文章摘要
杨紫丹,张晓尉,罗燕东,李丽萍.我国中小学生跌倒/坠落伤害发生率的Meta分析[J].中华流行病学杂志,2023,44(2):317-325
我国中小学生跌倒/坠落伤害发生率的Meta分析
Meta-analysis of the incidence rate of fall injuries among primary and middle school students in China
收稿日期:2022-07-21  出版日期:2023-02-15
DOI:10.3760/cma.j.cn112338-20220721-00650
中文关键词: 伤害  跌倒  Meta分析  学生
英文关键词: Injury  Accidental falls  Meta-analysis  Students
基金项目:国家自然科学基金(12171295);北京市科技新星(Z181100006218107)
作者单位E-mail
杨紫丹 汕头大学公共卫生学院, 汕头 515063
汕头大学医学院伤害预防研究中心, 汕头 515041 
 
张晓尉 汕头大学公共卫生学院, 汕头 515063
汕头大学医学院伤害预防研究中心, 汕头 515041 
 
罗燕东 汕头大学公共卫生学院, 汕头 515063
汕头大学医学院伤害预防研究中心, 汕头 515041 
 
李丽萍 汕头大学公共卫生学院, 汕头 515063
汕头大学医学院伤害预防研究中心, 汕头 515041 
lpli@stu.edu.cn 
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中文摘要:
      目的 采用Meta分析评价近5年来我国中小学生跌倒/坠落伤害发生情况,为减少中小学生跌倒/坠落伤害提供依据。方法 系统检索中国期刊全文数据库、万方数据库、维普数据库和PubMed中2016-2021年发表的有关中国中小学生跌倒/坠落伤害发生率的研究文献,采用Stata 17.0软件进行Meta分析,估计中小学生跌倒/坠落伤害发生率,对性别、学校类型、城乡和病例定义标准进行亚组分析,并进行敏感性分析和发表偏倚的评价。结果 符合入选标准文献共30篇,总样本量为431 054人,跌倒伤害人数发生率和人次数发生率分别为8.03%和9.61%。亚组分析显示,跌倒/坠落伤害人数发生率男生(7.50%)高于女生(6.20%),农村(8.12%)高于城市(3.94%),采用1996年版伤害标准(9.42%)高于2004年版伤害标准(7.56%),不同学校类型间差异无统计学意义;跌倒/坠落伤害人次数发生率男生(10.89%)高于女生(9.26%),小学生(10.06%)高于中学生(6.53%),农村(15.06%)高于城市(12.52%),采用1996年版伤害标准(8.86%)高于采用2004年版伤害标准(7.59%)。通过敏感性分析剔除文献质量评价得分最低和监测数据分析的文献之后,Meta分析的结果稍有改变。结论 中国中小学生不同性别和城乡间跌倒/坠落伤害发生率存在差别。今后要对农村小学男生给予重点关注,同时还需采取有效措施预防和控制跌倒/坠落伤害的发生。
英文摘要:
      Objective To conduct a Meta-analysis to estimate the national incidence rate of fall injuries among primary and middle school students in China in recent five years and to provide evidence for reducing fall injuries among primary and secondary school students. Methods Publications between 2016 and 2021 were extracted from CNKI, VIP, Wanfang Databases, and PubMed. Observational studies consisting on the incidence rate of fall injuries were included. Stata 17.0 software was used for Meta-analysis. Subgroup analyses were undertaken by gender, type of school, urban/rural areas, and case definition. Sensitivity analysis and publication bias were performed. Results Thirty papers were included for Meta-analysis, with a total sample size of 431 054. The combined incidence rate of fall injuries was 8.03% for injured persons and 9.61% for times of injuries. For injured persons, the incidence of fall injury was higher in boys (7.50%) than in girls (6.20%) and rural areas (8.12%) than in urban areas (3.94%). The incidence rate from studies using the injury definition of 1996 (9.42%) was higher than that of 2004 (7.56%), while there was no significant difference in rates between students from different types of schools. For times of injuries, the incidence of fall injury in boys (10.89%) was higher than that in girls (9.26%), in primary school students (10.06%) was higher than that in middle school students (6.53%), in rural areas (15.06%) was higher than that in urban areas (12.52%). The incidence rate from studies using the injury definition of 1996 (8.86%) was higher than that using the definition of 2004 (7.59%). The Meta-analysis results were slightly changed after the literature with the lowest score in literature quality evaluation, and monitoring data analysis were deleted through sensitivity analysis.Conclusion There are differences in the incidence of fall injuries among Chinese primary and secondary school students of different genders and between urban/rural areas.
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