中国儿童保健杂志 ›› 2016, Vol. 24 ›› Issue (3): 295-298.DOI: 10.11852/zgetbjzz2016-24-03-22

• 临床研究与分析 • 上一篇    下一篇

中国儿童青少年抑郁症状流行率的Meta分析

李玖玲,陈星,赵春华,徐勇   

  1. 苏州大学医学部公共卫生学院,江苏 苏州 215123
  • 收稿日期:2015-07-07 出版日期:2016-03-01 发布日期:2016-03-01
  • 通讯作者: 徐勇,E-mailxuyong59@sohu.com
  • 作者简介:李玖玲(1990-),女,黑龙江人,硕士学位,主要研究方向为儿少卫生与妇幼保健。

Prevalence of depression in Chinese children and adolescents:a Meta-analysis.

LI Jiu-ling,CHEN Xing,ZHAO Chun-hua,XU Yong.   

  1. School of Public Health,Soochow University Health Science Center,Suzhou,Jiangsu 215123,China
  • Received:2015-07-07 Online:2016-03-01 Published:2016-03-01
  • Contact: XU Yong,E-mail:xuyong59@sohu.com

摘要: 目的 通过Meta分析了解中国儿童青少年抑郁症状流行情况。方法 系统检索2000-2014年中国全文数据总库(CNKI)、万方数据资源系统、维普中文科技期刊数据库(VIP)、中国生物医学文献数据库(CBM)中有关中国儿童青少年抑郁症状调查的横断面研究文献,采用Meta分析合并流行率,并对性别、居住地等分类指标进行亚组分析。结果 共纳入14篇文献,纳入患病人数累计12 318人,调查人口数累计72 402人。资料存在无实质性的异质性(I2=49.6%);模型有统计学意义(q=0.999,P=0.000); 中国儿童青少年抑郁症状流行率的合并值为15.4%(95%CI:13.3%~17.8%,P=0.000)。亚组分析结果显示,儿童青少年抑郁症状流行率男生(16.8%)高于女生(15.6%),乡镇流行率(20.0%)高于城市(16.2%),高中生流行率(22.1%)高于初中生(16.2%)。结论 我国高中时期抑郁症状流行率较高,应及早筛查并进行相关干预。

关键词: 儿童, 青少年, 抑郁症状, 流行率, Meta分析

Abstract: Objective To estimate the prevalence of depression among children and adolescents in China. Methods Publications between 2000 and 2014 were extracted from China National Knowledge Infrastructure(CNKI),Wanfang Databases and Chinese Science and Technology Journal Databases(VIP) and Chinese Biomedical Database(CBM).Observational studies on prevalence of depression were included.The prevalence of depression was combined by meta-analysis.Subgroup analysis was undertook by gender and region. Results A total of 14 papers were included in this study.The total number of participants investigated was 72 402,with 12 318 depression cases identified.It was considered that the homogeneity of the references were moderate after testing of heterogeneity(I2=49.6%).The model of the meta-analysis had statistical significance (q=0.999,P=0.000).The pooled prevalence was 15.4%(P=0.000) and the 95% confidence interval was from 13.3% to 17.8%.Subgroup analysis shows that the prevalence of boys(16.8%) was higher than the girls(15.6%);the prevalence of rural (20.0%)was higher than the city (16.2%)and the prevalence of senior school (23.3%)is higher than the junior school (16.2%)student. Conclusion The prevalence of depression is higher in senior high school,we should be early screening and take some related intervention.

Key words: child, adolescent, depression, prevalence rate, Meta-analysis

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