Abstract

BackgroundMusculoskeletal 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.MethodsIn 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.ResultsThe 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).ConclusionsIt seems necessary for future preventive programs to take factors of musculoskeletal pains among children and adolescents into account.

Highlights

  • Musculoskeletal pains are among evident health problems in children and adolescents

  • Musculoskeletal (MSK) pains are among prevalent pains affecting muscles, bones, joints, ligaments, and tendon [1] of which back pain, neck pain and other musculoskeletal pains rank 1st, 4th, and 10th respectively among health problems in years lived with disability [2]

  • We found that backpack carrying behaviors and the sitting postures were among the factors associated with musculoskeletal pain, so in the present study we examined the factors associated with these two important behaviors, using Health Promotion Models including PRECEDE and Health Belief

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Summary

Introduction

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. With regard to MSK pain in children, some outstanding factors are school furniture improper to students’ ergonomics, bad postures of sitting or carrying heavy school bags (more than 10% of body weight) [7,8,9,10]. Schools environments seem to expose children to many potential risk factors of long bad sittings [12, 13]. In addition to bad sitting postures, heavy school bags and carrying those for a long time can have adverse effects on students’ musculoskeletal systems. Carrying wrong heavy backpacks brings fatigue and back pains as well as abnormal spinal curves, scoliosis and malformation of spines [15]

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