Citation

Liu S, Hu M, Chang Y, Chen H, Tu J. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2016; 41(5): 527-533.

Vernacular Title

中国儿童青少年意外伤害干预效果的 Meta 分析

Affiliation

Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China.

Copyright

(Copyright © 2016, Zhong Nan Da Xue Xue Bao)

DOI

10.11817/j.issn.1672-7347.2016.05.013

PMID

27269929

Abstract

OBJECTIVE:
To comprehensively evaluate the interventional effect on unexpected injury among children and adolescents in China, and to provide scientific basis for the injury control strategy.

METHODS:
Meta analysis was utilized to analyze the selected literatures. After heterogeneity test of the data, a relevant model was chosen to estimate the combined effect values relative risk (RR) and the corresponding 95% confidence interval (95% CI). Subgroup analysis were performed based on the intervention measures, objects and places. Sensitivity and publication bias were analyzed.

RESULTS:
A total of 18 papers were included in the Meta analysis with a sample size of 32 599. The combined RR value was 0.54 (95% CI 0.44 to 0.68). Subgroup analysis showed that the RR value of health education and comprehensive intervention were 0.59 and 0.50, respectively, with no significant difference between them (P>0.05). The RR values of the interventions in school alone, in school and community or in community alone were 0.51, 0.78 or 0.63. The RR values on children alone, children and parents or parents alone were 0.53, 0.65 or 0.35. The differences were significant when the interventions were performed among different places or objects (P<0.05). Sensitivity analysis revealed that meta-analysis results were relatively stable.

CONCLUSION:
The targeted interventions were significant in the prevention of unexpected injuries among children and adolescents. It is worth further promoting and spreading.

Language: zh

Vernacular Abstract

目的：对中国儿童、青少年意外伤害的干预效果进行综合评价，为提出控制伤害的相关策略提供科学依据。方法：应用Meta分析的方法对纳入的文献进行分析和异质性检验，选择合适模型计算效应量的合并值相对危险度(relative risk，RR)及其95%可信区间(95% CI)。根据干预措施、干预对象、干预场所进行亚组分析，并进行敏感性分析与发表偏倚评价。结果：最终纳入文献18篇，总样本量为32 599，合并RR值为0.54(95% CI：0.44~0.68)，亚组分析得到：健康教育和综合干预的RR值分别为0.59，0.50，其差异无统计学意义(P>0.05)；学校、学校与社区、社区干预的RR值分别为0.51，0.78，0.63；以儿童、儿童及家长、家长为干预对象的RR值依次为0.53，0.65，0.35，不同干预场所、干预对象间的差异均有统计学意义(P<0.05)。敏感性分析得到研究结果相对较为稳定。结论：针对性的采取干预措施在儿童青少年意外伤害预防中效果显著，值得更进一步的推进与开展。.