青少年罹患群体性癔症流行特征循证分析  

Epidemiological characteristics of mass hysteria in children and adolescents:a meta-analysis

作　　者：程庆林[1,2] 谢立[2] 徐勇[1] 

机构地区：[1]杭州市疾病预防控制中心,浙江310021 [2]苏州大学医学部公共卫生学院儿少卫生教研室

出　　处：《中国公共卫生》2016年第1期121-128,共8页Chinese Journal of Public Health

基　　金：卫生部卫生行业科研专项(201202010)

摘　　要：目的评估青少年群体性癔症（MH）罹患率的流行病学特征。方法采用文献综述和比较分析方法收集和整理数据，通过描述性分析和meta分析方法评估青少年MH罹患率，罹患率的计算采用纳入研究各罹患率组合加权方法。结果95项研究（n=118939人）被纳入meta分析，8721名青少年罹患MH，64项研究文献质量评估中上等；青少年MH总罹患率为14．6％（95％CI=0．117—0．181，P〈0．0001），青少年MH时间、人群、地区分布特征罹患率范围分别为11．7％～25．3％、4．8％～25．8％和7．0％～23．9％，女性青少年MH罹患风险是男性青少年的2．9倍（95％CI=2．1。4．1，P〈0．0001）。结论青少年罹患MH具有不同的流行病学特征，青少年罹患MH可能与性别、民族、教育与经济状况、发病时间和地点、触发因子和不同首发病例等因素关联。Objective To explore the epidemiologic characteristics of mass hysteria（MH）among children and ado- lescents. Methods Studies on MH from 2000 through 2013 were obtained though literature review and analyzed compar- atively. We used descriptive epidemiology and meta-analysis to assess attack rates （ARs）of MH and the ARs were calcu- lated by weighting the accumulated means with the number of the sample studied. Results Totally 95 studies （ N = 118 939） reporting ARs of MH in children and teenagers were included in the study, of which, 64 were categorized as with high or moderate methodological quality. For the 95 studies,the pooled MH AR was 14. 6% （8 721 MH cases in 118 939 subjects aged6 -19 years） （95% confidence intervalE95% CI~ =0. 117 -0. 181,P 〈0.000 1）and the reported ARs ranged from 11.7% to 25.3% ,4. 8% to 25.8% , and 7.0% to 23.9% for the studies conducted at different years, populations, and regions. The included studies reported higher ARs in the girls than in the boys, with a pooled odds ratio of 2.9 （ 95 % CI = 2. 1 - 4. 1, P 〈 0. 000 1 ）. Conclusion The findings of this research suggest that there may be some differences in the epidemiological characteristics of MH among children and adolescents and the attack rate of MH in the populations may be influenced by gender, nationality, education, socioeconomic condition, regional disparity, triggering factors, and the index case.

关 键 词：罹患率 MH 青少年 

分 类 号：R151.4[医药卫生—营养与食品卫生学]