Evidence map›Paper›PMID 40330608›Full record

ArticleJournal of multidisciplinary healthcare2025

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

Yanxiao Liu, Hua Wang, Huafei Liu, Lei Li

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yanxiao Liu *Department of Orthopedics, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, People's Republic of China.ORCID 0009-0008-6209-0116
Hua Wang *Department of Orthopedics, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, People's Republic of China.
Huafei LiuDepartment of Orthopedics, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, People's Republic of China.
Lei LiDepartment of Orthopedics, Quzhou People's Hospital, Quzhou, Zhejiang, 324000, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

attitudecervical spine healthknowledgepracticeuniversity students

Identifiers

PMID40330608
PMCPMC12050222

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.