ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Orthopedics
Volume 13 - 2025 | doi: 10.3389/fped.2025.1524073
Prevalence of and risk factors for adolescent scoliosis from a multi-year school screening programme in Eastern China Prevalence and risk factors of adolescent scoliosis from a 5-year school screening in Eastern China
Provisionally accepted
- 1Affiliated Kunshan Hospital of Jiangsu University, kunshan, China
- 2First People's Hospital of Kunshan, Kunshan, China
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Objective: This study aimsed to determine the occurrence of adolescent scoliosis (AS) and identify possible associated factors in Eastern China. Methods: Between 2019 and 2023, a total of 90,635 adolescents, comprising 41,836 females and 48,799 males, aged 11 to 18, underwent screening. The screening technique involved performing forward bending tests and using scoliometer data. Adolescents at risk for scoliosis based on the screening were advised to undergo an X-ray examination for diagnosis confirmation. Results: Between 2019 and 2023, a total of 90,635 adolescents, comprising 41,836 females and 48,799 males, aged 11 to 18, underwent screening. Among the screened adolescents in Eastern China, the overall prevalence of scoliosis was 0.62%, with 0.99% in females and 0.30% in males.The overall prevalence of scoliosis among children in Eastern China was 0.62%, with 0.99% for females and 0.30% for males. Independently associated factors were identified as female gender (OR = 1.319, 95% CI 1.031-1.686, P = 0.027), BMI ≤ 20 (OR = 2.959, 95% CI 2.271-3.855, P ＜ 0.001), a tendency to incline towards one side (OR = 2.129, 95% CI 1.564-2.898, P ＜ 0.001), and a habit of bending over the desk (OR = 1.523, 95% CI 1.079-2.150, P = 0.017).The current study found that the occurrence rate of AS in Eastern China is 0.62%. Female adolescents who are thin and tall and have poor learning posture are more susceptible to developing scoliosis.
Keywords: Scoliosis, School screening, Prevalence, Associated factors, Adolescent
Received: 07 Nov 2024; Accepted: 19 May 2025.
Copyright: © 2025 Xu, Li, Wang, Zhang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hua Liu, First People's Hospital of Kunshan, Kunshan, China
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