Distribution and associated factors of neck and shoulder pain among primary school children in Shijiazhuang city, Hebei province, China - Report - MDSpire

Distribution and associated factors of neck and shoulder pain among primary school children in Shijiazhuang city, Hebei province, China

  • By

  • Sha Li

  • Eva Nabiha Zamri

  • Purwo Sri Rejeki

  • Xue Yi

  • May 29, 2026

  • 0 min

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Prevalence and Contributing Factors of Neck and Shoulder Pain in Children

Overview

This study reports a 33.7% prevalence of neck and shoulder pain (NSP) among primary school children in Shijiazhuang, China. Factors such as gender, psychological distress, physical activity, and quality of life significantly influence the occurrence of NSP.

Background

Neck and shoulder pain (NSP) is increasingly recognized as a significant health issue among school-aged children, with potential long-term implications for their physical and psychological well-being. Understanding the prevalence and contributing factors of NSP is crucial for developing effective prevention and intervention strategies. This study addresses a gap in research regarding NSP in children, particularly in the context of rising academic pressures and sedentary lifestyles.

Data Highlights

FindingValue
One-month prevalence of NSP33.7%
Adjusted odds ratio for females vs. males1.61 (95% CI: 1.01–2.56)
Adjusted odds ratio for psychological symptoms1.04 (95% CI: 1.01–1.09)
Adjusted odds ratio for moderate physical activity0.51 (95% CI: 0.29–0.89)
Adjusted odds ratio for quality of life0.98 (95% CI: 0.95–0.99)

Key Findings

  • The one-month prevalence of NSP among children was found to be 33.7%.
  • Female students had a higher likelihood of experiencing NSP compared to male students (AOR = 1.61).
  • Higher psychological symptom scores were associated with increased odds of NSP (AOR = 1.04).
  • Engagement in moderate physical activity was linked to lower odds of NSP (AOR = 0.51).
  • Higher quality of life scores correlated with reduced odds of NSP (AOR = 0.98).

Clinical Implications

Healthcare professionals should be aware of the high prevalence of NSP in primary school children and consider gender and psychological factors when assessing risk. Promoting moderate physical activity and enhancing quality of life may serve as effective strategies to reduce NSP among this population.

Conclusion

The findings underscore the need for early interventions targeting physical activity and psychological health to address NSP in children. Continued research is essential to further understand the long-term implications of NSP and to develop comprehensive prevention strategies.

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