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中国医学生和牙科学学生中肌肉骨骼疼痛普遍存在:一项横断面研究。

Musculoskeletal pain is prevalent in Chinese medical and dental students: A cross-sectional study.

机构信息

Department of Stomatology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.

Department of Stomatology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.

出版信息

Front Public Health. 2022 Nov 24;10:1046466. doi: 10.3389/fpubh.2022.1046466. eCollection 2022.

Abstract

OBJECTIVES

Musculoskeletal pain (MSP) is a major reason for consultation in primary care and is becoming increasingly prevalent among medical students. There is little research on the current situation of MSP among Chinese medical and dental students. Data on the analysis of risk factors related to MSP are also limited. The objectives of this study were to investigate the prevalence and characteristics of MSP among Chinese medical and dental students and to explore the risk factors for MSP and students' intent to seek medical treatment.

METHODS

An anonymous, internet-based, cross-sectional, open survey was distributed to medical and dental students at Fujian Medical University, Fuzhou, China. Data on the demographic information and characteristics of MSP were collected and analyzed. In addition to descriptive statistics, logistic regression was used to analyze significant risk factors contributing to MSP.

RESULTS

A total of 1,178 students responded to the survey (response rate = 79.6%), including 722 medical students and 456 dental students. The age ranged from 16 to 24. There were 553 male students and 625 female students. A total of 523 students reported neck pain (NP, 44.4%), 361 students reported low back pain (LBP, 30.6%), and 182 students reported joint pain (JP, 15.4%). Sixty-six students (5.6%) simultaneously suffered from NP, LBP, and JP. The prevalence of NP (49.1 vs. 41.4%, = 0.01), LBP (34.6 vs. 28.1%, = 0.02), and JP (20.2 vs. 12.5%, < 0.001) was significantly higher in dental students than in medical students. The prevalence of MSP was significantly different among the academic years for NP and LBP ( = 0.02 and < 0.001, respectively). Univariate and multivariate regression analyses demonstrated that female sex, PSS-10 score, and major of stomatology were risk factors for MSP. Medical and dental students' intention to seek treatment for MSP was low and was significantly associated with the severity of pain.

CONCLUSIONS

The prevalence of MSP in Chinese medical and dental students is high, especially for NP and LBP, and is significantly higher in dental students than in medical students. The prevalence of NP and LBP were significantly different among academic grades. Female sex, PSS-10 score, and major of stomatology were risk factors for MSP. Students' intent to seek treatment for MSP was very low and was determined by the severity of pain.

摘要

目的

肌肉骨骼疼痛(MSP)是基层医疗中咨询的主要原因,并且在医学生中越来越普遍。目前在中国医学生和牙科学学生中,MSP 的现状研究甚少。与 MSP 相关的危险因素分析数据也很有限。本研究的目的是调查中国医学生和牙科学学生 MSP 的患病率和特征,并探讨 MSP 的危险因素以及学生寻求治疗的意愿。

方法

采用匿名、基于互联网的横断面开放式调查,对中国福州福建医科大学的医学生和牙科学学生进行调查。收集并分析人口统计学信息和 MSP 特征的数据。除了描述性统计外,还使用逻辑回归分析导致 MSP 的显著危险因素。

结果

共有 1178 名学生(应答率=79.6%)回答了调查问题,其中 722 名医学生和 456 名牙科学学生。年龄从 16 岁到 24 岁不等。有 553 名男生和 625 名女生。共有 523 名学生报告颈部疼痛(NP,44.4%),361 名学生报告下腰痛(LBP,30.6%),182 名学生报告关节痛(JP,15.4%)。66 名学生(5.6%)同时患有 NP、LBP 和 JP。牙科学学生的 NP(49.1%比 41.4%, = 0.01)、LBP(34.6%比 28.1%, = 0.02)和 JP(20.2%比 12.5%, < 0.001)的患病率明显高于医学生。NP 和 LBP 的不同年级患病率存在显著差异( = 0.02 和 < 0.001)。单因素和多因素回归分析表明,女性、PSS-10 评分和口腔专业是 MSP 的危险因素。医学生和牙科学学生对 MSP 的治疗意愿较低,且与疼痛严重程度显著相关。

结论

中国医学生和牙科学学生 MSP 的患病率较高,尤其是 NP 和 LBP,牙科学学生的患病率明显高于医学生。NP 和 LBP 的年级患病率存在显著差异。女性、PSS-10 评分和口腔专业是 MSP 的危险因素。学生对 MSP 的治疗意愿非常低,这取决于疼痛的严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dcb/9730812/defbfc9335e1/fpubh-10-1046466-g0001.jpg

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