重庆地区青少年颈肩健康现状调查及影响因素分析  

Investigation on the current situation of neck and shoulder health and analysis of influencing factors among adolescents in Chongqing

作　　者：唐万珍 苏婷 江瑶 TANG Wanzhen;SU Ting;JIANG Yao(Chongqing Medical and Pharmaceutical College,Chongqing 401331,China)

机构地区：[1]重庆医药高等专科学校,重庆401331

出　　处：《现代医药卫生》2023年第22期3889-3893,共5页Journal of Modern Medicine & Health

基　　金：重庆市教育委员会人文社会科学研究项目(19SKGH021)。

摘　　要：目的探讨重庆地区青少年颈肩健康现状及影响因素,为青少年颈肩健康问题早期干预提供理论依据。方法采用分层整体随机抽样法,使用自制青少年颈肩健康状态评估量表,抽取重庆市重点中学、普通中学各两所共计1160名青少年进行问卷调查。统计青少年颈肩健康总体情况,对青少年颈肩疼痛的影响因素进行单因素分析及多因素logistic回归分析。结果实际发放问卷1200份,收回有效问卷1160份。1160名青少年中颈肩疲劳926名(79.82%),颈肩疼痛811名(69.91%);颈肩疼痛常见伴随症状包括上肢疼痛(26.47%)、头痛(18.79%)、上肢麻木(14.48%)等;颈肩不适影响睡眠342名(29.48%)。单因素分析结果显示,自觉书包超重、习惯低头玩手机等电子产品、休息时间不足、作业负担沉重、有贪凉习惯的青少年颈肩疼痛发生率均较高,差异均有统计学意义(P<0.05)。多因素分析结果显示,习惯低头玩手机等电子产品[比值比(OR)=2.152,95%可信区间(95%CI)1.598~2.899]、休息时间不足(OR=2.118,95%CI 1.597~2.81)及作业负担沉重(OR=0.001,95%CI 1.214~2.151)是颈肩疼痛发生的危险因素(P<0.05)。结论重庆地区青少年群体颈肩健康问题不容乐观,严重影响其正常学习状态和身心健康发展,应引起社会重视,并应尽早针对相关危险因素采取干预措施,改善青少年颈肩亚健康状况。Objective To explore the current situation and influencing factors of neck and shoulder health issues among adolescents in Chongqing,and to provide theoretical basis for early intervention of neck and shoulder health among adolescents.Methods A stratified overall random sampling method was used.A total of 1160 adolescents from 2 key high schools and 2 ordinary high schools in Chongqing were selected for a questionnaire survey by the self-made adolescent neck and shoulder health assessment scale.Calculate the overall health status of adolescents′neck and shoulder,and conduct single factor and multivariate logistic regression analysis on the influencing factors of neck and shoulder pain in adolescents.Results A total of 1200 questionnaires were actually distributed and 1160 valid questionnaires were collected.Among 1160 adolescents,926(79.82%)had neck and shoulder fatigue,and 811(69.91%)had neck and shoulder pain;Common accompanying symptoms of neck and shoulder pain include upper limb pain(26.47%),headache(18.79%),upper limb numbness(14.48%),etc;Neck and shoulder discomfort affected sleep in 342 cases(29.48%).The results of univariate analysis showed that teenagers who consciously had overweight backpacks,were accustomed to playing with electronic devices such as mobile phones,had insufficient rest time,had a heavy workload,and had a greedy habit had a higher incidence of neck and shoulder pain,with a statistically significant difference(P<0.05).The results of multivariate analysis suggest that habitual low head playing with electronic products such as mobile phones[odds ratio(OR)=2.152,95%confidence interval(95%CI)1.598-2.899],insufficient rest time(OR=2.118,95%CI 1.597-2.81),and heavy workload(OR=0.001,95%CI 1.214-2.151)were risk factors for neck and shoulder pain(P<0.05).Conclusion The neck and shoulder health issues of adolescents in Chongqing is not optimistic,which seriously affects their normal learning status and physical and mental health development.It should be taken seriously by society and intervent

关 键 词：颈肩健康 颈肩疼痛 青少年 现状调查 影响因素 重庆 

分 类 号：R681.5[医药卫生—骨科学]