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To investigate the prevalence and influencing factors of scoliosis among middle school students in Anhui Province, providing a reference for scoliosis prevention and control.
From September to November 2022, a stratified cluster random sampling method was used to select 104 022 middle school students in Anhui Province for spinal curvature abnormality screening and questionnaire surveys. Logistic regression models were employed to analyze the influencing factors of scoliosis.
The detection rate of scoliosis among middle school students in Anhui was 2.46%, with thoracolumbar, lumbar, and thoracic scoliosis detection rates of 1.74%, 1.56%, and 1.45%, respectively. The detection rate of scoliosis generally increased with grade (χ2trend=28.535, Ptrend < 0.001), and high school students had a higher detection rate than junior high school students (2.76% vs. 2.21%, P < 0.001). Multivariate logistic regression analysis showed that among junior high school students, suburban residence (OR=0.65, 95%CI: 0.58-0.72) and overweight/obesity (OR=0.66, 95%CI: 0.58-0.75) were protective factors, while underweight (OR=1.30, 95%CI: 1.01-1.66) was a risk factor. Among high school students, suburban residence (OR=0.67, 95%CI: 0.59-0.76), overweight/obesity (OR=0.73, 95%CI: 0.65-0.83), correct reading/writing posture (OR=0.68, 95%CI: 0.52-0.89), moderate-to-vigorous physical activity ≥3 days/week (OR=0.85, 95%CI: 0.74-0.96), daytime outdoor activity ≥1 h/day (OR=0.88, 95%CI: 0.78-0.99), and adequate sleep (OR=0.80, 95%CI: 0.68-0.93) were protective factors, whereas underweight (OR=1.37, 95%CI: 1.08-1.75) was a risk factor.
Residential area, nutritional status, reading/writing posture, physical activity, and sleep are influencing factors of scoliosis among middle school students. Targeted interventions based on these factors should be implemented across different school stages to reduce the occurrence of scoliosis.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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