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农村-城市迁移与中国流动儿童的心理健康:系统评价和荟萃分析。

Rural-urban migration and mental health of Chinese migrant children: Systematic review and meta-analysis.

机构信息

School of Education, Jiangsu Provincial Key Constructive Laboratory for Big Data of Psychology and Cognitive Science, Yancheng Teachers University, 224002, Yancheng, China.

School of Education, Soochow University, Suzhou, 215123, China.

出版信息

J Affect Disord. 2019 Oct 1;257:684-690. doi: 10.1016/j.jad.2019.07.069. Epub 2019 Jul 30.

DOI:10.1016/j.jad.2019.07.069
PMID:31377605
Abstract

BACKGROUND

Mental health has become a new focus of public health related to migrants in recent years. There are many contradictions in previous studies on the mental health status of migrant children in China.

METHODS

PubMed, OVID, ERIC, Web of Knowledge, CNKI, Wan Fang and Chongqing VIP were searched on August 16, 2018. The data were analyzed using SMD and random effect model in Comprehensive Meta-Analysis software.

RESULTS

We included 11 studies involving 4621 migrant children and 5076 urban children. The mental health of migrant children was worse than that of urban children, as evidenced by total score of Mental Health Test (Standardized Mean Difference, SMD = 0.36, 95% CI 0.21 to 0.59) and seven out eight sub-scales of Mental Health Test (SMD, ranging from 0.24 to 0.37). The results were robust to sensitivity analysis.

CONCLUSION

Our study supports the notion that compared with urban counterparts, migrant children had more mental health problems with less public services. Future research should focus on how to improve mental health of migrant children.

摘要

背景

近年来,心理健康已成为与移民相关的公共卫生的新焦点。以往关于中国移民儿童心理健康状况的研究存在诸多矛盾。

方法

检索 2018 年 8 月 16 日PubMed、OVID、ERIC、Web of Knowledge、CNKI、万方和重庆 VIP 数据库,采用综合 Meta 分析软件对数据进行 SMD 和随机效应模型分析。

结果

纳入 11 项研究,共涉及 4621 名移民儿童和 5076 名城市儿童。移民儿童的心理健康状况比城市儿童差,表现在心理健康测试总分(标准化均数差,SMD=0.36,95%置信区间 0.21 至 0.59)和心理健康测试的七个子量表中的八个(SMD 范围为 0.24 至 0.37)。敏感性分析结果稳健。

结论

本研究支持以下观点,与城市同龄人相比,移民儿童的心理健康问题更多,但获得的公共服务较少。未来的研究应重点关注如何改善移民儿童的心理健康。

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