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陈雅静, 李秀霞, 潘蓓, 王维妮, 单侯乾, 何文博, 王蒙, 杨克虎, 韩雪梅. 公共卫生Cochrane系统评价证据流行病学特征分析[J]. 中国公共卫生, 2019, 35(12): 1710-1713. DOI: 10.11847/zgggws1120099
引用本文: 陈雅静, 李秀霞, 潘蓓, 王维妮, 单侯乾, 何文博, 王蒙, 杨克虎, 韩雪梅. 公共卫生Cochrane系统评价证据流行病学特征分析[J]. 中国公共卫生, 2019, 35(12): 1710-1713. DOI: 10.11847/zgggws1120099
Ya-jing CHEN, Xiu-xia LI, Bei PAN, . Epidemiological characteristics of Cochrane systemic reviews on public health[J]. Chinese Journal of Public Health, 2019, 35(12): 1710-1713. DOI: 10.11847/zgggws1120099
Citation: Ya-jing CHEN, Xiu-xia LI, Bei PAN, . Epidemiological characteristics of Cochrane systemic reviews on public health[J]. Chinese Journal of Public Health, 2019, 35(12): 1710-1713. DOI: 10.11847/zgggws1120099

公共卫生Cochrane系统评价证据流行病学特征分析

Epidemiological characteristics of Cochrane systemic reviews on public health

  • 摘要:
      目的  以Cochrane系统评价为例,分析公共卫生领域高级别证据的流行病学和描述性特征,为公共卫生循证决策提供参考依据。
      方法  于2018年4月30日检索Cochrane library数据库收集公共卫生领域相关的Cochrane系统评价,应用EndNote X7、Excel 2013和Ucinet 6.0软件对纳入的文献进行筛选管理和数据分析。
      结果  初检获得112篇文献,依据纳入排除标准筛选最终纳入69篇文献,其中高质量33篇、中等质量34篇;发表年份为2008 — 2018年,其中2010年发表文献最多(14篇,20.3 %),2014年发表文献最少(2篇,2.9 %);通讯作者主要来自英国(28篇,40.6 %)、澳大利亚(12篇,17.4 %)和美国(9篇,13.0 %),仅5名中国学者以合作者身份参与研究;研究主题以“预防伤害”(22篇,31.9 %)和 “预防道路交通伤害”(18篇,26.1 %)为主;纳入研究设计主要包括随机对照试验(58篇,84.1 %)、临床对照试验/非随机和半随机对照试验(26篇,37.7 %)、前后对照试验(32篇,46.4 %)和间断地时间序列研究(19篇,27.5 %);关键词社会网络图显示,“Intervention”、“Prevention”、“Program”、“Injury”、“Education”、“Children”、“Worker”、“Adults”均位于网络的核心位置,是公共卫生领域的研究热点。
      结论  公共卫生研究领域中Cochrane系统评价以中国学者作为第一作者或通讯作者发表的研究甚少,纳入的研究主要关注伤害与道路交通伤害的预防。

     

    Abstract:
      Objective  To analyze epidemiological and descriptive characters of Cochrane systematic reviews with high-grade evidences on public health researches and to provide references for evidence-based decision making in public health practices.
      Methods  We searched Cochrane library database to collect systematic reviews on public health published till April 30, 2018; the included studies were screened and analyzed using EndNote X7, Excel 2013 and Ucinet 6.0 software.
      Results  From the 112 articles preliminary searched, 69 were finally retrieved and included in the study according to the inclusion and exclusion criteria; of which, 33 and 34 were of high and moderate quality. All the 69 articles were published online from 2008 to 2018, with the maximum number of studies published in 2010 (14, 20.3%) and the minimum number of studies published in 2014 (2, 2.9%). The corresponding authors of the studies are mainly from Britain (28, 40.6%), Australia (12, 17.4%) and America (9, 13.0%). All included studies are collaborative research which involved only 5 Chinese scholars who are neither correspondents nor first authors. The major themes for the 69 studies are prevention of injuries (22, 31.9%) and prevention of road traffic injuries topic (18, 26.1%). Among the 69 studies, there were 58 (84.1%) randomized controlled trials, 26 (37.7%) controlled clinical trials, non-randomized and quasi-randomized controlled trials, 32 (46.4%) before and after controlled studies, and 19 (27.5%) interrupted time series analyses. Keywords social network map shows that " intervention”, " prevention”, " program”, " injury”, " education”, " children”, " worker”, " adults” are all in core positions, which are hotspot in the field of public health.
      Conclusion  In Cochrane systemic rewiewson public health, there are few studies have been published by Chinese scholars as first authors or correspondents. Meanwhile, the included studies mainly focus on the prevention of injuries and road traffic injuries.

     

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