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亲子沟通对留守儿童心理健康和自杀意念的影响:一项在安徽开展的横断面研究

The impacts of parent-child communication on left-behind children's mental health and suicidal ideation: A cross sectional study in Anhui.

作者信息

Lu Jingjing, Lin Leesa, Roy Brita, Riley Carley, Wang Emily, Wang Karen, Li Lu, Wang Feng, Zhou Xudong

机构信息

The Institute of Social and Family Medicine, School of Medicine, Zhejiang University, 866 Yuhangtang Rd., Hangzhou, Zhejiang 310058, PR China.

Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom.

出版信息

Child Youth Serv Rev. 2020 Mar;110. doi: 10.1016/j.childyouth.2020.104785. Epub 2020 Jan 23.

Abstract

This study aimed to investigate the impact of previous maternal migration experiences on left-behind children's (LBC) mental health status and suicidal ideation, and the possible mediating role of parent-child communication. A cross-sectional study among rural children was conducted in Anhui, China, in 2018. LBC who self-reported that (a) their fathers were migrants and (b) they were living with their mothers at the time of the survey were included in this study. The participants were then divided into two subgroups by previous maternal migration experience. Previous maternal migration was associated with worse mental health and a higher prevalence of suicidal ideation among LBC compared with their peers. Healthy communication between children and parents fully mediates the adverse effects caused by previous maternal migration experiences on mental health among LBC, and communication with mother partially mediates the association with suicidal ideation. Communication classes for returning parents offered jointly by governments and schools could be an effective way to mitigate the impacts of maternal migration on child mental health and should be studied.

摘要

本研究旨在调查母亲以往的迁移经历对留守儿童心理健康状况和自杀意念的影响,以及亲子沟通可能起到的中介作用。2018年在中国安徽对农村儿童进行了一项横断面研究。本研究纳入了那些自我报告(a)父亲为外出务工人员且(b)在调查时与母亲生活在一起的留守儿童。然后,根据母亲以往的迁移经历将参与者分为两个亚组。与同龄人相比,母亲以往的迁移经历与留守儿童较差的心理健康状况和较高的自杀意念患病率相关。儿童与父母之间的健康沟通完全中介了母亲以往的迁移经历对留守儿童心理健康造成的不利影响,而与母亲的沟通部分中介了与自杀意念的关联。政府和学校联合为返乡父母开设沟通课程可能是减轻母亲迁移对儿童心理健康影响的有效途径,值得研究。

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