Ethnic Disparity in the Incidence of Scoliosis Among Adolescents in Tianzhu Tibetan Autonomous County, China.
Ethnic Disparity in the Incidence of Scoliosis Among Adolescents in Tianzhu Tibetan Autonomous County, China.
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中国天祝藏族自治县青少年脊柱侧弯发病率的民族差异。
DOI：
10.3389/fpubh.2022.791550
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发表时间：
2022
影响因子：
5.2
通讯作者：
Du, Qing
中科院分区：
文献类型：
--
作者：
Guo, Haibin;Chen, Nan;Yang, Yuqi;Zhou, Xuan;Li, Xin;Jiang, Yan;Huang, Jiaoling;Du, Qing
确定种族差异、社会经济地位（SES）和户口对脊柱侧凸发病率的影响。我们于2020年11月至2021年2月在甘肃省天祝藏族自治县两所学校招收了2，445名12-16岁的初中生（汉族：1，153人;少数民族：1，292人）。我们使用脊柱侧凸仪测量躯干旋转角（ATR）。采用双因素方差分析比较分析不同种族、年龄、性别、体质指数（BMI）、社会经济地位（SES）的ATR差异。采用优势比和95%置信区间，采用非条件多变量logistic回归模型，对两组危险因素与脊柱侧凸之间的关系进行评估。汉族青少年脊柱侧凸患病率高于少数民族青少年（10.8%比7.1%，P < 0.05）。汉族组ATR值随年龄增长而下降，少数民族组ATR值随年龄增长而上升（P < 0.05）。族裔群体之间的差异不显著，仅在第3级。汉族女生ATR值显著高于少数民族女生（P < 0.05）。与汉族青少年相比，少数民族青少年的BMI对ATR的影响更大。两个民族的SES差异有统计学意义（P < 0.05）。户口和父母职业对脊柱侧凸的发病有重要影响。在我们的研究中，汉族青少年比少数民族青少年有更高的ATR值，更容易患脊柱侧凸。生长发育指标（身高和BMI）和两组之间的SES差异起着重要作用。
To determine the influence of ethnic disparities, socioeconomic status (SES) and hukou on the incidence of scoliosis. We enrolled 2,445 junior high school students (Han: 1,153; ethnic minorities: 1,292) aged 12–16 years from two schools in Tianzhu Tibetan Autonomous County, Gansu Province from November 2020 to February 2021. We measured the angle of trunk rotation (ATR) using a scoliometer. Two-factor analysis of variance was used to comparatively analyze differences in the ATR according to ethnicity, age, sex, body mass index (BMI), and SES between the groups. Associations between risk factors and scoliosis were estimated using odds ratios and 95% confidence intervals with an unconditional multivariate logistic regression model for the two groups. Adolescents with Han ethnicity were more likely to have scoliosis than their ethnic minority counterparts (10.8% vs. 7.1%, P < 0.05). The ATR value in the Han group decreased with age whereas the minority group showed an upward trend (P < 0.05). The difference between ethnic groups was not significant, only at level 3. In particular, the ATR values among Han girls were significantly higher than those of ethnic minority girls (P < 0.05). Compared with Han adolescents, the BMI of ethnic minorities had a greater impact on the ATR. A statistically significant difference in SES was found between the two ethnic groups (P < 0.05). Hukou and parents' occupation had an important influence on the onset of scoliosis. Han adolescents had higher ATR values and were more likely to have scoliosis than ethnic minority adolescents in our study. Growth and development indicators (height and BMI) and differences in SES between the two groups played an important role.
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影响因子：
4.2
作者：
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通讯作者：
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影响因子：
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