Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program
ObjectiveWe investigated regional disparities in rates of scoliosis among adolescents in western and eastern China and the dominant factors underlying these disparities.MethodsThis cross-sectional study used data from a school scoliosis screening program conducted in two typical areas: Yangpu Distri...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.935040/full |
| _version_ | 1828092615049871360 |
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| author | Jiaoling Huang Xuan Zhou Xin Li Haibin Guo Yuqi Yang I. O. Hong Cheong Qing Du Hui Wang |
| author_facet | Jiaoling Huang Xuan Zhou Xin Li Haibin Guo Yuqi Yang I. O. Hong Cheong Qing Du Hui Wang |
| author_sort | Jiaoling Huang |
| collection | DOAJ |
| description | ObjectiveWe investigated regional disparities in rates of scoliosis among adolescents in western and eastern China and the dominant factors underlying these disparities.MethodsThis cross-sectional study used data from a school scoliosis screening program conducted in two typical areas: Yangpu District of Shanghai (eastern China) and Tianzhu Tibetan Autonomous County of Gansu Province (western China), during October 2020 to February 2021. Participants included adolescents aged 12–16 years (4,240 in Shanghai and 2,510 in Gansu Province). School scoliosis screening data were obtained on age, sex, height, weight and BMI, and region as well. We screened angles of trunk rotation in level of proximal thoracic (T1–T4), main thoracic (T5–T12), and lumbar (T12–L4) by the forward bend test with scoliometer. An angle of trunk rotation ≥5° was used as the criterion to identify suspected scoliosis.ResultsThe proportion of suspected scoliosis was lower in Shanghai (6.9%) than in Gansu (8.6%). Angle of trunk rotation tended to increase with age in Shanghai, peaking at 15 years, but decreased with age in Gansu, and bottomed at 15 years. The angle of trunk rotation in the proximal thoracic, main thoracic, and lumbar part of the spine appeared to be larger in Gansu adolescents and in Shanghai female adolescents. Age was a relevant factor in angle trunk rotation in regression models and interacted with region as well.ConclusionWe found regional and age- and sex-related disparities in rates of suspected scoliosis. |
| first_indexed | 2024-04-11T06:31:28Z |
| format | Article |
| id | doaj.art-3168988d2bce4c96a688a8a46f331408 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T06:31:28Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-3168988d2bce4c96a688a8a46f3314082022-12-22T04:40:01ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.935040935040Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening programJiaoling Huang0Xuan Zhou1Xin Li2Haibin Guo3Yuqi Yang4I. O. Hong Cheong5Qing Du6Hui Wang7School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Rehabilitation Medicine, Xinhua Hospital Affiliated to the Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Rehabilitation Medicine, Xinhua Hospital Affiliated to the Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Rehabilitation Medicine, Xinhua Hospital Affiliated to the Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaCollege of Global Public Health, New York University, New York, NY, United StatesSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Rehabilitation Medicine, Xinhua Hospital Affiliated to the Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaObjectiveWe investigated regional disparities in rates of scoliosis among adolescents in western and eastern China and the dominant factors underlying these disparities.MethodsThis cross-sectional study used data from a school scoliosis screening program conducted in two typical areas: Yangpu District of Shanghai (eastern China) and Tianzhu Tibetan Autonomous County of Gansu Province (western China), during October 2020 to February 2021. Participants included adolescents aged 12–16 years (4,240 in Shanghai and 2,510 in Gansu Province). School scoliosis screening data were obtained on age, sex, height, weight and BMI, and region as well. We screened angles of trunk rotation in level of proximal thoracic (T1–T4), main thoracic (T5–T12), and lumbar (T12–L4) by the forward bend test with scoliometer. An angle of trunk rotation ≥5° was used as the criterion to identify suspected scoliosis.ResultsThe proportion of suspected scoliosis was lower in Shanghai (6.9%) than in Gansu (8.6%). Angle of trunk rotation tended to increase with age in Shanghai, peaking at 15 years, but decreased with age in Gansu, and bottomed at 15 years. The angle of trunk rotation in the proximal thoracic, main thoracic, and lumbar part of the spine appeared to be larger in Gansu adolescents and in Shanghai female adolescents. Age was a relevant factor in angle trunk rotation in regression models and interacted with region as well.ConclusionWe found regional and age- and sex-related disparities in rates of suspected scoliosis.https://www.frontiersin.org/articles/10.3389/fpubh.2022.935040/fullscoliosisregional disparityschool scoliosis screeningChinaadolescence |
| spellingShingle | Jiaoling Huang Xuan Zhou Xin Li Haibin Guo Yuqi Yang I. O. Hong Cheong Qing Du Hui Wang Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program Frontiers in Public Health scoliosis regional disparity school scoliosis screening China adolescence |
| title | Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program |
| title_full | Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program |
| title_fullStr | Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program |
| title_full_unstemmed | Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program |
| title_short | Regional disparity in epidemiological characteristics of adolescent scoliosis in China: Data from a screening program |
| title_sort | regional disparity in epidemiological characteristics of adolescent scoliosis in china data from a screening program |
| topic | scoliosis regional disparity school scoliosis screening China adolescence |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.935040/full |
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