汕头大学医学院学报2024,Vol.37Issue(3):170-175,6.DOI:10.13401/j.cnki.jsumc.2024.03.009
汕头市澄海区2019-2023年中小学生脊柱侧弯与近视共患现状及相关因素分析
Analysis of the current situation and relevant factors of scoliosis and myopia comorbidities among primary and secondary school students in Chenghai District of Shantou from 2019 to 2023
摘要
Abstract
Objective:To investigate the current situation and relevant factors of comorbidity of scoliosis and myopia among primary and secondary school students in Chenghai District of Shantou from 2019 to 2023,in order to provide a reference for the multi-disease co-prevention of scoliosis and myopia.Methods:From 2019 to 2023,10,306 students from five primary and secondary schools in Chenghai District were selected by stratified random cluster sampling method for scoliosis,vision examination and questionnaire survey on relevant factors,including 5,121(49.7%)boys and 5,185(50.3%)girls;6,150(59.7%)primary school students,2,715(26.3%)junior high school students,and 1,441(14.0%)high school students.A binary multivariate logistic regression model was used to analyze the relevant factors of the comorbidity of scoliosis and myopia.Results:The total detection rates of scoliosis,myopia,and scoliosis and myopia comorbidities among primary and secondary school students in Chenghai District from 2019-2023 were 4.9%,60.8%,and 3.9%,respectively;the total detection rates of scoliosis and myopia comorbidities among female students(5.4%)were higher than those of male students(2.3%),and those of high school(8.9%)were higher than those of junior high school(7.6%)and primary school students(1.0%)(all P-values<0.05).Logistic regression analysis showed that junior high school(OR=4.48,95%CI:2.52-7.96)and senior high school(OR=2.69,95%CI:1.22-5.92);homework/reading/writing time after school 2-<3 h(OR=1.47,95%CI:1.01-2.15),≥3 h(OR=1.74,95%CI:1.20-2.51)were positively associated with scoliosis and myopia comorbidities;moderate to high intensity activity for more than 60 min per day(<3 d per week)(OR=1.39,95%CI:1.08-1.79),and not adjusting the height of desks and chairs for height(OR=1.72,95%CI:1.31-2.24),neck and shoulder pain(OR=1.79,95%CI:1.16-2.79)were associated with comorbidities(all P-values<0.05).Conclusion:The comorbidity of scoliosis and myopia in primary and secondary school students in Chenghai District is not optimistic,and reducing the time spent on homework or reading and writing after school and exercising at moderate to high intensity for more than 60 min per day(more than 3 d per week)may reduce the comorbidity of scoliosis and myopia in primary and secondary school students.关键词
脊柱侧弯/近视/共患/中小学生/相关因素Key words
scoliosis/myopia/comorbidity/primary and secondary school students/relevant factors分类
医药卫生引用本文复制引用
陈琳瑶,林旭琛,李炼冲,叶馥郁,吴库生..汕头市澄海区2019-2023年中小学生脊柱侧弯与近视共患现状及相关因素分析[J].汕头大学医学院学报,2024,37(3):170-175,6.基金项目
广东省自然科学基金(2023A1515012357) (2023A1515012357)