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目的了解我国10年来青少年伤害发生的基本情况和主要特征,为今后青少年伤害的预防措施和政策制定提供依据。方法系统检索中国知网、万方数据库、EBSCO及PubMed数据库,收集2005-2015年发表的有关我国青少年伤害发生率的文献,采用Meta分析估计伤害发生率,按照性别、学段和研究地区进行亚组分析,并进行敏感性分析和发表偏倚的评价。结果依据入选、排除标准,最终纳入全文文献71篇,涉及总样本量833 193人。研究结果显示,青少年伤害的人数发生率合并效应值为26.4%(95%CI:21.8%~31.1%);人次发生率的合并效应值为24.0%(95%CI:22.4%~25.7%)。男生伤害发生率(30.4%)高于女生(24.2%)(P<0.01),初中生发生率(29.4%)高于高中生(24.5%)(P<0.01),东部地区青少年伤害发生率(27.5%)高于其他地区(P<0.01)。监测类文献对本次研究结果影响较大。结论我国青少年伤害现状不容乐观,性别、学段、地区间差异明显。在今后研究中,应对重点人群开展有针对性的预防策略。同时应进一步改进针对伤害发生率的研究方法,提高研究质量。
Objective To understand the basic situation and main features of adolescent injuries in our country in the past 10 years and to provide the basis for preventive measures and policy making on adolescent injuries in the future. Methods The databases of CNKI, Wanfang Database, EBSCO and PubMed were systematically searched. The literatures about the incidence of adolescent injuries in our country from 2005 to 2015 were collected. Meta-analysis was used to estimate the incidence of injuries. The data were analyzed by gender, school and research area Group analysis, and sensitivity analysis and publication bias evaluation. The results were based on inclusion and exclusion criteria, and finally included 71 articles in the full text, involving a total sample of 833 193 people. The results showed that the incidence of adolescent injuries combined effect was 26.4% (95% CI: 21.8% ~ 31.1%); the combined effect of incidence was 24.0% (95% CI: 22.4% ~ 25.7%). The incidence of injury among boys (30.4%) was higher than that of girls (24.2%) (P <0.01), the rate of junior high school students (29.4%) was higher than that of high school students (24.5%) (P <0.01) 27.5%) higher than other regions (P <0.01). The monitoring literature has a great influence on the results of this study. Conclusion The current situation of adolescent injuries in our country is not optimistic. There are obvious differences among sexes, sections and regions. In the future research, we should carry out targeted prevention strategies for key populations. At the same time, we should further improve the research methods aimed at the incidence of injuries and improve the quality of research.