中小学生伤害干预效果Meta分析.docVIP

中小学生伤害干预效果Meta分析 　　【摘要】目的 综合评价以健康教育为主的干预措 施对中国中小学生伤害控制的效果，为伤害控制相关部门决策提供科学依据。 方法应用Meta分析对纳入的多项研究进行定量综合分析；采用Peto法估计同质资料 的综合效应值及其95%可信区间，异质资料则用随机效应模型(D-L法)。 结果 共纳入原始文献7篇，各研究结果不同质(Q=583.9 585χ2(0.005,6) ，P＜0.005)。假定中国某地区干预前中小学生伤害发生率为x%，则以健康教育为 主的干预措施的保护率PR=1-1/(3.632 4-0.026 324x)，其95%CI为[1-1/(2.001 8-0 .010 018x)，1-1/(6.591 2-0.055 912x)]。结合中国中小学生伤害发生率约为 50% 的现况，可得PR=56.83%，此类干预将使中小学生伤害在原来发生率基础上下降56.83%。 结论 以健康教育为主的干预措施对控制中国中小学生伤害是卓有成效的， 值得大力推广。 　　【关键词】 创伤和损伤；干预性研究；Meta分析；学生 　???【中图分类号】R 179G 478.2R 641R 181.2【文献标识码】A【文章 编号】1000-9817(2007)06-0538-03 　　 　　Meta-analysis on Impact of Injury Intervention Among Pupils and MiddleSchool Students/ FANG Le, JIANG Bao-fa. Department of Biostatistics andEpidemiology, School of Public Health, Shandong University, Jinan(250012), Chin a 　　【Abstract】ObjectiveTo synthetically evaluate the effect of intervention measureswhich are mainly composed of health education on pupils and middle school stude nts injury control in China. Methods Meta-analysis was use d to syntheticallyand quantitatively evaluate the studies included. The Peto method and random eff ects meta-analyses(DerSimonin and Laird) were applied to estimate combined effe c t values and their corresponding 95% confidence intervals of homogenous and inho mogenous data respectively.ResultsSeven pieces of literatureincluded were inh omogenous(Q=583.9 585χ2(0.005,6), P＜0.005). Supposing theinjury prevalence rat e of primary and secondary school students before intervention in a certain areain China is x%, protective rate(PR) of intervention measures mainly composed ofheath education will be equal to 1-1/(3.632 4-0.026 324x), and its 95%CI wi ll be [1-1/(2.001 8-0.010 018x), 1-1/(6.591 2-0.055 912x)]. The in jury prevalence rate of pr imary and high school students in China was about 50%, and as far as it was conc erned, the PR will be 56.83%. The injury prevalence rate among primary and highschool students will reduce by 56.83% due to the intervention.Conclusio nInterv ent