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The Prevalence of Neck Pain and Its Association with Studying Device Usage and Posture Among Students at the University of Jordan: A Cross-Sectional Study

Al Shalalfeh, M. A.; Zayat, Y.; Abu Al Haj, M.; Nached, O.; Suleiman, M.; alaudat, A.; Salman, A.

2025-06-03 public and global health
10.1101/2025.06.02.25328842 medRxiv
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BackgroundNeck pain is one of the leading causes of discomfort and disability, especially among students who use digital devices and books for studying. This study investigates the prevalence of neck pain among students of the University of Jordan and the effects of possible risk factors, such as posture and study utilities. MethodsThe data was collected through face-to-face interviews with 507 students stratified across 20 faculties in correspondence to the number of students per faculty. The questionnaire used in the study was structured and assessed demographic factors, study-related behaviors, books and digital device usage, study duration, and physical activity. ResultsThe data analyzed showed that out of the 507 students, (52.4%) complained of neck pain in the last week, with the most complained site of pain being the neck (56%), and the least being the left shoulder (5.2%). Sitting slouched increased the odds of developing neck pain by 118% compared to sitting upright with full back support (OR = 2.18, CI [1.18, 4.04], p = 0.013). Using laptops (OR = 2.65, CI [1.45, 4.87], p = 0.002) or tablets (OR = 2.68, CI [1.34, 5.36], p = 0.005) for studying was associated with a nearly 2.7-fold increase in the odds of neck pain compared with using phones. In contrast, studying with books was not significantly associated with neck pain. Also, there was no significant difference in odds between tablet and laptop users. ConclusionThis study identified the urgent need for ergonomic education and interventions to promote healthier study habits and reduce musculoskeletal strain in students. Slouched sitting and use of laptops or tablets are risk-increasing, while phone use is risk-decreasing for neck pain development.

Published in PLOS ONE (predicted rank #1) · training set

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