Forouzan Rezapur-Shahkolai1,2,3, Elham Gheysvandi4, Akram Karimi-Shahanjarini1,2, Leili Tapak5,6, Rashid Heidarimoghadam3,7, Iman Dianat8. 1. Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. 2. Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. 3. Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran. 4. Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. elhamgheysvandi65@yahoo.com. 5. Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. 6. Modeling of Non-communicable diseases research center, Hamadan University of Medical Sciences, Hamadan, Iran. 7. Department of Ergonomics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. 8. Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract
BACKGROUND: Musculoskeletal pains are among evident health problems in children and adolescents. Backpack carrying behaviors and the sitting postures are among behavioral factors associated with musculoskeletal pain in schoolchildren. Therefore, this study aims to identify the factors related to these important musculoskeletal behaviors, using Health Promotion Models. METHODS: In this cross-sectional study, a questionnaire was created based on PRECEDE Model and Health Belief Model and was administered to 673 Iranian students, whom were selected randomly from elementary schools of Hamadan, Iran, in 2018. RESULTS: The findings of the study revealed that proper sitting postures and backpack carrying were 42 and 33%, respectively. The findings also showed that predisposing factors including perceived susceptibility (p < 0.05, β = 0.219), perceived severity (p < 0.05, β = 0.166), perceived barriers (p < 0.05, β = - 0.191), perceived self-efficacy (p < 0.05, β = 0.188) and also enabling factors (p < 0.05, β = 0.329) were significantly related to sitting behaviors. Moreover, backpack carrying behaviors had significant relationships with predisposing factors of perceived susceptibility (p < 0.05, β = 0.198), perceived barriers (p < 0.05, β = - 0.258), perceived self-efficacy (p < 0.05, β = 0.185) and reinforcing factors (p < 0.05, β = 0.208). CONCLUSIONS: It seems necessary for future preventive programs to take factors of musculoskeletal pains among children and adolescents into account.
BACKGROUND:Musculoskeletal pains are among evident health problems in children and adolescents. Backpack carrying behaviors and the sitting postures are among behavioral factors associated with musculoskeletal pain in schoolchildren. Therefore, this study aims to identify the factors related to these important musculoskeletal behaviors, using Health Promotion Models. METHODS: In this cross-sectional study, a questionnaire was created based on PRECEDE Model and Health Belief Model and was administered to 673 Iranian students, whom were selected randomly from elementary schools of Hamadan, Iran, in 2018. RESULTS: The findings of the study revealed that proper sitting postures and backpack carrying were 42 and 33%, respectively. The findings also showed that predisposing factors including perceived susceptibility (p < 0.05, β = 0.219), perceived severity (p < 0.05, β = 0.166), perceived barriers (p < 0.05, β = - 0.191), perceived self-efficacy (p < 0.05, β = 0.188) and also enabling factors (p < 0.05, β = 0.329) were significantly related to sitting behaviors. Moreover, backpack carrying behaviors had significant relationships with predisposing factors of perceived susceptibility (p < 0.05, β = 0.198), perceived barriers (p < 0.05, β = - 0.258), perceived self-efficacy (p < 0.05, β = 0.185) and reinforcing factors (p < 0.05, β = 0.208). CONCLUSIONS: It seems necessary for future preventive programs to take factors of musculoskeletal pains among children and adolescents into account.
Entities:
Keywords:
Backpack carrying; Health promotion model; School health; Sitting posture
Authors: Sara King; Christine T Chambers; Anna Huguet; Rebecca C MacNevin; Patrick J McGrath; Louise Parker; Amanda J MacDonald Journal: Pain Date: 2011-12 Impact factor: 6.961