中国儿童少年伤害危险因素Meta分析.docVIP

中国儿童少年伤害危险因素Meta分析 　　【摘要】 目的 探讨中国儿童少年伤害发生的主要危险因素, 为今后防治工作提供依据。方法 利用Meta分析方法分析国内l5篇关于儿童少年伤害危险因素的研究文献。根据齐性检验结果选择模型计算各危险因素合并比值比(OR)及其95%可信区间(95%CI)。结果 伤害发生危险因素的OR值及95%CI分别为:男性0.65(0.55,0.75)、外向型性格2.14(1.42,3.22)、非独生子女1.75(1.42,3.22)、高危行为2.28(1.19,4.39)、家庭收入高0.70(0.62,0.80)、父亲文化程度低1.80(1.24,2.63)、不安全环境2.25(1.07,4.73)、安全教育0.33(0.17,0.65)。结论 男性、外向型性格、非独生子女、有高危行为、家庭收入低、父亲文化程度低、有不安全环境、未进行安全教育是中国儿童少年伤害的危险因素。 　　【关键词】 创伤和损伤;危险因素;Meta分析;儿童;青少年;中国 　　【中图分类号】 R 195.1 R 179 【文献标识码】 A 【文章编号】 1000-9817(2010)09-1111-03 　　 　　Meta-Analysis of the Risk Factors of Childrens Injury in China/DAI Yi, SHEN Qing, ZHONG Yao-hong, et al. Zhejiang Medical College, Hangzhou (310053), China 　　【Abstract】 Objective To investigate the main risk factors related to the incidence of injury in Chinese children and to provide evidence for decision-making on injury prevention.Methods The results about the risk factors of childrens injury in 15 papers were analyzed by meta-analysis method. The calculation methods of the merged odds ratio (OR) and 95% confidence interval (CI) were determined according to the homogeneity test. Result The pooled OR values and 95% CI were as follows:male 0.65(0.55, 0.75), extrovert temperament 2.14(1.42, 3.22), more children in families 1.75(1.42, 3.22), high risk behaviors 2.28(1.19, 4.39), high family income 0.70(0.62, 0.80), fathers low education status 1.80(1.24, 2.63), dangerous environment 2.25(1.07, 4.73), education of safety 0.33(0.17, 0.65). Conclusion The main factors influencing the incidence of childrens injury in China are male, extrovert temperament, more children per families, high risk behaviors, low family income, fathers low education status, dangerous environment and lack of safety education. 　　【Key words】 Wounds and injuries; Risk factors; Meta-analysis; Child; Adolescent; China 　　 　　伤害是指由于运动、能量、化学、电或放射线的能量交换???过机体组织的耐受水平而造成的组织损伤和由于窒息而引起的缺氧,以及由此引起的心理损伤等[1-2]。近年来,伤害已成为公共卫生的热点问题,世界卫生组织报告不论发达国家还是发展中国家,伤害都是前5位死亡原因之一[3],尤其对儿童和青少年,伤害是5～24岁年龄段的第1位或第2位死亡原因[