ArticleFrontiers in public health2025
Prevalence and determinants of adolescent idiopathic scoliosis from school screening in Xiaoshan District, Hangzhou, China.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A comprehensive narrative review of scoliosis in children and adolescents: epidemiology, screening strategies, therapeutic interventions, and biomechanical research.Frontiers in pediatrics · 2026Pooled it
- Risk of Scoliosis in Adolescent Female Rhythmic Gymnasts Compared with Healthy Peers: A Cross-Sectional Study Using the Scoliosis Tele-Screening Test.Sports health · 2026Article
- A cross-sectional network analysis of appearance-related anxiety and psychosocial protective factors in adolescent idiopathic scoliosis patients: core symptoms and bridging analysis.Frontiers in public health · 2026Article
- Article
- Co-occurrence of suspected scoliosis and sagittal spinal deviations among early adolescents: a school-based cross-sectional study of prevalence and associated factors.Frontiers in pediatrics · 2026Article
- Assessing Public Awareness and Social Acceptance of Scoliosis Screening and Treatment Options in Saudi Arabia: A Nationwide Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Prevalence and associated factors of multi-ethnic adolescent idiopathic scoliosis in Longlin, Southwestern China: a school-based cross-sectional study.Frontiers in public health · 2025Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This large-scale epidemiological study aimed to determine the prevalence and associated risk factors of Adolescent Idiopathic Scoliosis (AIS) through school-based screening in Xiaoshan District, Hangzhou, China. Methods: A prospective cross-sectional study was conducted from 2023 to 2024, involving a total of 172,127 students aged between 7 and 18 years. A two-phase screening protocol was implemented: Phase I included physical examinations (assessing shoulder asymmetry and spinal curvature) alongside the Adams Forward Bend Test (with an angle of trunk rotation [ATR] ≥ 5°), while Phase II confirmed diagnoses through radiographic evaluation (Cobb angle ≥10°). Multivariate logistic regression analysis was employed to evaluate demographic, postural, and lifestyle factors. Results: The overall prevalence of AIS was found to be 1.23%, with a significant gender disparity observed (female: 1.71% vs. male: 0.92%, Conclusion: This study establishes that the prevalence of AIS in Xiaoshan District is consistent with national data reporting an incidence rate of approximately 1.2%. It highlights specific susceptibility based on gender as well as modifiable lifestyle risks associated with this condition. The integrated screening protocol that combines postural assessment with the Adams test demonstrates clinical utility for early detection efforts in schools. These findings underscore the necessity for preventive strategies within educational settings that focus on promoting proper posture education and encouraging increased physical activity among students.
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