{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:56:09Z","timestamp":1793382969846,"version":"4.5.0"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We completed a school suspected scoliosis screening (SSS) of multi-ethnic adolescents in Gannan Tibetan Autonomous Prefecture, Gansu Province, China, to examine the prevalence of suspected scoliosis in this area and associated risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From October 2024 to April 2025, we conducted scoliosis screening (SSS) in eight districts of the Gannan Tibetan Autonomous Prefecture: Zhaoni, Lintan, Luqu, Diebu, Zhouqu, Maqu, Xiahe, and Hezuo. Visual examination, the Adams forward bending test (FBT), and trunk rotation angle measurement were used to recognize suspected scoliosis. In this study, all screening-positive results are based on trunk rotation angle (ATR)\u202f\u2265\u202f5, defined as \u201cSuspected Scoliosis.\u201d Demographic data were gathered, and the prevalence of suspected scoliosis was determined. The Least Absolute Shrinkage and Selection Operator (LASSO) regression technique was employed to identify characteristics most correlated with suspected scoliosis. The selected variables were further analyzed using multivariate logistic regression to ascertain the correlation between suspected scoliosis and the related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 67 schools and 51,025 adolescents (24,821 males and 26,204 females) attended screening. The total prevalence of suspected scoliosis among adolescents in the Gannan Tibetan Autonomous Prefecture was 2.37% (1,211 cases), with a prevalence of 2.76% in females, higher than the 1.97% seen in males (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). LASSO regression analysis revealed a substantial association between age, height, weight, BMI, and latitude and suspected scoliosis. Following the exclusion of extraneous variables through LASSO regression, multivariate logistic regression analysis indicated that age (OR\u202f=\u202f1.054, 95% CI: 1.027\u20131.082), gender (OR\u202f=\u202f1.395, 95% CI: 1.241\u20131.567), BMI (OR\u202f=\u202f0.950, 95% CI: 0.927\u20130.974), and latitude (OR\u202f=\u202f0.611, 95% CI: 0.531\u20130.703) were independently correlated with suspected scoliosis. According to ATR, severity was categorized into three grades: Grade I suspected scoliosis in 832 cases (68.71%), Grade II suspected scoliosis in 296 instances (24.44%), and Grade III suspected scoliosis in 83 cases (6.83%). The thoracic segment, thoracolumbar segment, and lumbar segment comprised 25.85, 32.04, and 42.11%, respectively. No significant variations were seen in the distribution of suspected scoliosis severity across various segments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The prevalence of suspected scoliosis among multi-ethnic students in Gannan Tibetan Autonomous Prefecture was 2.37%. Age, gender, BMI, and latitude were identified as factors influencing the prevalence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1693960","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T06:29:25Z","timestamp":1768890565000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Epidemiological survey of scoliosis screening in schools among 51,025 adolescents in Gannan Tibetan autonomous prefecture, Gansu Province, China"],"prefix":"10.3389","volume":"14","author":[{"given":"Dong","family":"Hou","sequence":"first","affiliation":[{"name":"School of Integrated Chinese and Western Medicine, Gansu University of Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaobo","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Integrated Chinese and Western Medicine, Gansu University of Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Integrated Chinese and Western Medicine, Gansu University of Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zhang","sequence":"additional","affiliation":[{"name":"The First Clinical Medical College, Nanjing University of Chinese Medicine","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangjun","family":"Yang","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Huang","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changquan","family":"Dai","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Wang","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyun","family":"Yuan","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojuan","family":"Cui","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Li","sequence":"additional","affiliation":[{"name":"Longnan First People's Hospital","place":["Longnan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Leng","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zhao","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiantao","family":"Wen","sequence":"additional","affiliation":[{"name":"Gansu Provincial Hospital of Traditional Chinese Medicine","place":["Lanzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"108305","DOI":"10.1016\/j.isci.2023.108305","article-title":"Scoliosis school screening of 139,922 multi-ethnic children in Dali, southwestern China: a large epidemiological study","volume":"26","author":"Zhou","year":"2023","journal-title":"iScience"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s13013-017-0145-8","article-title":"2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth","volume":"13","author":"Negrini","year":"2018","journal-title":"Scoliosis Spinal 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