上海市崇明区中学生功能性便秘筛查状况 |
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引用本文: | 庄羽骁,许俊,周红艳,徐慧鲜,王志勇,胡颖.上海市崇明区中学生功能性便秘筛查状况[J].中国学校卫生,2022,43(9):1391-1395. |
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作者姓名: | 庄羽骁 许俊 周红艳 徐慧鲜 王志勇 胡颖 |
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作者单位: | 1.上海中医药大学附属曙光医院, 上海 200021 |
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基金项目: | 上海交通大学医学院附属新华医院崇明分院2017年度院级科研基金项目YL201705上海中医药大学附属曙光医院2020年度四明基金SKKJ-202021 |
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摘 要: | 目的 了解上海市崇明区中学生功能性便秘(functional constipation, FC)的流行病学特征及相关因素。 方法 采用多级分层整群随机抽样法, 于2019年3-6月对上海市崇明区18周岁以下的4 969名在读初、高中生进行问卷调查。 结果 上海市崇明区中学生FC患病率为13.95%, 不同性别、学段、城乡之间患病率差异均无统计学意义(P值均>0.05)。在高中组中, 临毕业年级组FC的患病率(17.36%, 130/749)高于非临毕业年级组(13.77%, 201/1 460)(χ2=5.01, P=0.03), 市示范性高中组FC的患病率(18.23%, 115/631)高于普通高中组(13.07%, 49/375)和区示范性高中组(13.88%, 167/1 203)(χ2=7.43, P=0.02)。多因素Logistic回归分析显示, 体育锻炼频率、食用辛辣食品频率高、饮食中辛辣食品占比、食用蔬菜频率、饮食中蔬菜占比、每日饮水量、是否纳差、睡眠质量、是否就读于示范型学校与中学生FC有关(OR=0.11~7.71, P值均 < 0.05)。 结论 FC为上海市崇明区中学生的常见病, 好发于高中临毕业年级组, 且危险因素较多。
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关 键 词: | 便秘 流行病学研究 患病率 回归分析 学生 |
收稿时间: | 2022-03-09 |
Screening of functional constipation among adolescents in Chongming District,Shanghai |
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Institution: | 1.Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai (200021), China |
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Abstract: | Objective To understand the prevalence and risk factors for functional constipation (FC) among high school students in Chongming District of Shanghai. Methods A cross-sectional study was conducted in Chongming District of Shanghai from March-June 2019.A total of 4 969 adolescents under the age of 18 were recruited high schools, using a stratified random sampling technique.A validated self-administered questionnaire on Rome Ⅳ criteria for diagnosing FC and predisposing factors was filled by each student in a classroom setting. Results The prevalence of FC among middle school students in Chongming District of Shanghai was 13.95%.There were no significant differences in the prevalence between males and females, middle and high school groups, and urban and rural areas (P>0.05).In senior high schools, students in the graduation year were more likely to suffer from FC (17.36%, 130/749) than other students (13.77%, 201/1 460)(χ2=5.01, P=0.03).The prevalence of FC in the key senior high schools (18.23%, 115/631) was significantly higher than that in ordinary high schools (13.07%, 49/375)(χ2=7.43, P=0.02).Multivariate Logistic regression analysis showed that frequency of physical exercise, and consumption of spicy foods, proportion of spicy foods in the diet, consumption of vegetables, a lower proportion of vegetables in the diet, drinking water, anorexia, quality of sleep and school type were associated with FC in high school students (OR=0.11-7.71, P < 0.05). Conclusion FC is prevalent among high school students on Chongming District of Shanghai, especially among middle school graduates, and many risk factors were significantly associated with the occurrence of FC. |
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