Volume 44 Issue 6
Jun.  2023
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HUANG Sizhe, LI Fenghua, YANG Junlin, TANG Weiming, HUANG Zifang, GAO Yihao, CHENG Mengyuan. Prevalence and factors influencing adolescent idiopathic scoliosis in Zhongshan City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 925-929. doi: 10.16835/j.cnki.1000-9817.2023.06.029
Citation: HUANG Sizhe, LI Fenghua, YANG Junlin, TANG Weiming, HUANG Zifang, GAO Yihao, CHENG Mengyuan. Prevalence and factors influencing adolescent idiopathic scoliosis in Zhongshan City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 925-929. doi: 10.16835/j.cnki.1000-9817.2023.06.029

Prevalence and factors influencing adolescent idiopathic scoliosis in Zhongshan City

doi: 10.16835/j.cnki.1000-9817.2023.06.029
  • Received Date: 2022-11-22
  • Rev Recd Date: 2023-03-07
  • Available Online: 2023-06-28
  • Publish Date: 2023-06-25
  •   Objective  To investigate factors influencing adolescent idiopathic scoliosis (AIS), and to provide a scientific basis for effective prevention and treatment programs.  Methods  A questionnaire survey was conducted among 6 757 students who participated in the scoliosis screening program for primary and middle school students in Zhongshan City, China from April 2019 to March 2020. Visual examination and Adams flexion test were used to measure the rotation angle of trunk. For each student, individual and family demographics, family history of scoliosis, daily postural habits, school-bag carrying habits, vision, health, school environment, and physical activity were collected by questionnaire. Factors influencing AIS were analyzed using Chi-square test and multivariate Logistic regression.  Results  The positive screening rate for AIS was 2.0%(135 cases). Multivariate Logistic regression analysis revealed that female gender, no family history of AIS, standing with lumbar spine tilted forward, habit of leaning to the left when seated, and a monthly family income of >10 000 yuan were related to the occurrence of AIS in adolescents (OR=3.01, 0.38, 2.29, 1.74, 0.44, P < 0.05).  Conclusion  Female students aged 10-16 years with a family history of scoliosis in Zhongshan are identified as a high-risk group for scoliosis screening. Developing proper standing and sitting habits helps to reduce the risk of AIS in adolescents.
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