[目的]基于中文文献对我国青少年伤害行为的流行特征进行meta分析,为防控青少年伤害相关行为提供参考.[方法]制定检索式,在中国知网、维普资讯、万方数据、中国生物医学期刊引文数据库、PubMed、Web of Science检索有关青少年伤害行为流行特征的横断面研究文献.发表时间为建库至2023年11月.用Stata 15.1软件进行meta分析.[结果]最终纳入40篇文献.meta分析结果显示,骑车违规率为38%(95%CI:32%～43%),步行违规率为29%(95%CI:22%～36%),非安全游泳检出率为13%(95%CI:11%～14%),自杀意念检出率为13%(95%CI:12%～15%),打架检出率为19%(95%CI:17%～22%).亚组分析显示:男生的骑车违规率[44%(95%CI:38%～50%)]高于女生[34%(95%CI:28%～40%)],东北、华东、西南地区青少年的骑车违规率最高(44%),初中生的骑车违规率最高[42%(95%CI:36%～49%)];男生步行违规的检出率[29%(95%CI:21%～37%)]高于女生[22%(95%CI:15%～30%)],华北地区青少年步行违规的检出率最高[54%(95%CI:30%～76%)],职校生步行违规的检出率最高[38%(95%CI:21%～56%)];男生非安全游泳的检出率[18%(95%CI:14%～24%)]高于女生[8%(95%CI:6%～10%)],中南地区青少年非安全游泳的检出率最高[15%(95%CI:12%～18%)],职校生非安全游泳的检出率最高[15%(95%CI:10%～19%)];女生自杀意念的检出率[16%(95%CI:13%～19%)]高于男生[13%(95%CI:11%～15%)],西南地区青少年自杀意念的检出率最高[17%(95%CI:10%～25%)],高中生自杀意念的检出率最高[15%(95%CI:12%～18%)];男生打架的检出率[30%(95%CI:26%～34%)]高于女生[11%(95%CI:10%～14%)],西南地区青少年打架的检出率最高[29%(95%CI:24%～34%)],初中生打架检出率最高[26%(95%CI:22%～31%)].[结论]我国青少年伤害行为检出率较高,不同性别、地域、学段青少年的伤害行为的检出率不同.伤害行为可能影响青少年健康成长,各地区卫生健康及教育部门应引起重视,并采取有效干预措施.
A meta-analysis of prevalent characteristics of injury-related behaviors among adolescents based on Chinese literature
[Objective]To conduct a meta-analysis of the prevalent characteristics of the injury-related behaviors among adolescents in China based on Chinese literature,so as to inform the prevention and control of injury-related behaviors of this population.[Methods]A cross-sectional study on the prevalent characteristics of adolescent injury-related behaviors was conducted with the data collected from CNKI,VIP,Wanfang Data,CBM,PubMed,and Web of Science.The review included publications from the inception of the databases to November 2023.Meta-analysis was performed with Stata 15.1 software.[Results]A total of 40 articles were included in this study,and the meta-analysis results showed that cycling violation rate was 38%(95%CI:32%‒43%),walking violation rate was 29%(95%CI:22%‒36%),rate of unsafe swimming was 13%(95%CI:11%‒14%),suicidal ideation rate was 13%(95%CI:12%‒15%)and the prevalence of fighting was 19%(95%CI:17%‒22%).Subgroup analysis showed that the cycling violation rate was(44%)for boys and 34%(95%CI:28%‒40%)for girls.Adolescents in Northeast,East,and Southwest of China had the highest rate of cycling violation(44%),of which junior high school students had the highest rate of violation[42%(95%CI:36%‒49%)].As for the walking violation rate,male students[29%(95%CI:21%‒37%)]was higher than that of female students[22%(95%CI:15%‒30%)].Adolescents in North of China had the highest rate of walking violation[54%(95%CI:30%‒76%)],of which vocational school students accounted for 38%(95%CI:21%‒56%)of the total violation.In terms of the detection rate of unsafe swimming,male students[18%(95%CI:14%‒24%)]was higher than that of female students[8%(95%CI:6%‒10%)].Adolescents in Central South China had the highest rate of unsafe swimming[15%(95%CI:12%‒18%)],of which,vocational school students accounted for the highest[15%(95%CI:10%‒19%)].When it comes to the prevalence of suicidal ideation,female students[16%(95%CI:13%‒19%)]was higher than that of male students[13%(95%CI:11%‒15%)].Adolescents in Southwest of China had the highest rate of suicidal ideation[17%(95%CI:10%‒25%)],of which high school students accounted for the highest[15%(95%CI:12%‒18%)].Finally,the detection rate of fights was 30%(95%CI:26%‒34%)for boys and 11%(95%CI:10%‒14%)for girls.Adolescents from Southwest of China had the highest rate[29%(95%CI:24%‒34%)]for fights,and junior high school students accounted for the highest[26%(95%CI:22%‒31%)].[Conclusion]The prevalence of harmful behaviors among adolescents in China is notably high,with statistical differences across gender,region,and school stages.These behaviors pose a risk to adolescent health,underscoring the need for targeted interventions by health and educational authorities.
NETL
NSTL
万方数据
