Status and correlation of neck-shoulder pain, low back pain and mental sub-health among adolescents

HAN Feifei; GAO Xin; XIE Yang; TAO Shuman; WAN Yuhui; TAO Fangbiao

doi:10.16835/j.cnki.1000-9817.2024122

Volume 45 Issue 4

Apr. 2024

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HAN Feifei, GAO Xin, XIE Yang, TAO Shuman, WAN Yuhui, TAO Fangbiao. Status and correlation of neck-shoulder pain, low back pain and mental sub-health among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(4): 479-482. doi: 10.16835/j.cnki.1000-9817.2024122

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HAN Feifei, GAO Xin, XIE Yang, TAO Shuman, WAN Yuhui, TAO Fangbiao. Status and correlation of neck-shoulder pain, low back pain and mental sub-health among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(4): 479-482. doi: 10.16835/j.cnki.1000-9817.2024122

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Status and correlation of neck-shoulder pain, low back pain and mental sub-health among adolescents

doi: 10.16835/j.cnki.1000-9817.2024122

Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University/MOE Key Laboratory of Population Health across Life Cycle/Anhui Provincial Key Laboratory of Environment and Population Health across the Life Course, Hefei(230032), Anhui Province, China

Received Date: 2024-02-08
Rev Recd Date: 2024-03-15

Available Online: 2024-04-25

Publish Date: 2024-04-25

Abstract

Abstract

Objective To explore the association among neck-shoulder pain (NSP), low back pain (LBP) and co-occurring symptoms with mental sub-health in adolescents, so as to provide evidence for improving physical and mental health of adolescents. Methods Stratified cluster random sampling method was used to select 7 986 students from 12 middle and high schools in Shenzhen, Nanchang, and Shenyang cities from October to December 2019. The Assessment of Spinal Health of Youth (ASHY) and the Brief Instrument on Psychological Health of Youth (BIOPHY) were used to assess NSP, LBP and mental sub-health. Binary Logistic regression model was used to analyze the association between NSP, LBP and co-occurring symptoms with mental sub-health in adolescents. Results The detection rates of adolescents with NSP, LBP and co-occurring symptoms and mental sub-health were 9.1%, 9.8%, 9.5%, and 10.0%, respectively. The co-occurring rate of neck shoulder pain, low back pain and mental sub-health was 3.2%. After adjusting for confounding variables such as gender, age, being an only child, family residence, and parental education level, NSP (OR=6.01, 95%CI=5.02-7.19), LBP (OR=5.08, 95%CI=4.25-6.07), and co-occurring symptoms (OR=5.96, 95%CI=4.98-7.12) in adolescents were positively correlated with mental sub-health risk (P < 0.01). Stratifying the gender, boys with NSP, LBP and co-occurring symptoms (OR=6.84, 5.80, 6.74)had a higher risk of mental sub-health compared to girls (OR=5.52, 4.65, 5.49) (P < 0.01). Conclusions NSP, LBP and co-occurring symptoms in adolescents are associated with mental sub-health. The mental health status of boys is more affected by NSP, LBP and their co-occurring symptoms. Measures should be taken to improve spinal health in adolescents to reduce the incidence of mental sub-health.
- Shoulder pain,
- Neck pain,
- Low back pain,
- Mental health,
- Regression analysis,
- Adolescent

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