University Students' Knowledge, Attitudes, and Practices Regarding Cervical Spine Health.

IF 2.7 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Multidisciplinary Healthcare Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S509806

Yanxiao Liu, Hua Wang, Huafei Liu, Lei Li

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引用次数: 0

Abstract

Introduction: Prolonged sedentary behavior and electronic device use jeopardize university students' cervical spine health. This study investigated their knowledge, attitudes, and practices (KAP) concerning cervical spine health.

Methods: From May 25 to June 16, 2023, a cross-sectional survey was conducted among students at various Chinese universities. Demographic data and KAP scores were collected using self-developed questionnaires. Using 60% and 80% as cut-off values, KAP levels were categorized into three tiers: knowledge (inadequate: 0-7, moderate: 8-11, good: 12-15), attitudes (negative: 8-23, neutral: 24-31, positive: 32-39), and practices (inappropriate: 7-20, moderate: 21-28, proactive: 29-35).

Results: Of 1,956 valid questionnaires, their mean age was 19.88 ± 1.40 years, with 71.8% of female gender. Notably, 75.9% reported daily electronic device use ≥4 hours. Regarding initial device acquisition, 37.1% obtained devices in middle school, 30.6% in high school, 22.5% in elementary school, and 9.9% in college. Mean knowledge, attitudes, and practices scores were 10.4 ± 2.1, 34.1 ± 3.9, and 20.9 ± 4.1. Multivariate logistic regression revealed that female students (OR = 1.39, 95% CI: 1.10-1.75), non-freshmen (OR = 1.74, 95% CI: 1.42-2.13), and acquiring knowledge through WeChat (OR = 1.86, 95% CI: 1.47-2.36) or community hospitals (OR = 1.60, 95% CI: 1.29-1.99) had higher probability of adequate knowledge. Non-medical majors (OR = 0.47, 95% CI: 0.39-0.58) and using electronic devices for 3-4 hours (OR = 0.67, 95% CI: 0.45-0.99) or ≥4 hours daily (OR = 0.64, 95% CI: 0.46-0.89) were negatively associated with attitudes. Positive attitudes (OR = 1.27, 95% CI: 1.22-1.31) and obtaining knowledge from medical experts (OR = 1.30, 95% CI: 1.03-1.63) were associated with better practices, while female students (OR = 0.56, 95% CI: 0.44-0.72) and frequent cervical discomfort (OR = 0.26, 95% CI: 0.13-0.53) were the opposite.

Conclusion: University students exhibited moderate knowledge, positive attitudes, and inappropriate practices regarding cervical spine health. Educational interventions are recommended, particularly for non-medical majors, individuals with prolonged digital device use, and freshmen.

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大学生关于颈椎健康的知识、态度和实践。

长期久坐和使用电子设备危害大学生颈椎健康。本研究调查了他们对颈椎健康的知识、态度和实践（KAP）。方法：于2023年5月25日至6月16日，对国内多所高校学生进行横断面调查。人口统计数据和KAP得分采用自行编制的问卷收集。使用60%和80%作为临界值，KAP水平分为三个层次：知识（不足：0-7，中等：8-11，良好：12-15），态度（消极：8-23，中性：24-31，积极：32-39）和实践（不适当：7-20，中等：21-28，积极：29-35）。结果：有效问卷1956份，平均年龄19.88±1.40岁，女性占71.8%。值得注意的是，75.9%的人报告每天使用电子设备≥4小时。初中37.1%，高中30.6%，小学22.5%，大学9.9%。平均知识、态度和实践得分分别为10.4±2.1、34.1±3.9和20.9±4.1。多因素logistic回归显示，女生（OR = 1.39, 95% CI: 1.10-1.75）、非大一学生（OR = 1.74, 95% CI: 1.42-2.13）、通过微信（OR = 1.86, 95% CI: 1.47-2.36）或社区医院（OR = 1.60, 95% CI: 1.29-1.99）获得知识的概率较高。非医学专业（OR = 0.47, 95% CI: 0.39-0.58）和每天使用电子设备3-4小时（OR = 0.67, 95% CI: 0.45-0.99）或≥4小时（OR = 0.64, 95% CI: 0.46-0.89）与态度呈负相关。积极的态度（OR = 1.27, 95% CI: 1.22-1.31）和获得医学专家的知识（OR = 1.30, 95% CI: 1.03-1.63）与更好的实践相关，而女学生（OR = 0.56, 95% CI: 0.44-0.72）和频繁的颈部不适（OR = 0.26, 95% CI: 0.13-0.53）与之相反。结论：大学生对颈椎健康的认知程度一般，态度积极，行为不规范。建议进行教育干预，特别是对非医学专业、长期使用数字设备的个人和新生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Multidisciplinary Healthcare Nursing-General Nursing

CiteScore

4.60

自引率

3.00%

发文量

287

审稿时长

16 weeks

期刊介绍： The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.