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A Survey on the Subjective Physical Symptoms among Elementary, Middle and High School Students in Gumi City

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KMID : 0892719980020020147
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Abstract

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This study was conducted to investigate subjective physical symptoms of elementary,
middle, and high school students in Gumi city. The study subjects were 22,771 students
in 9 elementary, 6 middle and 6 high schools in Gumi city that entrust the care of
students as a school doctor to our medical team. The data was collected by
questionnaire including 40 subjective symptoms from April to May 1997. In the case of
elementary school students the questionnaire was filled out by their parents. On the
other hand, middle and high school students checked their subjective symptoms by
themselves. The response rate of questionnaires was 76.3% in elementary school
students, while 96.0% and 91.7% in the middle and high school students. We classified
high school into two groups, general high school and vocational high school.

Most common five symptoms among 40 subjective symptoms were nasal stuffiness,
hearing impairment, itching, headache and enuresis in elementary school students.
Hearing impairment, headache, back pain, tinnitus and dizziness were most common five
symptoms among middle school students, and in the case of high school students, back
pain, epigastric discomfort, headache and ocular pain were most common.

Among high school boys, students in general school are more obese compared to
vocational school students(p<0.05). But, there was no significant difference in high
school girls. Five symptoms which are known to be occurred by psychologjc stress such
as headache, ocular pain, epigastric discomfort, diarrhea or constipation of long duration
and frequent abdominal pain, were more frequent in high school girls than boys(p<0.05).
Both male and female, ocular pain, epigastric discomfort and diarrhea or constipation
were more frequent in general high school students than vocational, but headache was
more frequent among vocational high school students in girls only(p<0.05) 29.1% of the
high school students have back pain.

There was no difference between general and vocational high school boys in proportion of persons who complain back pain but back pain is more frequent in general high school girls than that in vocational(p<0.05). In conclusion, obesity is more common health problem in general high school boys, and back pain is more frequent in general high school girls. According to the grade and characteristics of subjects, adequate prevention method and specific health promotion program is needed.
KeyWords

subjective physical symptom, questionnaire, school health
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