Volume 20 Issue 8
Aug.  2022
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GUO Hai-bin, HUANG Jiao-ling, JIN Hong-fang, ZHOU Xuan, CHEN Nan, LI Xin, YANG Yu-qi, DU Qing. Investigation of children's scoliosis and analysis of related factors in Qinghai Province[J]. Chinese Journal of General Practice, 2022, 20(8): 1273-1276. doi: 10.16766/j.cnki.issn.1674-4152.002575
Citation: GUO Hai-bin, HUANG Jiao-ling, JIN Hong-fang, ZHOU Xuan, CHEN Nan, LI Xin, YANG Yu-qi, DU Qing. Investigation of children's scoliosis and analysis of related factors in Qinghai Province[J]. Chinese Journal of General Practice, 2022, 20(8): 1273-1276. doi: 10.16766/j.cnki.issn.1674-4152.002575

Investigation of children's scoliosis and analysis of related factors in Qinghai Province

doi: 10.16766/j.cnki.issn.1674-4152.002575
Funds:

 81972030

 202040292

 2019SY021

 CKY2021-50

 SHDC2020CR3041B

  • Received Date: 2021-10-16
    Available Online: 2022-09-26
  •   Objective  To explore and study the incidence of scoliosis in children aged 5-18 years in Qinghai Province, provide a theoretical reference for the prevention of scoliosis.  Methods  From October 2020 to February 2021, three districts were selected from Xining City and Haidong City, Qinghai Province, by simple random sampling and two primary schools (partially including preschool classes) and two junior high schools were selected from each district by using stratified cluster sampling. Classes (1-2) were selected for each grade and a total of 12 schools and 3 582 children were selected as the research objects. Scoliosis screening and questionnaire surveys were performed. SPSS 25.0 statistical software was used to process and analyse the collected data and the related factors affecting scoliosis were summarised.  Results  The positive rate of screening for abnormal spine curvature was 5.6% (201/3 582). Amongst them, the positive rate of children over 10 years was 9.2% (143/1 549) and the positive rate of children less than 10 years was 2.9% (58/2 033). Univariate analysis showed that adolescence, rural household registration, low annual family income, low parents' educational level, parents' occupations as herders, birth season and parity may be factors influencing the onset of scoliosis (all P < 0.05). Multivariate unconditional logistics regression model showed that age growth, weight gain, father's occupation as herder (compared with farmer), mother's occupation as herder (compared with farmer), wholly-owned retail shops and odd jobs were risk factors for scoliosis. Meanwhile, height increase, increased BMI, second child and above, born in autumn, urban household registration and mother's high education were protective factors for the onset of scoliosis (all P < 0.05).  Conclusion  The children in Qinghai are more susceptible to scoliosis due to their parents' occupational characteristics (herders), education level, lower family income and rural household registration. The incidence of scoliosis in adolescents is relatively higher. Spinal deformities must be detected in clinic in time, risk factors must be explored, effective measures to cultivate good habits must be formulated to promote spine health, and the occurrence and progression of scoliosis must be actively prevented.

     

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