本文選題：虐待 + 自我傷害行為��； 參考：《中國學(xué)校衛(wèi)生》2017年06期

【摘要】：目的探討兒童期軀體虐待與非自殺性自傷發(fā)生的相關(guān)性,為非自殺性自傷行為發(fā)生的防控提供參考。方法計算機檢索中國知網(wǎng)(CNKI)、萬方數(shù)據(jù)庫(Wan Fang)、中國生物醫(yī)學(xué)文獻數(shù)據(jù)庫(CBM)、Pub Med、Embase以及Cochrane library中有關(guān)兒童期軀體虐待與非自殺性自傷行為關(guān)系的原始研究文獻,檢索時限均為1975年1月1日至2016年12月31日。在2名研究者獨立進行文獻篩選、資料提取和納入研究的偏倚風險評價后,采用Rev Man 5.3軟件進行Meta分析。結(jié)果共篩選出原始文獻13篇,總調(diào)查人數(shù)64 055人。Meta分析顯示,非自殺性自傷組遭受兒童期軀體虐待的比例高于對照組(OR=3.47,95%CI=2.62~4.58)。亞組分析結(jié)果顯示,男生遭受兒童期軀體虐待后發(fā)生非自殺性自傷的風險小于女生,但差異無統(tǒng)計學(xué)意義(χ~2=0.23,P=0.63);隨著軀體虐待程度加重,非自殺性自傷的發(fā)生風險增加(χ~2=20.44,P0.01);初高中生遭受兒童期軀體虐待后的發(fā)生風險小于大學(xué)生,但差異無統(tǒng)計學(xué)意義(χ~2=0.01,P=0.94)。結(jié)論兒童期軀體虐待和非自殺性自傷具有一定的相關(guān)性,應(yīng)予以重視。
[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.
【作者單位】： 南昌大學(xué)第二臨床醫(yī)學(xué)院;南昌大學(xué)公共衛(wèi)生學(xué)院流行病學(xué)教研室;
【基金】：江西省教育廳科學(xué)技術(shù)研究項目(GJJ150224) 南昌大學(xué)研究生創(chuàng)新專項資金資助(cx2015157)
【分類號】：B845.67

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本文編號：1960514