Meta-analysis of the incidence rate of fall injuries among primary and middle school students in China
10.3760/cma.j.cn112338-20220721-00650
- VernacularTitle:我国中小学生跌倒/坠落伤害发生率的Meta分析
- Author:
Zidan YANG
1
;
Xiaowei ZHANG
;
Yandong LUO
;
Liping LI
Author Information
1. 汕头大学公共卫生学院,汕头 515063
- Keywords:
Injury;
Accidental falls;
Meta-analysis;
Students
- From:
Chinese Journal of Epidemiology
2023;44(2):317-325
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct a Meta-analysis to estimate the national incidence rate of fall injuries among primary and middle school students in China in recent five years and to provide evidence for reducing fall injuries among primary and secondary school students.Methods:Publications between 2016 and 2021 were extracted from CNKI, VIP, Wanfang Databases, and PubMed. Observational studies consisting on the incidence rate of fall injuries were included. Stata 17.0 software was used for Meta-analysis. Subgroup analyses were undertaken by gender, type of school, urban/rural areas, and case definition. Sensitivity analysis and publication bias were performed.Results:Thirty papers were included for Meta-analysis, with a total sample size of 431 054. The combined incidence rate of fall injuries was 8.03% for injured persons and 9.61% for times of injuries. For injured persons, the incidence of fall injury was higher in boys (7.50%) than in girls (6.20%) and rural areas (8.12%) than in urban areas (3.94%). The incidence rate from studies using the injury definition of 1996 (9.42%) was higher than that of 2004 (7.56%), while there was no significant difference in rates between students from different types of schools. For times of injuries, the incidence of fall injury in boys (10.89%) was higher than that in girls (9.26%), in primary school students (10.06%) was higher than that in middle school students (6.53%), in rural areas (15.06%) was higher than that in urban areas (12.52%). The incidence rate from studies using the injury definition of 1996 (8.86%) was higher than that using the definition of 2004 (7.59%). The Meta-analysis results were slightly changed after the literature with the lowest score in literature quality evaluation, and monitoring data analysis were deleted through sensitivity analysis.Conclusion:There are differences in the incidence of fall injuries among Chinese primary and secondary school students of different genders and between urban/rural areas.