Screening for scoliosis and associated factors among primary and middle school students in Shanghai

CHU Liting; ZHANG Fengyun; QI Wenjuan; QI Yue; YANG Junlin; WANG Limin; YANG Dongling; LUO Chunyan

doi:10.16835/j.cnki.1000-9817.2023.08.004

Volume 44 Issue 8

Aug. 2023

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(8): 1134-1139

CHU Liting, ZHANG Fengyun, QI Wenjuan, QI Yue, YANG Junlin, WANG Limin, YANG Dongling, LUO Chunyan. Screening for scoliosis and associated factors among primary and middle school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1134-1139. doi: 10.16835/j.cnki.1000-9817.2023.08.004

Citation:

CHU Liting, ZHANG Fengyun, QI Wenjuan, QI Yue, YANG Junlin, WANG Limin, YANG Dongling, LUO Chunyan. Screening for scoliosis and associated factors among primary and middle school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1134-1139. doi: 10.16835/j.cnki.1000-9817.2023.08.004

Citation:

CHU Liting, ZHANG Fengyun, QI Wenjuan, QI Yue, YANG Junlin, WANG Limin, YANG Dongling, LUO Chunyan. Screening for scoliosis and associated factors among primary and middle school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1134-1139. doi: 10.16835/j.cnki.1000-9817.2023.08.004

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Screening for scoliosis and associated factors among primary and middle school students in Shanghai

doi: 10.16835/j.cnki.1000-9817.2023.08.004

1.
Institute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai (200336), China

Received Date: 2023-04-18
Rev Recd Date: 2023-05-05

Available Online: 2023-08-26

Publish Date: 2023-08-25

Abstract

Abstract

Objective To understand the prevalence and influencing factors of scoliosis among primary and middle school students in Shanghai, so as to provide reference for the prevention and control strategies of scoliosis in children and adolescents. Methods From September to December 2021, a total of 4 531 students from grade four of primary school to grade three of junior high school from 16 primary and middle schools in 4 districts of Shanghai were selected by multi-stage stratified cluster sampling to carry out scoliosis screening and questionnaire survey. Independent sample t-test, Chi-squared test, Fisher's exact probability method and nonparametric Mann Whitney U-test were used for statistical analysis, and multivariate Logistic regression was used to analyze the influencing factors of scoliosis. Results The on-the-spot detection rate of scoliosis abnormality was 7.4% and the prevalence was 2.2%, mainly for thoracolumbar scoliosis (60.4%) and the scoliosis angle of 10° - < 20°(88.1%). The results showed that the detection rate of scoliosis in boys was 1.6% and in girls was 3.3%, with a statistically significant difference (χ²=11.84, P < 0.01). There were significant differences in weight and BMI between scoliosis students and students with negative initial screening(t=-3.77, -5.30, P < 0.01). And there was a statistically significant difference in the detection rate of scoliosis with different frequency of classroom seating arrangements (Z=2.02, P < 0.05). The results of multivariate Logistic regression showed that the risk of scoliosis in girls was higher than that in boys (OR=1.87, 95%CI=1.21-2.88). BMI (OR=0.89, 95%CI=0.83-0.95) and frequency of classroom seating arrangements (OR=0.49, 95%CI=0.25-0.93) were correlated with lower rate of scoliosis. After stratification by sex, the frequency of classroom seating arrangements (OR=0.26, 95%CI=0.10-0.67) in boys and the educational stage (OR=2.35, 95%CI=1.26-4.41) in girls (P < 0.05) was correlated with higher rate of scoliosis, while BMI (OR=0.86, 95%CI=0.79-0.94) in girls were correlated with lower rate of scoliosis. Conclusion Regular screening of scoliosis is an effective method for early detection of scoliosis. Girls in junior high school and low BMI should be paid close attention to. According to the occurrence and influencing factors of scoliosis, comprehensive prevention and control based on family, school, society, and other aspects can be carried out.
- Scoliosis,
- Questionnaires,
- Prevalence,
- Regression analysis,
- Students

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References(25)

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