中国大陆中学生非自杀性自伤流行特征的Meta分析

发布时间：2018-02-23 22:22

本文关键词： 自我伤害行为流行病学研究精神卫生学生　出处：《中国学校卫生》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨中国大陆中学生非自杀性自伤的流行特征,为今后干预和控制中学生非自杀性自伤提供基线数据。方法检索中国生物医学文献库(CBM)、中国学术文献库总库(CNKI)、维普中文科技期刊数据库(VIP)、万方数据库、Pub Med数据库、Embase数据库以及Web of Science中公开发表的关于中国大陆中学生非自杀性自伤的相关文献。使用R软件及其Meta程序包对纳入的文献进行Meta分析,按照性别、学段、城乡、独生子女、地区以及调查年限进行亚组分析,并对纳入的文献进行敏感性分析和发表偏倚评价。结果最终共纳入文献22篇,累计纳入总样本量146 936人,非自杀性自伤总检出率为27.4%(95%CI=24.5%~30.2%)。亚组分析结果显示,中国大陆中学生非自杀性自伤行为检出率男生(27.2%)高于女生(25.6%),非独生子女(28.8%)高于独生子女(28.0%),农村(32.2%)高于城市(27.7%),中部地区(32.3%)高于西部(30.1%)、东部(25.4%)、东北部(5.5%)地区,2012年及之后调查的检出率(31.4%)高于2012年之前的检出率(22.7%),差异均有统计学意义(χ~2值分别为237.03,9.85,30.28,531.58,120.95,P值均0.05)。本次所纳入研究文献无发表偏倚,Meta分析结果稳健。结论我国大陆中学生非自杀性自伤总体检出率较高,且在性别、是否为独生子女、城乡、地区以及调查年限间存在差异。
[Abstract]:Objective to investigate the epidemic characteristics of non-suicidal self-injury among middle school students in mainland China. Methods to provide baseline data for intervention and control of non-suicidal self-injury among middle school students in the future. Methods to search the Chinese biomedical database (CBM), the Chinese academic literature database (CNKI), the Weipu Chinese science and technology periodical database (VIPI), and the Wanfang database (Pub Med). Embase database and related documents published in Web of Science on non-suicidal self-injury of middle school students in mainland China. Using R software and its Meta package to analyze the included literature by Meta. Subgroup analysis was carried out according to gender, school level, urban and rural areas, only children, regions and years of investigation. Sensitivity analysis and publication bias evaluation were carried out on the included literature. Results A total of 22 papers were included, with a total sample size of 146,936. The total detection rate of non-suicidal self-injury was 27.4%. The detection rate of non-suicidal self-injury behavior of middle school students in mainland china is 27. 2% higher than that of girls 25. 6% and 28. 8%) higher than that of only-child students 28. 0%, rural area 32. 2%) higher than that of urban area 27. 7%, central area 32. 3%) higher than that of western region 30. 1%, east part 25. 4%, northeast 5. 5%) area, 2012 and the following. The positive rate of the latter investigation was higher than that before 2012, and the difference was statistically significant (蠂 ~ (2) = 237.03 / 9.85.28 ~ 30.28 / 531.58 / 120.95P = 0.055.The results of meta-analysis of non-self-bias Meta-analysis of the literature included in this study were stable. Conclusion the non-self-bias Meta-analysis results of middle school students in mainland China are stable. The detection rate of killing self-injury was high. There were differences in sex, whether only child, urban and rural areas and years of investigation.
【作者单位】：安徽医科大学公共卫生学院儿少卫生与妇幼保健学系;人口健康与优生安徽省重点实验室;
【基金】：国家自然科学基金项目(8110214) 安徽医科大学第三批中青年学术骨干资助基金项目(2012)
【分类号】：B844.2

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