摘要
目的评价我国中小学生和家庭主妇地方性氟中毒（简称地氟病）健康教育干预效果，为地氟病预防与干预提供科学依据。方法计算机检索中国生物医学文献数据库（CBM）、中国知网数据库（CNKI）、万方数据库、中文科技期刊全文数据库（VIP）、PubMed、Webofknowledge、EBSCO，并结合文献追溯的方法，收集1994—2012年在国内外发表的关于我国中小学生、家庭主妇地氟病健康教育干预研究的文献。文献研究类型为自身前后对照的干预性研究，干预手段为健康教育或以健康教育干预为主。按照Cochrane和EPOC的标准对文献进行质量评价。使用Rev．Man5．0软件，以地氟病防治知识知晓率为指标进行Meta分析。其中同质性资料（P〉0．05）选取固定效应模型，异质性资料（P≤O．05）选取随机效应模型进行综合定量分析。结果中文检索出相关文献146篇，英文检索出192篇。经筛选，中文文献符合标准35篇，经全文献阅读，最后纳入6篇，未找到合适的英文文献。按照EPOC的标准，纳入文献都是B等级。文献的异质性较高，因此，按照研究对象不同进行分层分析：学生组干预效果高于家庭主妇组；干预后，中小学生和家庭主妇的地氟病防治知识知晓率分别提高了28％和26％。结论开展健康教育干预，对提高我国中小学生、家庭主妇地氟病防治相关知识的知晓率有较好的效果。
Objective To comprehensively evaluate the effectiveness of health education interventions on endemic fluorosis for Chinese students and housewives, and to provide a basis for prevention and control of the disease. Methods A computerized literature search was carried out in CBM （Chinese Biomedical Database）, CNKI （Chinese National Knowledge Infrastructure）, Wan-fang, VIP, Pub-Med, Web of Knowledge and EBSCO to collect articles published at home and abroad between 1994 - 2012 concerning the effectiveness of health education interventions on endemic fluorosis for Chinese students and housewives. The study was a self-controlled intervention study, The quality of literature was evaluated using the standards of Cochrane and EPOC. Meta-analysis was performed to assess the knowledge about fluorosis prevention using Rev-Man 5.0. Homogeneous data（P 〉 0.05） was analyzed using a fixed effects model, and heterogeneous data（P≤0.05） was analyzed using a random effects model. Results A total of 146 Chinese research papers and 192 English research papers were retrieved. By screening, 35 Chinese research papers meet the standards. After reading the full text, 6 papers were selected. English literature was not found. According to EPOC criteria all the six literatures included were grade B. Because heterogeneity of the literatures was higher, knowledge point was stratify analyzed according to the study subjects. The intervention effect of students was higher than that of the housewives. After the intervention, the fluorosis disease prevention knowledge awareness of schoolchildren and housewives Were increased by 28% and 26%. Conclusions Health education has a good effect in improving the knowledge of fluorosis for Chinese students and housewives.
出处
《中华地方病学杂志》
CAS
CSCD
北大核心
2014年第2期207-210,共4页
Chinese Journal of Endemiology
关键词
氟中毒
牙
健康教育
META分析
Fluorosis, dental
Health education
Meta-analysis
