上海市嘉定区中小学生健康行为与脊柱侧弯的关系  

Correlation between health behavior and scoliosis among primary and middle school students in Jiading District of Shanghai Municipality

作　　者：张琴[1] 朱琰泓 刘欣欣 彭谦[1] 袁红[1] 彭慧[1] ZHANG Qin;ZHU Yanhong;LIU Xinxin;PENG Qian;YUAN Hong;PENG Hui(Jiading District Center for Disease Control and Prevention,Jiading,Shanghai 201800,China)

机构地区：[1]上海市嘉定区疾病预防控制中心,上海嘉定201800

出　　处：《实用预防医学》2024年第7期811-814,共4页Practical Preventive Medicine

摘　　要：目的探讨健康行为对嘉定区中小学生脊柱侧弯的影响,为开展学生脊柱侧弯干预提供依据。方法采用分层随机抽样方法,抽取嘉定区2所高中、2所初中以及2所小学共1663名学生进行监测。结果嘉定区中小学生脊柱侧弯检出率为5.23%。男、女生检出率分别为3.54%、6.99%,女生明显高于男生(χ^(2)=10.013,P=0.002);小学生、初中生及高中生检出率分别为2.11%、4.67%和8.49%,检出率随学段上升而升高(χ^(2)=20.201,P<0.001)。饮食、运动、睡眠等9项健康行为报告率均随学段上升而下降(P<0.05)。多因素logistic回归分析显示,每周上5节及以上体育课(OR=0.563)是脊柱侧弯的保护因素,女生(OR=2.009)、初中生(OR=2.289)和高中生(OR=4.244)与脊柱侧弯的发生均呈正相关(P<0.05)。结论学生脊柱侧弯与健康生活行为有关,应加强对中小学生健康行为指导与关注,特别是加强女生、初中生和高中生的体育运动干预。Objective To explore the effect of health behavior on scoliosis amongst primary and secondary school students in Jiading District,and to provide a basis for intervention of scoliosis in the students.Methods We monitored a total of 1,663 students selected from two senior high schools,two junior middle schools and two primary schools in Jiading District by stratified random sampling.Results The detection rate of scoliosis among the primary and middle school students in Jiading District was 5.23%.The detection rate was significantly higher in female students than in male ones(6.99%vs.3.54%,χ^(2)=10.013,P=0.002).The detection rates in pupils,junior middle school students and senior high school students were 2.11%,4.67%and 8.49%respectively,and they increased with the increment of school stage(χ^(2)=20.201,P<0.001).The reporting rates of 9 items of health behavior such as diet,physical exercise and sleep decreased with the increase of school stage(P<0.05).Multivariate logistic regression analysis revealed that having five or more physical education classes per week(OR=0.563)was a protective factor for scoliosis.Female students(OR=2.009),junior middle school students(OR=2.289)and senior high school students(OR=4.244)were positively correlated with the occurrence of scoliosis(P<0.05).Conclusion Students’scoliosis is related to health life behavior.It is necessary to strengthen the guidance of and attention to health behavior among the primary and secondary school students,especially in enhancing the physical exercise intervention among female students,junior middle school students and senior high school students.

关 键 词：脊柱侧弯 健康行为 中小学生 

分 类 号：R681.5[医药卫生—骨科学]