Results of scoliosis screening among primary and middle school students in Chuzhou City / 预防医学

ABSTRACT

Objective@#To investigate the screening results of adolescent scoliosis in Chuzhou City, Anhui Province, and analyze the influencing factors for scoliosis, so as to provide insights into the prevention and control of scoliosis among adolescents.@*Methods@#Students were selected from six primary and middle schools in Chuzhou City using the stratified random cluster sampling method from April to June 2023. Demographic information, daily behaviors and postures, and exercise status were collected through questionnaire surveys. Scoliosis was screened and diagnosed according to the Screening for Abnormal Spinal Curvature in Children and Adolescents. Influencing factors for scoliosis among primary and middle school students were identified using a multivariable logistic regression model.@*Results@#A total of 1 823 questionnaires were allocated, and 1 768 effective questionnaires were recovered, with an effective response rate of 96.98%. There were 537 primary school students, 1 000 junior high school students and 231 senior high school students, with an average age of (13.40±1.92) years. There were 948 male students (53.62%) and 820 female students (46.38%). A total of 131 cases of scoliosis were screened positive, with a positive rate of 7.41%. The results of multivariable logistic regression analysis showed that gender (female, OR=1.759, 95%CI 1.135-2.727), body mass index (OR=0.593, 95%CI 0.538-0.654), sleeping position (side lying, OR=0.598, 95%CI 0.377-0.951; prone lying, OR=2.336, 95%CI 1.201-4.545), frequency of reading in bed (often, OR=2.099, 95%CI 1.201-3.670), way of carrying backpack (shoulders, OR=0.580, 95%CI 0.370-0.908), and exercise level (OR=0.428, 95%CI 0.296-0.618) were influencing factors of scoliosis among primary and middle school students.@*Conclusion@#The positive rate of scoliosis screening among primary and middle school students in Chuzhou City was 7.41%, which was influenced by gender, age, body mass index, sleeping posture, reading in bed, way of carrying backpack and exercise level.