Faculty of Health Service, Second Military Medical University, 800 Xiangyin Road, 200433 Shanghai, People's Republic of China.
Qual Life Res. 2010 Aug;19(6):775-80. doi: 10.1007/s11136-010-9638-0. Epub 2010 Mar 25.
To estimate the prevalence of children in rural China without constant parental guardians (i.e., "left-behind"), to examine whether left-behind children were associated with lower health-related quality of life (HRQOL) than their counterparts ("non-left-behind").
A stratified two-stage cluster survey was conducted among 640 children aged between 8 and 14 in a county of Shandong province. HRQOL was assessed in 606 participants using the Pediatric Quality of Life Inventory (PedsQL).
The estimated prevalence of left-behind children in the area was estimated at 53.5% (324/606). The mean PedsQL total scores were lower in the left-behind children than the non-left-behind (84.1 vs. 88.4; P < 0.01), as were psychosocial summary, emotional functioning, social functioning and school performance scores, while mean physical subscale scores did not differ significantly (85.4 vs. 86.2; P = 0.31). As age, education level and economic status increased, HRQOL of the children was significantly improved.
Left-behind children report poorer HRQOL than non-left-behind children due to psychosocial dysfunction. An assessment of such problems is essential to estimate the need of rural children, for the identification of those at particular risk for lower quality of life, and for planning and implementation of appropriate health interventions.
估计中国农村中没有固定父母监护的儿童（即“留守儿童”）的比例，考察留守儿童的健康相关生活质量（HRQOL）是否低于非留守儿童。
在山东省一个县进行了分层两阶段聚类调查，共纳入 640 名 8 至 14 岁的儿童。采用儿童生活质量量表（PedsQL）评估 606 名参与者的 HRQOL。
该地区留守儿童的估计患病率为 53.5%（324/606）。留守儿童的 PedsQL 总分低于非留守儿童（84.1 分比 88.4 分；P<0.01），心理社会综合评分、情绪功能、社会功能和学业成绩评分也较低，而生理子量表评分无显著差异（85.4 分比 86.2 分；P=0.31）。随着年龄、教育水平和经济状况的提高，儿童的 HRQOL 显著改善。
留守儿童因心理社会功能障碍而报告较差的 HRQOL。评估这些问题对于估计农村儿童的需求、识别生活质量较低的特定风险人群、以及规划和实施适当的卫生干预措施至关重要。
