Department of Preventive Medicine, Shantou University Medical College, No.22, Xinling Rd, Shantou, 515041, Guangdong Province, China.
Chaozhou People's Hospital, Chaozhou, 521000, Guangdong Province, China.
Environ Health Prev Med. 2021 Jul 3;26(1):71. doi: 10.1186/s12199-021-00989-3.
Idiopathic scoliosis (IS) affects patients' quality of life, yet there have been few reports of its morphology and epidemiological study in the southeast region of China. The aim of this study is to access the curve characteristics, prevalence, and factors associated with IS in Chaozhou city.
A cross-sectional study was performed in 2018, in which scoliosis screening was conducted among 5497 primary school students in Chaozhou city. Then, a case-control study based on the screening involving 2547 children was followed for the exploration of the associated factors. The questionnaires covering demographic characteristics, postural habits, cognition and self-sensation of scoliosis, and physical conditions were addressed for the investigation. ORs with 95%CIs were calculated based on logistic regression analysis to evaluate the factors associated with scoliosis.
The prevalence of IS among primary school students was 6.15% in Chaozhou city, with 4.04% for males and 8.71% for females. The average Cobb angle was 15° (range 8 to 37°). Multiple logistic regression analysis suggested that female (OR=2.45), BMI (OR=0.67), having myopia (OR=1.49), self-sensation of scoliosis with symptoms (OR=5.52), insufficient sleep time (OR=2.65, 3.33), and less exercise time (OR=7.09, 7.29) were significantly associated with IS.
The prevalence of IS among primary school students in Chaozhou was at an average level, and it was significantly higher in females than in males. Lower body mass, having myopia, insufficient sleep time, and lower physical activity were associated with IS.
特发性脊柱侧凸（IS）影响患者的生活质量，但中国东南部地区有关其形态和流行病学的研究报告较少。本研究旨在评估潮州市脊柱侧凸的曲线特征、患病率及相关因素。
2018 年进行了一项横断面研究，在潮州市对 5497 名小学生进行了脊柱侧凸筛查。然后，基于筛查对 2547 名儿童进行了病例对照研究，以探讨相关因素。调查问卷涵盖了人口统计学特征、姿势习惯、对脊柱侧凸的认知和自我感知以及身体状况等方面，用于调查。基于 logistic 回归分析计算比值比（OR）及其 95%置信区间（CI），以评估与脊柱侧凸相关的因素。
潮州市小学生脊柱侧凸的患病率为 6.15%，其中男性为 4.04%，女性为 8.71%。平均 Cobb 角为 15°（范围 8 至 37°）。多因素 logistic 回归分析表明，女性（OR=2.45）、BMI（OR=0.67）、近视（OR=1.49）、有脊柱侧凸症状的自我感知（OR=5.52）、睡眠不足（OR=2.65，3.33）和运动时间不足（OR=7.09，7.29）与脊柱侧凸显著相关。
潮州市小学生脊柱侧凸的患病率处于平均水平，女性明显高于男性。较低的体重指数、近视、睡眠不足和较低的身体活动与脊柱侧凸有关。
