CAJ | 학술논문

目的调查青少年颈肩腰背痛的患病率以及其影响因素.方法 2011至2012学年度第二学期,从上海市注册的237所普通全日制高中里数字法随机选30所高中,按每所学校120名学生分高一、高二、高三年级按学号选取,共3 600名;问卷内容包括人口统计学信息、学习环境、运动习惯、上/放学负重等状况,以及颈肩腰背痛患病情况.使用Logistic回归来分析颈肩腰背痛的可能危险因素.结果 3 600份问卷总计回收有效问卷2 842份,其中男1 364份,女1 478份,结果显示,中国青少年人群中颈肩痛和腰背痛的患病率分别为41.1％和32.8％,女生均高于男生,6.3％的学生因此请过假.中国青少年多面临久坐(26.7％的学生放学后还要继续端坐超过3h)、少运动(29.3％的学生每周运动不足1次,38.2％持续时间不足0.5h)、背包过重(53.0％的学生认为背包负担过重);多因素Logistic回归分析认为性别、年级、护理活动及学习环境与颈肩腰背痛的发生均具有相关性.结论青少年颈肩腰背痛的患病率较高,久坐、个人运动习惯和背包的实际重量等物理因素对青少年颈肩腰背痛的患病率均有一定的影响.
목적 조사청소년경견요배통적환병솔이급기영향인소.방법 2011지2012학년도제이학기,종상해시주책적237소보통전일제고중리수자법수궤선30소고중,안매소학교120명학생분고일、고이、고삼년급안학호선취,공3 600명;문권내용포괄인구통계학신식、학습배경、운동습관、상/방학부중등상황,이급경견요배통환병정황.사용Logistic회귀래분석경견요배통적가능위험인소.결과 3 600빈문권총계회수유효문권2 842빈,기중남1 364빈,녀1 478빈,결과현시,중국청소년인군중경견통화요배통적환병솔분별위41.1％화32.8％,녀생균고우남생,6.3％적학생인차청과가.중국청소년다면림구좌(26.7％적학생방학후환요계속단좌초과3h)、소운동(29.3％적학생매주운동불족1차,38.2％지속시간불족0.5h)、배포과중(53.0％적학생인위배포부담과중);다인소Logistic회귀분석인위성별、년급、호리활동급학습배경여경견요배통적발생균구유상관성.결론 청소년경견요배통적환병솔교고,구좌、개인운동습관화배포적실제중량등물리인소대청소년경견요배통적환병솔균유일정적영향.
Objective To explore the incidence of self-reported neck or shoulder pain (NSP) and lower back pain (LBP) among Chinese adolescents in Shanghai and identify the influencing factors for the incidences of NSP and LBP.Methods A total of 3 600 students were selected from 30 high schools randomly chosen from 237 regular full-time high schools registered in Shanghai.From each school,40 students were selected from each of the tenth,eleventh and twelfth grades for a total of 120 students per school.The questionnaire involved questions pertaining to demographic profiles,learning environment and exercise habits of each student.And it also contained questions regarding the amount of weight carried by each student while commuting to and from school,and it was also used to collect specific information related to the occurrence of NSP and LBP.Logistic regression was performed to analyze the potential risk factors for NSP and LBP.Results Among 3 600 questionnaires,a total of 2 842 valid ones were returned.The results revealed that the incidence of NSP and LBP in the Chinese adolescent population was 41.1％ and 32.8％ respectively.Both NSP and LBP were more common in girls than in boys,and 6.3％ students reported at least one NSP-or LBP-induced absence from school.A relatively large portion of Chinese adolescents reported experiencing problems such as sedentary behavior (26.7％ of the students continued to sit for more than 3 hours after school),a lack of exercise (29.3％ exercised less than once each week and 38.2％ of students reported that their exercise duration was less than half an hour each time) and overweight backpacks (53.0％ complained that their backpack was too heavy).Multivariate logistic regression analysis revealed that gender,grade,physical activity and learning environment were all significantly correlated with the occurrences of NSP and LBP.Conclusion The incidences of NSP and LBP are relatively high among adolescents in Shanghai.And several factors,including sedentary behavior,personal exercise habits and backpack weight,influence the occurrences of NSP and LBP in adolesents.