Yan Guoli, Fang Jianqun, Zhang Zhaoxia, Feng Liping, Wu Jinrong, Ma Fuli, Chen Shiqi, Zhao Ranran, Wang Yingli, Wang Zhizhong
Anding Hospital, Tianjin 300222, China; Department of Psychosomatic Medicine, Affiliated Hospital of Ningxia Medical University.
Department of Psychosomatic Medicine, Affiliated Hospital of Ningxia Medical University.
Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Feb;35(2):142-6.
To investigate the detection rate and correlates of behavioral problems among eco-migrant children in Hui and Han ethnicities.
Using multistage randomized sampling method, 2 653 eco-migrant teenagers, 3 174 indigenous and 2 334 homeland peers were selected. Their parents were asked to finish the Achenbach's Child Behavior Checklist (CBCL) and a self-developed correlates questionnaire.
765 eco-migrant children with behavioral problems were detected, with detection rate as 28.8%, higher than that of homeland group (24.2%) and native group (19.3%) (χ(2) = 73.547, P < 0.012 5). Ecological migration mainly influenced factors as bad contacts, depression, obsessive-compulsive, discipline, attack for boys aged 6-11, bad contacts for boys aged 12-16 and extraversion behavioral problems for girls aged 12-16, in Hui. These factors both associated to eco-migrant children's behavioral problems in Hui and Han:cesarean section (OR = 1.863, 95% CI:1.144-3.035, for Han) and (OR = 2.979, 95% CI:2.067-4.293, for Hui), physical defects (OR = 1.730, 95%CI:1.087-2.751, for Han) and (OR = 2.552, 95%CI:1.649-3.950, for Hui), arable as a main income way(OR = 1.272, 95%CI:1.066-1.518, for Han) and (OR = 1.212, 95%CI: 1.033-1.422, for Hui), parents' education level above middle school (OR = 0.709, 95% CI: 0.539-0.932, for Han) and (OR = 0.698, 95%CI: 0.542-0.898, for Hui), parents' frequently in good mood (OR = 0.710, 95%CI:0.613-0.821, for Han) and (OR = 0.826, 95%CI:0.718-0.949, for Hui). However, major diseases in the process of growth (OR = 1.794, 95% CI:1.163-2.767), and parents with chronic illness or disability (OR = 1.463, 95% CI:1.061-2.016) only associated with that in Han;single-parent or remarried families(OR = 1.583, 95% CI:1.078-2.325), parents often drinking (OR = 1.557, 95%CI:1.019- 2.379), the time of parents' work longer than half a year (OR = 1.494, 95% CI:1.197-1.864), parents' more content to life now(OR = 0.813, 95% CI:0.700-0.945), and children in older age (OR = 0.939, 95%CI:0.889-0.991) only related to that in Hui.
The eco-migrant children showed a low state in mental health, especially among Hui peers, and the correlated factors were different in Han and Hui, which was supposed to get great importance when taking effective intervention.
调查回族和汉族生态移民儿童行为问题的检出率及其相关因素。
采用多阶段随机抽样方法,选取2653名生态移民青少年、3174名本地青少年和2334名家乡青少年。要求他们的父母完成阿chenbach儿童行为量表(CBCL)和一份自行编制的相关因素问卷。
共检出765名有行为问题的生态移民儿童,检出率为28.8%,高于家乡组(24.2%)和本地组(19.3%)(χ(2)=73.547,P<0.0125)。生态移民主要影响6-11岁男孩的不良交往、抑郁、强迫、纪律、攻击行为,12-16岁男孩的不良交往,以及12-16岁女孩的外向行为问题等因素。这些因素与回族和汉族生态移民儿童的行为问题均相关:汉族剖宫产(OR=1.863,95%CI:1.144-3.035),回族剖宫产(OR=2.979,95%CI:2.067-4.293);汉族身体缺陷(OR=1.730,95%CI:1.087-2.751),回族身体缺陷(OR=2.552,95%CI:1.649-3.950);汉族以耕地为主要收入来源(OR=1.272,95%CI:1.066-1.518),回族以耕地为主要收入来源(OR=1.212,95%CI:1.033-1.422);汉族父母教育程度初中以上(OR=0.709,95%CI:0.539-0.932),回族父母教育程度初中以上(OR=0.698,95%CI:0.542-0.898);汉族父母经常心情好(OR=0.710,95%CI:0.613-0.821),回族父母经常心情好(OR=0.826,95%CI:0.718-0.949)。然而,成长过程中的重大疾病(OR=1.794,95%CI:1.163-2.767)和父母患有慢性病或残疾(OR=1.463,95%CI:1.061-2.016)仅与汉族儿童行为问题相关;单亲或再婚家庭(OR=1.583,95%CI:1.078-2.325)、父母经常饮酒(OR=1.557,95%CI:1.019-2.379)、父母工作时间超过半年(OR=1.494,95%CI:1.197-1.864)、父母对现在生活更满意(OR=0.813,95%CI:0.700-0.945)以及年龄较大的儿童(OR=0.939,95%CI:0.889-0.991)仅与回族儿童行为问题相关。
生态移民儿童心理健康状况较差,尤其是回族儿童,汉族和回族的相关因素存在差异,在采取有效干预措施时应予以高度重视。