Xu Fengjiao, Xing Haiyan, Yu Wei, Chen Sanmei, Li Hui
Department of Nursing, School of Medicine, Shaoxing University, No.900 Chengnan Avenue Shaoxing, Zhejiang Province, 312000, China.
Institute of Epidemiology, Shaoxing Keqiao District Center for Disease Control and Prevention, Shaoxing city, Zhejiang province, China.
Health Qual Life Outcomes. 2017 Aug 30;15(1):100. doi: 10.1186/s12955-017-0679-8.
Due to increasing export of labor service, many children following their parents leave from rural areas to urban areas in China. These migrant children might have psychological stress and lower quality of life. However, even up to this day, little is known about the health-related quality of life (HRQoL) of the migrant children. This study aims at investigating their living conditions and exploring the influencing factors of migrant children's HRQoL.
A cross-sectional survey of 856 migrant children, aged between 7 and 17, was conducted in Shaoxing. The 4 PedsQL 4.0 Generic Core Scales (Physical, Emotional, Social, School) were administered to reveal migrant children's quality of life, while demographic data questionnaire, Egna Minnen av. Barndoms Uppfostran and Social Support Rating Scale were used to reflect the influencing factors.
For 824 effective questionnaires(all items were completed without any inconsistency in a questionnaire and all the information in the questionnaire is believable), the average age of these children was 12.80 ± 1.91.The average years that they stayed in Shaoxing were 6.41 years. The average score of HRQoL was 81.13 ± 10.77, Physical Functioning was 84.83 ± 12.49, Emotional Functioning was 71.32 ± 18.34, Social Functioning was 86.28 ± 14.12, and School Functioning was79.28 ± 13.16. There was no obvious difference (F = 0.138, P = 0.711) between boys and girls as for PedsQL. The score of PedsQL did not show significant association with migrant children's gender and their school records, while school grade, the relationships with classmates, parental rearing style and social support showed significant correlations. Linear regression analysis showed that mother's rejection, subjective support, father's rejection, relationships with classmates, mother's overprotection and level of using social support were influencing factors on PedsQL of migrant children.
Migrant children scored lower on health-related quality of life, which was associated with parental rejection, mother's overprotection, less subjective support, badly getting along with classmates and that they cannot use social support well.
由于劳务输出增加，在中国，许多随父母迁移的儿童从农村地区来到城市。这些流动儿童可能存在心理压力且生活质量较低。然而，直至今日，人们对流动儿童的健康相关生活质量（HRQoL）知之甚少。本研究旨在调查他们的生活状况，并探索影响流动儿童HRQoL的因素。
在绍兴对856名年龄在7至17岁之间的流动儿童进行了横断面调查。采用4个儿童生活质量量表4.0通用核心量表（身体、情感、社会、学校）来揭示流动儿童的生活质量，同时使用人口统计学数据问卷、父母养育方式问卷和社会支持评定量表来反映影响因素。
对于824份有效问卷（问卷中所有项目均完整填写且无任何不一致，问卷中的所有信息可信），这些儿童的平均年龄为12.80±1.91岁。他们在绍兴的平均居住年限为6.41年。HRQoL的平均得分为81.13±10.77，身体功能为84.83±12.49，情感功能为71.32±18.34，社会功能为86.28±14.12，学校功能为79.28±13.16。就儿童生活质量量表而言，男孩和女孩之间没有明显差异（F=0.138，P=0.711）。儿童生活质量量表的得分与流动儿童的性别及其学业成绩没有显著关联，而年级、与同学的关系、父母养育方式和社会支持显示出显著相关性。线性回归分析表明，母亲的拒绝、主观支持、父亲的拒绝、与同学的关系、母亲的过度保护以及社会支持的利用水平是流动儿童儿童生活质量量表得分的影响因素。
流动儿童在健康相关生活质量方面得分较低，这与父母的拒绝、母亲的过度保护、较少的主观支持、与同学相处不佳以及不能很好地利用社会支持有关。
