2002-2012年我国儿童青少年交通伤害发生率的Meta分析  

Incidence of traffic injuries among children and adolescents in China:a systematic analysis of studies between 2002 and 2012

作　　者：李美莉[1] 王莉[1] 石倩[1] 毛馨 郑建中[1] 

机构地区：[1]山西医科大学公共卫生学院,山西太原030001

出　　处：《中国儿童保健杂志》2014年第5期533-537,共5页Chinese Journal of Child Health Care

基　　金：教育部全国教育科学"十一五"规划课题青年专项基金(EHA090449);山西省哲学社会科学"十二五"规划2013年度课题(晋规办字[2013]2号)

摘　　要：目的采用Meta分析的方法综合评价我国儿童青少年2002-2012年交通伤害发生率的情况,为预防儿童青少年交通伤害提供依据。方法系统检索中国知网、万方数据库、中国生物医学文献数据库、维普信息资源系统及PubMed数据库,收集2002-2012年收录的有关我国儿童青少年交通伤害发生率的文献,采用Meta分析合并估计交通伤害发生率,按照性别、城/乡、研究地区和伤害标准进行亚组分析,并对结果进行敏感性分析和发表偏倚的评价。结果严格按照纳入、排除标准,共筛选出39篇,总样本量为637 330人,合并交通伤害发生率：1.38%（95%CI：0.90%-2.12%）,亚组分析显示：交通伤害发生率男、女童分别为1.97%、1.66%,城市、农村分别为1.26%、1.32%,1996、2004版伤害标准分别为1.43%、0.64%,东部、中部、西部地区分别为0.94%、2.30%、2.38%,各组之间差异均有统计学意义（P〈0.05）。结论我国儿童青少年交通伤害发生率在性别、城/乡、研究地区和伤害判定标准之间存在差异,应将男童、农村地区以及经济不发达的西部作为交通伤害的重点预防对象,同时有必要进一步统一儿童青少年意外伤害判定标准。Objective To comprehensive evaluat traffic injuries incidence among children and adolescents in China from2002 to 2012 using the method of Meta-analysis, and provide evidence for preventing traffic injuries. Methods CNKI,WangFang database,CBM,VIP and PubMed database were searched to collect the studies that were included between 2002and 2012 about the traffic injuries incidence among children and adolescents in China. The pooled inciderme was estimated u-sing Meta analysis and analyzed the differences between sex, urban/rural, research region and injury standards, Sensitivity a-nalysis and Publication bias were performed. Results Strict accordance with the inclusion criteria and exclusion criteria,39studies were selected with a total sample size of 637 330. The pooled incidence of traffic injuries was 1.38 % （95 CI： 0.90-2.12%）. Subgroup analysis showed the following results： 1.97% and 1.66% for boys and girls, 1. 26% and 1. 32% forurban and rural,1.43% and 0.64% for injury standards of 1996 and 2004 , 0. 94 % , 2. 30 % and 2.38% for eastern,centraland western region differences were significant （P〈0.05） for each group. Conclusion The traffic injuries incidence a-mong children and adolescents has differences in sex, urban/rural, research region and injury standards,we should he put focus on boys,rural and the western to take some measures to protect them. At the same time,it is necessary to furlher unifyinjury standards about children and adolescents.

关 键 词：儿童青少年 交通伤害 META分析 

分 类 号：R174[医药卫生—妇幼卫生保健]