CAJ | 학술논문

目的采用Meta分析方法综合评价近10年来中国儿童期性虐待的发生情况,为预防提供基础资料.方法系统检索PubMed、Springer Link、Elsevier-SDOL、中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、维普中文科技期刊全文数据库、万方数据资源系统、中国优秀硕士学位论文全文数据库和中国重要会议论文全文数据库中2000-2013年发表有关中国儿童性虐待发生率的研究文献,利用疾病患病率或发病率质量准则评价文献质量,采用Stata软件估计儿童性虐待的Meta合并发生率,并对性别执行亚组分析,采用敏感性分析评价研究对象类型和研究质量对结果的影响.结果共纳入合格文献15篇,总样本量为16 682人,儿童期性虐待人数发生率为18.20％(95％CI:13.74％～ 22.66％).亚组分析显示,女生身体接触性虐待发生率(11.22％)高于男生(8.25％),不同性别间非身体接触性虐待和总性虐待发生率的差异无统计学意义.通过敏感性分析,删除文献质量评价得分最低和研究对象为非学生群体的文献后,Meta分析的结果稍有变化.结论中国儿童期性虐待已是一个常见且严重的问题,应得到关注并采取相应的预防和干预措施.
목적 채용Meta분석방법종합평개근10년래중국인동기성학대적발생정황,위예방제공기출자료.방법 계통검색PubMed、Springer Link、Elsevier-SDOL、중국생물의학문헌수거고(CBM)、중국기간전문수거고(CNKI)、유보중문과기기간전문수거고、만방수거자원계통、중국우수석사학위논문전문수거고화중국중요회의논문전문수거고중2000-2013년발표유관중국인동성학대발생솔적연구문헌,이용질병환병솔혹발병솔질량준칙평개문헌질량,채용Stata연건고계인동성학대적Meta합병발생솔,병대성별집행아조분석,채용민감성분석평개연구대상류형화연구질량대결과적영향.결과 공납입합격문헌15편,총양본량위16 682인,인동기성학대인수발생솔위18.20％(95％CI:13.74％～ 22.66％).아조분석현시,녀생신체접촉성학대발생솔(11.22％)고우남생(8.25％),불동성별간비신체접촉성학대화총성학대발생솔적차이무통계학의의.통과민감성분석,산제문헌질량평개득분최저화연구대상위비학생군체적문헌후,Meta분석적결과초유변화.결론 중국인동기성학대이시일개상견차엄중적문제,응득도관주병채취상응적예방화간예조시.
Objective To offer basic data related to the prevention of child sexual abuse,we conducted a Meta-analysis on the national incidence rate on child sexual abuse in the country.Methods Publications between 2000 and 2013 were extracted from PubMed,Springer Link,Elsevier-SDOL,Chinese Biomedical Database (CBM),China National Knowledge Infrastructure (CNKI),Chinese Science & Technology journal database (VIP),Wanfang Databases,China master's Theses Full-text Database and China Conference Papers Full-text Database.Observational studies which containing the incidence rate of child sexual abuse were included.We used the Loney criteria to evaluate the quality of searched publications.The Meta incidence rate was estimated using the Stata software.Subgroup analysis were undertaken on gender issues.Sensitivity analysis were performed to evaluate the impact of types or qualities to the research objects.Results Fifteen papers were included in this Meta-analysis,with a sample size of 16 682.The combined incidence rate of child sexual abuse was 18.20％ (95％CI:13.74％-22.66％).For injured persons,girls had a higher incidence rate on child sexual abuse (11.22％) than boys (8.25％) in terms of contact sexual abuse,but no significant difference on gender was found in the prevalence rates of global and un-contact sexual abuse.Data from sensitivity analysis revealed that the quality or types of the objects slightly affected the incidence rate of traffic injuries.Conclusion Results of this study indicated that child sexual abuse was common and serious in China,suggesting that prevention and control programs on childhood abuse should be emphasized and promoted.