Shan Zhi, Deng Guoying, Li Jipeng, Li Yangyang, Zhang Yongxing, Zhao Qinghua
*Department of Orthopaedic Surgery, Shanghai First People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; and †Department of Orthopaedics, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, P.R. China.
Spine (Phila Pa 1976). 2014 Feb 15;39(4):E276-83. doi: 10.1097/BRS.0000000000000124.
A cross-sectional survey by anonymous self-assessment questionnaire was given to 3600 high school students from 30 high schools.
The purpose of this study was to analyze the prevalence of neck and shoulder pain (NSP) and its effects among high school students in Shanghai, China.
NSP has become a problem in many countries in recent years among adolescents. No recent studies have estimated the prevalence of NSP in Chinese school populations.
A total of 3600 high school students from all 3 grades chosen from 30 random schools participated in this study. Participants were asked to fill out a questionnaire on NSP and to provide information on demographic items, family factors, schooling, and lifestyles. χ tests were used to compare the incidence of NSP, univariate and multivariate logistic regression analyses were used to obtain influencing factors of NSP.
In total, 3600 questionnaires were distributed, and 2842 were valid. The cross-sectional prevalence of NSP was 41.1%, with more girls (653 of 1478, i.e., 44.2%) reporting having NSP than boys (514 of 1364, i.e., 37.7%) (odds ratio = 0.764; 95% confidence interval = 0.657-0.888; P < 0.05). The frequency, duration, and degree of NSP in girls were also higher than in boys. For high school years 1, 2, and 3, the incidence of NSP was 40.1%, 40.7%, and 45.4%, respectively. The multivariate logistic regression indicated that sex, family history of NSP, school furniture, long sitting time, computer use, insufficient rest time, sleep time, commuting method, perceived schoolbag weight, and smoking had a significant effect on NSP.
The incidence of NSP in high school students in Shanghai is quite high. The occurrence of NSP is related to several factors including sex and school year, as well as some factors related to family, schooling, and lifestyles.
采用匿名自评问卷对来自30所高中的3600名高中生进行横断面调查。
本研究旨在分析中国上海高中生颈部和肩部疼痛（NSP）的患病率及其影响因素。
近年来，NSP在许多国家的青少年中已成为一个问题。目前尚无针对中国学生群体中NSP患病率的最新研究。
从30所随机抽取的学校中选取所有三个年级的3600名高中生参与本研究。参与者被要求填写一份关于NSP的问卷，并提供有关人口统计学项目、家庭因素、学校教育和生活方式的信息。采用χ检验比较NSP的发生率，使用单因素和多因素逻辑回归分析来获取NSP的影响因素。
共发放问卷3600份，有效问卷2842份。NSP的横断面患病率为41.1%，报告有NSP的女生（1478人中的653人，即44.2%）多于男生（1364人中的514人，即37.7%）（比值比 = 0.764；95%置信区间 = 0.657 - 0.888；P < 0.05）。女生NSP的频率、持续时间和程度也高于男生。对于高中一、二、三年级，NSP的发生率分别为40.1%、40.7%和45.4%。多因素逻辑回归表明，性别、NSP家族史、学校家具、久坐时间、使用电脑、休息时间不足、睡眠时间、通勤方式、感知书包重量和吸烟对NSP有显著影响。
上海高中生中NSP的发生率相当高。NSP的发生与包括性别和学年在内的几个因素有关，也与一些与家庭、学校教育和生活方式相关的因素有关。
3级
