students were detected with scoliosis, with a prevalence rate of 3.62%. Multivariable logistic regression analysis identified age ( OR=0.826, 95%CI: 0.710-0.960 ), gender ( OR=2.079, 95%CI: 1.343-3.221 ) and vigorous physical activity in the past 7 days ( OR=2.514, 95%CI: 1.248-5.063 ) as factors affecting scoliosis among primary and junior high school students. Conclusions The prevalence of scoliosis is high among primary and junior high school students in Jiaxing City. Age, gender and physical activity may affect the risk of scoliosis. Scoliosis screening is recommended to be included in routine healthy examinations among primary and middle school students.
Key wordsscoliosis    influencing factor    child    adolescent
收稿日期: 2021-12-06      出版日期: 2022-04-13
中图分类号:  R195.2  
基金资助:浙江省基础公益研究计划(LGF19H260002)
通信作者: 章荣华,E-mail:rhzhang@cdc.zj.cn   
作者简介: 邹艳,硕士,主任医师,主要从事儿童青少年流行病学研究
引用本文:   
邹艳, 林云, 何海涛, 孟佳, 李娟娟, 顾昉, 章荣华. 儿童青少年脊柱侧弯的影响因素研究[J]. 预防医学, 2022, 34(4): 395-399.
ZOU Yan, LIN Yun, HE Haitao, MENG Jia, LI Juanjuan, GU Fang, ZHANG Ronghua. Factors affecting scoliosis among children and adolescents. Preventive Medicine, 2022, 34(4): 395-399.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.04.015      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I4/395
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