儿童青少年伤害相关危险因素中文文献的meta分析

Meta-Analysis of Chinese Literatures on Injury Relevant Risk Factors for Children and Teenagers

  • 摘要:
    目的 探索儿童青少年伤害发生的相关危险因素,为相关机构干预儿童青少年伤害发生提供科学依据。
    方法 采用RevMan 5.1软件对检索的25篇中文文献进行综合定量分析。
    结果 采用随机效应模型和固定效应模型对文献各研究因素的OR和95%CI进行合并,结果显示,近视(OR=1.36)、好动(OR=1.27)、非核心家庭(中小学生、高初中学生和0~14岁儿童的OR分别为1.24、1.80和4.46)、男性(OR=1.46)、年龄小(OR=1.16)、不知道伤害可以预防(OR=1.56)、危险行为(OR=1.28)、性格外向(中小学生、高初中学生和0~14岁儿童的OR分别为1.48、5.47和1.52)、左利手(OR=1.65)、不进行安全教育(OR=2.61)、危险环境(OR=1.80)、非独生子女(OR=1.98)是儿童青少年伤害发生的危险因素,差异具有统计学意义(P < 0.05);居住城镇、母亲学历低、学习成绩差、家庭关系差和父亲吸烟等尚不能认为是儿童青少年伤害发生的危险因素,差异无统计学意义(P > 0.05)。
    结论 通过对25篇文献相关研究因素分析,共有12个伤害危险因素,5个尚不能认为是伤害发生的危险因素。

     

    Abstract:
    Objective To explore the risk factors of children and teenagers' injury, and to provide scientific evidence to related organizations for making prevention strategies.
    Methods RevMan 5.1 software was employed to perform a quantitative analysis on 25 Chinese literatures.
    Results Fixed and random effect models were employed to combine the ORs and 95%CIs of the risk factors derived from each literature. The results showed that myopia (OR=1.36), being active (OR=1.27), not nuclear family (OR=1.24 for primary and junior high school students, OR=1.80 for junior and senior high school students, and OR=4.46 for children aged 0-14 years), boy (OR=1.46), younger age (OR=1.16), being ignorant of preventability of injury (OR=1.56), risk behaviors (OR=1.28), extroverts (OR=1.48 for primary and junior high school students, OR=5.47 for junior and senior high school students, and OR=1.52 for children aged 0-14 years), being left-handed (OR=1.65), no safety education (OR=2.61), risk environments (OR=1.80), and having sibling(s) (OR=1.98) were the risk factors of children and teenagers' injury, and the differences were statistically significant (P < 0.05). Urban residence, low education level of mother, poor school performance, tense family relationship, and fathers' smoking habits were not considered as risk factors, and the differences were not statistically significant (P > 0.05).
    Conclusion The analysis of 25 literatures indicates 12 risk factors for children and teenager's injury, and there are not enough evidence yet for other 5 factors.

     

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