国内留守儿童抑郁症状检出率的Meta分析

Depression detection rate of left-behind children in China:a Meta analysis

目的评价国内留守儿童抑郁症状检出率,为相关卫生政策的制定好措施的实施提供参考依据。方法检索中国（CNKI）学术文献总库、万方、维普（VIP）、PubMed、Science Direct及Web of Science等数据库,收集有关中国留守儿童抑郁症状检出率的文献,对纳入的文献进行资料提取和Meta分析。结果共纳入11篇文献,国内留守儿童抑郁症状检出率的合并值为30.9%（95%CI：21.6%-40.2%）,男女性的检出率合并值分别为28.9%和27.6%;样本量≥585的合并检出率为29.4%,样本量低于585的合并检出率为32.2%;CES-DC、DSRSC及CDI量表的合并检出率分别为46.2%、37.4%和15.5%;低、高质量文献的合并检出率分别为34.3%和28.0%;文献采用非随机抽样的合并检出率33.5%,采用随机抽样的合并检出率30.0%。结论国内留守儿童抑郁症状检出率高于国内外非留守儿童抑郁症状检出率,量表的选择对检出率有明显的影响。

Objective To evaluate the depression detection rate of left-behind children in China. Method CNKI,Wanfang Data,VIP information,PubMed,Science Direct and Web of Science were searched to collect articles published concerning the depression detection rate among left-behind children in China.Meta analysis was performed after extracting data of included literatures. Results 11 literatures were included.The overall depression detection rate was 30.9% （95%CI：21.6%~40.2%）,male and female detection rates were 28.9% and 27.6%.The combined detection rates for literatures with large sample size（≥585） and literatures with small sample size（〈585） were 29.4% and 32.2%;The combined detection rates for Center for Epidemiologic Studies Dression Scale for Children （CES-DC）,Depression Self-rating Scale for Children （DSRSC） and Children＇s Depression Inventory （CDI） were 46.2%,37.4% and 15.5%;The combined detection rates for low quality literatures and high quality literatures were 34.3% and 28%;The combined detection rates for literatures with non random sampling method was 33.5%,and 30% for literatures with random sampling method. Conclusion The depression detection rate of Chinese left-behind children is higher than both domestic and foreign non left-behind children.Different scales have a significant impact on the detection rate.