Eurasian Journal of Biosciences

Knowledge and actions about safety in the use of backpacks not related to back pain complaints in primary school students
  • Article Type: Research Article
  • Eurasian Journal of Biosciences, 2020 - Volume 14 Issue 2, pp. 2751-2755
  • Published Online: 31 Aug 2020
  • Open Access Full Text (PDF)


Most of the students take the backpack out of the safety standardization. They complain about back pain on wearing backpack. The student’s lack of knowledge and adherence in the proper backpack application is causing subsequent and continuous wrong application. This study aimed to evaluate the relationship of knowledge and actions about the safety of backpack application towards complaints of pain in school children. The design used was descriptive correlative with a cross-sectional approach. The population was students of 5th and 6th grade in primary school. The total sample was 36 respondents, recruited by purposive sampling. The independent variables were the knowledge and action of safety backpack application. The dependent variable was back pain. Data were collected by using a questionnaire and observation form and analyzed by using the Spearman Rho test with a level of significance of α ≤ 0.05. The result showed that there was no significance correlation between the knowledge with the action of safety backpack application (p = 0.726), and no significance correlation between the action of safety backpack application with back pain (p = 0.657). This research can be concluded that the knowledge about backpack safety usage has no correlation with actions about safety backpack application. Actions about safety backpack application had no correlation with back pain. Nursing service institution is expected to provide health promotion about safety backpack application to reduce the incidence of back pain among the students.


  • Amrullah, A. M. (2011). Insidensi dan prevalensi nyeri punggung bawah di poliklinik saraf RSUD Wonogiri tahun 2006-2007. Yogyakarta: Fakultas Kedokteran Universitas Islam Indonesia.
  • Barkhordari, A., Ehrampoush, M. H., Barkhordari, M., Derakhshi, F., Barkhoradri, M., & Mirzaii, M. (2013). Assessment of school backpack weight and other characteristics in elementary schools, Yazd, Iran. Journal of Community Health Research.
  • Brackley, H. M., & Stevenson, J. M. (2004). Are children’s backpack weight limits enough?: A critical review of the relevant literature. Spine, 29(19), 2184–2190.
  • Eka, N. G. A., Houghty, G. S., & Juniarta, J. (2019). The Effect of Blended Learning on Nursing Students’ Knowledge. Jurnal Ners, 14(3), 1–4.
  • Farhood, H. F. (2013). Low back pain in schoolchildren: the role of school bag weight and carrying way. J Nat Sci Res, 3(8), 156–164.
  • Harahap, Z. C. S., Amin, M. M., & Effendy, E. (2019). Phantom pain limb: A case report in a soldier-theory and therapy. Open Access Macedonian Journal of Medical Sciences, 7(16), 2691–2694.
  • Ibrahim, A. H. (2012). Incidence of Back Pain in Egyptian School Girls: Effect of School Bag Weight and Carrying Waymu. World Appl Sci J, 17(11), 1526–1534.
  • Iyer, S. R. (2001). Schoolchildren and backpacks. The Journal of School Health, 71(3), 88.
  • Keuchler, M. (2006). Backpack safety awareness. New York : Touro College School of Health Sciences Occupational Therapy Program.
  • Korovessis, P., Koureas, G., Zacharatos, S., & Papazisis, Z. (2005). Backpacks, back pain, sagittal spinal curves and trunk alignment in adolescents: a logistic and multinomial logistic analysis. Spine, 30(2), 247–255.
  • Mahendrayani, L. I., Purnawati, S., & Andayani, N. (2015). Hubungan berat tas dengan nyeri punggung bawah pada anak sekolah umur 12-14 tahun di Denpasar. E-Medika Udayana, 4(2), 1–5.
  • Moore, M. J., White, G. L., & Moore, D. L. (2007). Association of relative backpack weight with reported pain, pain sites, medical utilization, and lost school time in children and adolescents. Journal of School Health, 77(5), 232–239.
  • Murphy, S., Buckle, P., & Stubbs, D. (2007). A cross-sectional study of self-reported back and neck pain among English schoolchildren and associated physical and psychological risk factors. Applied Ergonomics, 38(6), 797–804.
  • Notoatmodjo, S. (2005). Promosi kesehatan teori dan aplikasi. Jakarta: Penerbit Rineka Cipta.
  • Notoatmodjo, S. (2010). Ilmu perilaku kesehatan. Jakarta: Penerbit Rineka Cipta.
  • Posmaningsih, D. A., Aryasih, G. A. M., Hadi, M. C., Marwati, N. M., & Mallongi, A. (2018). The influence of media booklet in behavior change of waste management in elementary school students, South Denpasar, Bali. Indian Journal of Public Health Research and Development, 9(8), 1506–1511.
  • Sheir-Neiss, G. I., Kruse, R. W., Rahman, T., Jacobson, L. P., & Pelli, J. A. (2003). The association of backpack use and back pain in adolescents. Spine, 28(9), 922–930.
  • Sjolie, A. (2002). Psychosocial correlates of low-back pain in adolescents. European Spine Journal, 11(6), 582–588.
  • Sya’bani, P. D. (2008). Hubungan Tingkat Pengetahuan Tentang Backpack Safety Terhadap Keluhan Nyeri Punggung pada Siswa Kelas 5 di Kelurahan TegalPanjang Garut.


This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.