2020年山东省中小学生脊柱弯曲异常流行状况及影响因素分析  

Prevalence and influencing factors of abnormal spinal curvature in primary and secondary school students in Shandong Province in 2020

作　　者：张高辉[1] 陈良侠[1] 陈希 刘昭璐 于连龙[1] 郑守娟 杜雪莹 李素云[1] Zhang Gaohui;Chen Liangxia;Chen Xi;Liu Zhaolu;Yu Lianlong;Zheng Shoujuan;Du Xueying;Li Suyun(Department of Health Management,Shandong Center for Disease Control and Prevention,Shandong province,Jinan 250014,China;Shandong Provincial Hospital Affiliated to Shandong First Medical University,Shandong province,Jinan 250014,China)

机构地区：[1]山东省疾病预防控制中心健康管理所,山东省济南250014 [2]山东第一医科大学附属省立医院,山东省济南250014

出　　处：《中华预防医学杂志》2023年第11期1839-1842,共4页Chinese Journal of Preventive Medicine

摘　　要：2020年山东省全国学生常见病和健康影响因素监测与干预项目中,54079名学生脊柱弯曲异常筛出率为1.54%。多因素logistic回归分析结果显示,与小学、经济较差片区、不住校学生比,初中、高中、经济水平中等、住校的学生脊柱弯曲异常率的风险高,OR(95%CI)值分别为2.029(1.662~2.476)、2.746(2.208~3.416)、2.237(1.740~2.875)和2.057(1.705~2.483)。与经济较差片区、体重消瘦、每学年座位调整≤1次、每周体育课时≤1节的学生比,经济发展好片区、正常体重、超重、肥胖,每学年座位调整频次≥2次、每周体育课时2~3节、每周体育课时≥4节的学生脊柱弯曲异常的风险低,OR(95%CI)值分别为0.690(0.521~0.915)、0.722(0.546~0.955)、0.535(0.389~0.735)、0.383(0.274~0.535)、0.835(0.711~0.980)、0.561(0.474~0.663)和0.491(0.315~0.766)。In 2020,the prevalence of abnormal spinal curvature among 54079 students in Shandong Province was 1.54%.The multivariate logistic regression model analysis showed that,compared with those in primary school,economically underdeveloped areas,and non-residential schools,students in middle and high schools,economically average areas,and residential schools had a higher risk of abnormal spinal curvature,with OR(95%CI)values of 2.029(1.662-2.476),2.746(2.208-3.416),2.237(1.740-2.875)and 2.057(1.705-2.483),respectively.Compared with those in economically underdeveloped areas,who were underweight,who had seat adjustments≤1 time per academic year,and who had physical education classes≤1 per week,students in economically developed areas,who were normal weight,overweight,and obese,who had seat adjustments≥2 times per academic year,and who had physical education classes 2-3 or≥4 per week,had a lower risk of abnormal spinal curvature,with OR(95%CI)values of 0.690(0.521-0.915),0.722(0.546-0.955),0.535(0.389-0.735),0.383(0.274-0.535),0.835(0.711-0.980),0.561(0.474-0.663)and 0.491(0.315-0.766),respectively.

关 键 词：脊柱弯曲 患病率 横断面研究 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健] R726.8[医药卫生—公共卫生与预防医学]