儿童期躯体虐待与非自杀性自伤相关性的Meta分析

发布时间：2018-05-31 16:24

本文选题：虐待 + 自我伤害行为　；参考：《中国学校卫生》2017年06期

【摘要】：目的探讨儿童期躯体虐待与非自杀性自伤发生的相关性,为非自杀性自伤行为发生的防控提供参考。方法计算机检索中国知网(CNKI)、万方数据库(Wan Fang)、中国生物医学文献数据库(CBM)、Pub Med、Embase以及Cochrane library中有关儿童期躯体虐待与非自杀性自伤行为关系的原始研究文献,检索时限均为1975年1月1日至2016年12月31日。在2名研究者独立进行文献筛选、资料提取和纳入研究的偏倚风险评价后,采用Rev Man 5.3软件进行Meta分析。结果共筛选出原始文献13篇,总调查人数64 055人。Meta分析显示,非自杀性自伤组遭受儿童期躯体虐待的比例高于对照组(OR=3.47,95%CI=2.62~4.58)。亚组分析结果显示,男生遭受儿童期躯体虐待后发生非自杀性自伤的风险小于女生,但差异无统计学意义(χ~2=0.23,P=0.63);随着躯体虐待程度加重,非自杀性自伤的发生风险增加(χ~2=20.44,P0.01);初高中生遭受儿童期躯体虐待后的发生风险小于大学生,但差异无统计学意义(χ~2=0.01,P=0.94)。结论儿童期躯体虐待和非自杀性自伤具有一定的相关性,应予以重视。
[Abstract]:Objective to investigate the relationship between child physical abuse and non-suicide self-injury, and to provide reference for prevention and control of non-suicide self-injury. Methods A computer search was conducted for CNKIN, Wan Fanghu, CBM and Pub MedEmbase, as well as the original literatures in Cochrane library on the relationship between childhood physical abuse and non-suicidal self-harm behavior. The time limit for retrieval is from January 1, 1975 to December 31, 2016. After independent literature screening, data extraction and bias risk assessment, Meta analysis was performed with Rev Man 5.3 software. Results A total of 13 original documents were selected. The total number of subjects surveyed was 64 055. Meta analysis showed that the rate of child physical abuse in non-suicidal self-injured group was higher than that in control group. The results of subgroup analysis showed that the risk of non-suicidal self-injury in boys was lower than that in girls after being physically abused in childhood, but there was no significant difference between them (蠂 ~ 2 / 0.23 / P = 0.63), and with the severity of physical abuse, the risk of non-suicidal self-injury in boys was lower than that in girls. The risk of non-suicidal self-injury increased (蠂 ~ 2 = 20.44), and the risk of physical abuse in middle and high school students was lower than that in college students, but the difference was not statistically significant (蠂 ~ 2 / 0. 01 P = 0. 94). Conclusion physical abuse and non-suicidal self-injury in childhood are related and should be paid more attention to.
【作者单位】：南昌大学第二临床医学院;南昌大学公共卫生学院流行病学教研室;
【基金】：江西省教育厅科学技术研究项目(GJJ150224) 南昌大学研究生创新专项资金资助(cx2015157)
【分类号】：B845.67

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