Akezhuoli Hailati, Guo Shi, Zhao Honghui, Xu Jiayao, Xie Qianwen, Zhou Xudong, Lu Jingjing, Li Lu
Institute of Social Medicine, School of Medicine, Zhejiang University, 866 Yuhangtang Road, Hangzhou, China.
School of Humanities and Management, Wannan Medical College, Wuhu, Anhui, China.
BMC Public Health. 2024 Dec 18;24(1):3467. doi: 10.1186/s12889-024-20985-w.
Non-suicidal self-injury (NSSI) emerged as an escalating health concern in youths worldwide, particularly in the vulnerable. In China, a burgeoning internal migration in human history has been tearing families apart, generating a surging number of left-behind children (LBC) with a lack of parental supervision. Despite the empirical acknowledgment of parental migration as a risk predictor of the NSSI among LBC, there remains a lack of understanding of the specific role of the maternal migration experience.
This study sought to determine the association of maternal migration experience and its characteristics in terms of age at initiation and length with 12-month NSSI among school-aged children.
Data were collected by a self-administrated questionnaire survey conducted among a school-based sample of students in the Anhui province, China.
A total of 2476 participants were analyzed, and the Chi-squared tests and binary logistic regression analysis were employed.
Compared with children whose father is currently migrating and the mother never migrated for work (FM-MN), children whose father never migrated but the mother previously migrated for work (FN-MP, OR = 2.21, 95% CI [1.27-3.84], p < 0.01) and children whose father is currently migrating and the mother previously migrated for work (FM-MP, OR = 1.46, 95% CI [1.00-2.13], p < 0.05) evidenced greater odds of the prevalence of 12-month NSSI. And also, a significantly higher risk for 12-month NSSI was found among FN-MP and FM-MP compared with children whose parents lived in the household and neither had ever migrated for work (FN-MN). For those children with maternal migration experience, while controlling for the paternal migration characteristics, there was no difference between before and after school age at initiation of migration in the risk of NSSI, nor were there any differences across 1-3, 4-6, and more than 6 years of maternal migration length CONCLUSIONS: Findings suggested the potential long-term effect of the experience of maternal migration on children and provided implications for the early identification and prevention of school-aged children at risk for NSSI, particularly within the maternal migrant family context.
非自杀性自伤行为（NSSI）在全球青少年中已成为一个日益严重的健康问题，尤其是在弱势群体中。在中国，人类历史上蓬勃发展的人口内部迁移导致家庭离散，产生了大量缺乏父母监管的留守儿童（LBC）。尽管实证研究承认父母迁移是留守儿童非自杀性自伤行为的一个风险预测因素，但对于母亲迁移经历的具体作用仍缺乏了解。
本研究旨在确定母亲迁移经历及其起始年龄和时长等特征与学龄儿童12个月内非自杀性自伤行为之间的关联。
数据通过在中国安徽省以学校为基础的学生样本中进行的自填问卷调查收集。
共分析了2476名参与者，并采用了卡方检验和二元逻辑回归分析。
与父亲目前正在迁移且母亲从未因工作迁移的儿童（FM-MN）相比，父亲从未迁移但母亲以前因工作迁移的儿童（FN-MP，比值比[OR]=2.21，95%置信区间[CI][1.27-3.84]，p<0.01）以及父亲目前正在迁移且母亲以前因工作迁移的儿童（FM-MP，OR=1.46，95%CI[1.00-2.13]，p<0.05）出现12个月内非自杀性自伤行为患病率的几率更高。此外，与父母居住在一起且从未因工作迁移的儿童（FN-MN）相比，发现FN-MP和FM-MP中12个月内非自杀性自伤行为的风险显著更高。对于那些有母亲迁移经历的儿童，在控制父亲迁移特征的情况下，迁移起始时上学前和上学后年龄段的非自杀性自伤行为风险没有差异，母亲迁移时长在1 - 3年、4 - 6年和超过6年之间也没有差异。结论：研究结果表明母亲迁移经历对儿童可能存在长期影响，并为早期识别和预防有非自杀性自伤行为风险的学龄儿童提供了启示，特别是在母亲移民家庭背景下。
