Yao Ying-Shui, Kang Yao-Wen, Jin Yue-Long, Chen Yan, Gong Wei-Zhi, Zheng Li, An Zhou, Tao Fang-Biao, Hao Jia-Hu
Department of Preventive Medicine, Wannan Medical College, Wuhu 241002, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2012 Jul;33(7):681-4.
To explore the physical and mental health status on the 'left behind' students in Anhui province and the related influential factors.
Stratified cluster sampling method was used to investigate the 682 out of 3421 students from 7 middle schools in both south and north Anhui province, using multidimensional sub-health questionnaire of adolescents (MSQA) and mental health test (MHT), for assessment of the general condition, physical and mental health status.
14.22% of the 'left behind' students were in sub-health condition compared to 11.28% among the normal students, and the mental sub-health status represented 13.64% for the former and 10.84% for the latter. In addition, the 'left behind' students appeared less content with their life than those of staying with their parents (P < 0.05). MHT scores in the subjects were positively correlated with the scores on MSQA and showed significant difference (P < 0.01).
from the multiple linear regression analysis showed that the mental health condition among the left behind students was in linear regression relationship with the decreased physical activity (β = 1.456, P = 0.001), emotional problems (β = 1.096, P = 0.000) and problems of social adaptation (β = 1.011, P = 0.006). The status of physical sub-health in the Anhui province showed that there was no significant difference in each of the study group (P > 0.05).
Decreased physical activity and emotion aporia as well as difficult social adaptation were major factors leading to degenerated mental health levels in the 'left-behind' adolescents. The findings suggested that the mental health status could be improved in this population through better management on their body-health condition.
探讨安徽省“留守儿童”的身心健康状况及相关影响因素。
采用分层整群抽样方法，对皖南和皖北7所中学3421名学生中的682名进行调查，使用青少年多维亚健康问卷（MSQA）和心理健康测试（MHT），评估总体状况、身心健康状况。
“留守儿童”亚健康状况发生率为14.22%，正常学生为11.28%；心理亚健康状况发生率前者为13.64%，后者为10.84%。此外，“留守儿童”对生活的满意度低于与父母生活在一起的学生（P<0.05）。受试者的MHT得分与MSQA得分呈正相关，且差异有统计学意义（P<0.01）。
多元线性回归分析显示，留守儿童的心理健康状况与身体活动减少（β=1.456，P=0.001）、情绪问题（β=1.096，P=0.000）和社会适应问题（β=1.011，P=0.006）呈线性回归关系。安徽省身体亚健康状况显示，各研究组之间无显著差异（P>0.05）。
身体活动减少、情绪障碍以及社会适应困难是导致“留守儿童”心理健康水平下降的主要因素。研究结果表明，通过改善他们的身体健康状况，可以提高这一人群的心理健康水平。
