山东省德州市儿童青少年脊柱侧弯现状调查及影响因素分析OA
Investigation on the current situation of scoliosis among children and adolescents in Dezhou City,Shandong Province and analysis of influencing factors
目的 调查德州市 6～<18 岁儿童及青少年脊柱侧弯发病现状及其影响因素,以期为德州市儿童及青少年脊柱侧弯预防及治疗工作提供参考.方法 采用分层整群抽样方法,于 2023 年 9 月至12 月抽取德州市小学、初中、高中各 2 所学校,并对抽样的所有学生进行问卷调查以及脊柱侧弯筛查,分析儿童青少年脊柱侧弯发病现状,同时采用单因素、多因素分析德州市 6～<18 岁儿童青少年脊柱侧弯的影响因素.结果 2374名儿童及青少年中,脊柱侧弯 78 例,检出率为 3.29%.单因素分析结果显示,性别、体重指数分级、每日睡觉时间、每日电子设备观看时间、每日锻炼时间、饮食情况、课桌椅高度与德州市 6～<18 岁儿童及青少年脊柱侧弯有关(P<0.05).多因素logistic回归结果分析显示,女性(OR=3.361,P<0.001)、体重指数<18.5 kg/m2(OR=3.016,P=0.003)、课桌椅高度不合适(OR=2.842、P=0.001)、每日电子设备观看时间1～3 h(OR=4.337,P<0.001)、每日电子设备观看时间>3 h(OR=8.193,P<0.001)、每日睡觉时间在22:00-24:00(OR=3.577,P=0.016)、每日睡觉时间在 24:00 后(OR=7.232,P<0.001)为德州市 6～<18 岁儿童及青少年脊柱侧弯的危险因素(P<0.05).结论 性别、体重指数、课桌椅高度、每日电子设备观看时间及入睡时间是德州市 6～<18 岁儿童及青少年脊柱侧弯发病的影响因素,每日适度的锻炼能降低脊柱侧弯发生,应制定更有针对性的防控措施以降低德州市儿童及青少年脊柱侧弯的发生率.
Objective To investigate the current situation of scoliosis among children and adolescents aged 6-<18 years in Dezhou City,Shandong Province and analyze influencing factors,in order to provide reference for the prevention and treatment of scoliosis in children and adolescents in Dezhou City.Methods A stratified cluster sampling method was used to select two primary schools,two junior high schools and two senior high schools in Dezhou from September to December 2023.Questionnaires and scoliosis screening were conducted for all the sampled students to analyze the incidence of scoliosis in children and adolescents.Univariate and multivariate analysis was used to analyze the influencing factors of scoliosis in children and adolescents aged 6-<18 years in Dezhou City.Results Among 2374 children and adolescents,there were 78 cases of scoliosis,with a detection rate of 3.29%.The results of univariate analysis showed that gender,body mass index classification,daily sleep time,daily electronic device viewing time,daily exercise time,diet,and the height of desk and chair were associated with scoliosis in children and adolescents aged 6-<18 years in Dezhou City(P<0.05).Multivariate logistic regression analysis showed that female(OR=3.361,P<0.001),body mass index<18.5 kg/m2(OR=3.016,P=0.003),inappropriate desk and chair height(OR=2.842,P=0.001),daily electronic device viewing time 1-3 hours(OR=4.337,P<0.001),daily electronic device viewing time>3 hours(OR=8.193,P<0.001),daily sleep time 22:00-24:00(OR=3.577,P=0.016),daily sleep time after 24:00(OR=7.232,P<0.001)were the risk factors for scoliosis in children and adolescents aged 6-<18 years in Dezhou City(P<0.05).Conclusion Gender,body mass index,desk and chair height,daily electronic device viewing time and sleep time are the influencing factors of scoliosis in children and adolescents aged 6-<18 years in Dezhou City.Daily moderate exercise can reduce the incidence of scoliosis.More targeted prevention and control measures should be developed to reduce the incidence of scoliosis in children and adolescents in Dezhou City.
冯慧;张会仙;张洪妹;王敏;徐晓敏;张万凤
山东省德州市妇女儿童医院中医科,山东 德州 253000山东省德州市妇女儿童医院中医科,山东 德州 253000山东省德州市妇女儿童医院中医科,山东 德州 253000山东省德州市妇女儿童医院中医科,山东 德州 253000山东省德州市妇女儿童医院中医科,山东 德州 253000山东省德州市妇女儿童医院中医科,山东 德州 253000
医药卫生
脊柱侧弯儿童及青少年现状调查影响因素
ScoliosisChildren and adolescentCurrent situationInfluencing factor
《妇儿健康导刊》 2026 (4)
159-163,5
山东省学校卫生协会儿童青少年生长发育与健康管理专项课题(JKZX2023116).
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