Department of Health Management and Policy, School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China.
Hangzhou International Urbanology Research Center and Center for Urban Governance Studies, Hangzhou, Zhejiang, China.
Front Public Health. 2024 Aug 14;12:1439568. doi: 10.3389/fpubh.2024.1439568. eCollection 2024.
Parent-child separation raises concerns for the well-being of 69 million left-behind children (LBC) in China. However, the effects of parental migration status, timing of migration, and migration duration on the health of children remain unclear. This study aims to explore the association between different parent-child separation experience and a range of health outcomes in rural Chinese children.
A sample of 2,355 students, grades 5 to 8, from two provinces in China were recruited. Standardized self-report instruments collected data on demographics, separation status, and children's health conditions.
Full data were available for 274 children with both parents currently migrating (BLBC), 638 children with one parent currently migrating (SLBC), 658 children with parents previously migrated (PLBC) and 785 children with non-migrating parents (NLBC). Regression model results showed that, compared to the NLBC group, BLBC and PLBC exhibited lower self-rated health ( < 0.05), higher depression ( < 0.05), and higher rates of non-suicidal self-injury behaviors ( < 0.05) and suicidal ideation ( < 0.05). Children who experienced parental separation before the age of three were at a higher risk for four health indicators. Additionally, children left behind by parents for more than 7 years had significantly worse health outcomes.
Children who have experienced both current and previous parental migration, as well as earlier parental migration age and longer migration duration, are at a disadvantage in terms of health. These findings highlight the need for targeted interventions focusing on the most vulnerable children.
在中国,有 6900 万留守儿童,父母与子女的分离引起了人们对其福祉的关注。然而,父母迁移状况、迁移时间和迁移持续时间对儿童健康的影响尚不清楚。本研究旨在探讨不同的亲子分离经历与一系列农村中国儿童健康结果之间的关系。
从中国的两个省份招募了一个由 2355 名 5 至 8 年级学生组成的样本。使用标准化的自我报告工具收集了人口统计学数据、分离状况和儿童健康状况的数据。
共有 274 名父母均外出务工的儿童(BLBC)、638 名父母一方外出务工的儿童(SLBC)、658 名父母曾外出务工的儿童(PLBC)和 785 名父母未外出务工的儿童(NLBC)提供了完整数据。回归模型结果显示,与 NLBC 组相比,BLBC 和 PLBC 的自评健康状况较差( < 0.05),抑郁程度较高( < 0.05),非自杀性自伤行为和自杀意念的发生率较高( < 0.05)。在三岁之前经历过父母分离的儿童在四个健康指标上的风险更高。此外,被父母留守超过 7 年的儿童健康状况明显更差。
经历过当前和以前父母迁移、以及更早的父母迁移年龄和更长的迁移持续时间的儿童在健康方面处于不利地位。这些发现强调了需要针对最脆弱的儿童进行有针对性的干预措施。