Payne W K, Ogilvie J W, Resnick M D, Kane R L, Transfeldt E E, Blum R W
Twin Cities Scoliosis Spine Center, University of Minnesota, Minneapolis, USA.
Spine (Phila Pa 1976). 1997 Jun 15;22(12):1380-4. doi: 10.1097/00007632-199706150-00017.
A population-based case-control study, we identified adolescents with and without scoliosis in Minnesota who were 12 through 18 years of age. Matched control subjects were randomly selected from school children who did not have scoliosis or any other condition. Information on scoliosis was obtained by a self-administered questionnaire, the Adolescent Health Survey. Collected on more than 75,000 school age adolescents, with established validity and reliability, a secondary analysis of adolescents with scoliosis was performed as compared with a normative peer group.
To describe and characterize the psychosocial impact of scoliosis on the areas of peer relations, body image, and health-compromising behavior, such as suicidal thought and alcohol consumption.
The impact of adolescent idiopathic scoliosis has not been assessed using generic health status measures appropriate for adolescents. Previous studies have concentrated on the health status of adults by measuring work status, marriage status, and other adult measures. The purpose of this study was to study the health status of patients with adolescent idiopathic scoliosis, using the Adolescent Health Survey, a generic health status measure with established validity and reliability.
Body image, peer relations, social and high-risk behavior, and comparative health were assessed to determine if scoliosis was an independent risk factor and to determine if scoliosis was associated with these psychosocial issues.
Six hundred eighty-five cases of scoliosis were identified from the 34,706 adolescents. The prevalence was 1.97%. Of the 685 adolescents with scoliosis and their control subjects, the adjusted odds ratio for having suicidal thought among adolescent with scoliosis, compared to adolescents without scoliosis, was 1.40 (P value of 0.04) after adjustment for race, gender, socioeconomic status, and age. The adjusted odds ratio for having feelings about poor body development among adolescents with scoliosis was 1.82 (P value 0.001) compared with adolescents without scoliosis after adjustment for race, gender, socioeconomic status, and age. Scoliosis was an independent risk factor for suicidal thought, worry and concern over body development, and peer interactions after adjustment.
Scoliosis is a significant risk factor for psychosocial issues and health-compromising behavior. Gender differences exist in male and female adolescents with scoliosis.
这是一项基于人群的病例对照研究，我们在明尼苏达州确定了年龄在12至18岁之间患有和未患脊柱侧弯的青少年。匹配的对照对象是从没有脊柱侧弯或任何其他疾病的学童中随机选取的。脊柱侧弯信息通过一份自填式问卷《青少年健康调查》获得。该问卷收集了超过75000名学龄青少年的数据，具有既定的效度和信度，对患有脊柱侧弯的青少年与正常同龄人组进行了二次分析。
描述并刻画脊柱侧弯对同伴关系、身体意象以及危害健康行为（如自杀念头和饮酒）等方面的心理社会影响。
青少年特发性脊柱侧弯的影响尚未使用适用于青少年的一般健康状况测量方法进行评估。以往研究通过测量工作状况、婚姻状况及其他成人指标来关注成年人的健康状况。本研究的目的是使用《青少年健康调查》这一具有既定效度和信度的一般健康状况测量方法，研究青少年特发性脊柱侧弯患者的健康状况。
评估身体意象、同伴关系、社会及高危行为以及健康比较情况，以确定脊柱侧弯是否为独立危险因素，并确定脊柱侧弯是否与这些心理社会问题相关。
在34706名青少年中确定了685例脊柱侧弯病例。患病率为1.97%。在685名患有脊柱侧弯的青少年及其对照对象中，在对种族、性别、社会经济地位和年龄进行调整后，患有脊柱侧弯的青少年出现自杀念头的调整优势比为1.40（P值为0.04），与未患脊柱侧弯的青少年相比。在对种族、性别、社会经济地位和年龄进行调整后，患有脊柱侧弯的青少年对身体发育不良有感受的调整优势比为1.82（P值0.001），与未患脊柱侧弯的青少年相比。调整后，脊柱侧弯是自杀念头、对身体发育的担忧以及同伴互动的独立危险因素。
脊柱侧弯是心理社会问题和危害健康行为的重要危险因素。患有脊柱侧弯的青少年男性和女性存在性别差异。
