我国西部地区青少年伤害行为的Meta 分析

目的 分析我国西部地区青少年伤害行为，为有效防控青少年伤害行为提供循证医学依据。方法 检索CNKI、Wan Fang、VIP、PubMed、Springer Link和Elsevier等数据库中2000 - 2017年我国西部青少年伤害行为的文献，进行Meta分析，效应量指标为伤害行为报告率及95%CI，绘制森林图，并进行亚组、敏感性及发表偏倚分析。结果 共纳入22篇文献，显示近1年内打架报告率17.3%（95%CI:14.3%,20.9%），有自杀意念12.1%（95%CI:8.4%,17.1%），骑车违规51.0%（95%CI:43.5%,58.5%），步行违规27.5%（95%CI:16.2%,42.7%），非安全游泳11.4%（95%CI:9.1%,14.1%），有明显性别和学段差异。结论 我国西部地区青少年伤害行为报告率较高，卫生教育等部门应引起重视并采取针对性措施。

Meta-analysis on the injury behaviors of adolescents in the western regions of China

Objective To provide evidence-based medical evidence and to prevent and control the injury behaviors of adolescents in the western regions of China. Methods The literatures on injury behaviors of adolescents in the western regions of China were identified from CNKI, Wanfang, VIP, PubMed, Springer Link and Elsevier Data(2000-2017). The analysis was performed by using meta-analysis. The effectiveness index was the injury behavior detection rate and its associated 95% CI. Forest maps, sub-group analysis and publishing bias analysis were carried out. Results A total of 22 documents were included. The pooled result showed that a detection rate of 17.3% of fights(95% CI: 14.3%, 20.9%), 12.1% of suicides ideation (95% CI: 8.4%-17.1%), 51.0% of cycling violations (95% CI: 43.5%-58.5%), 27.5% of walking violations (95% CI: 16.2%-42.7%), and 11.4% of non-safe swimming (95% CI: 9.1%-14.1%) in the past year. There were obvious differences in sex and school segments. Conclusion The detection rate of adolescents’ injury behaviors is high in the western regions of China, which should be paid attention to. Effective measures should be taken for different genders and school segments.