Ge Lin-Feng, Wu Rui-Yao, Zhong Bao-Liang
Department of Psychiatry, Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.
Department of Psychiatry, Wuhan Mental Health Center, Wuhan, Hubei, China.
Depress Anxiety. 2024 Sep 25;2024:3094214. doi: 10.1155/2024/3094214. eCollection 2024.
Loneliness has long been a significant psychosocial problem for migrant children in urban China. In recent years, social changes and enhancements in social welfare equity have lessened the disadvantages faced by these migrant children. The current study investigated the time-trend of loneliness levels among migrant children from 2006 to 2019. A literature search was performed within major Chinese- and English-language databases, and studies that reported the means and standard deviations of Children's Loneliness Scale (CLS) scores among Chinese migrant children were included in this cross-temporal meta-analysis. Weighted linear regression was conducted to examine the trend of mean CLS scores over the survey year, and Cohen's value was calculated to assess the magnitude of change. In total, 40 cross-sectional studies conducted between 2006 and 2019 (published by 2022), consisting of 47 cohorts of migrant children and a total sample size of 17,090, were included. Overall, there was a significant downward trend between the survey year and mean CLS score (unstandardized coefficient [] = -0.342, < 0.001), and Cohen's value of this decline from 2006 to 2019 was 0.411. Similar declining time-trends were also observed among subgroups when broken down by sex, school type, and geographic regions ( = -0.182 to -0.589, < 0.001, = 0.222-0.719). The loneliness levels of migrant children in urban China decreased from 2006 to 2019. Nevertheless, sustained measures and inclusive policies are still needed to mitigate the loneliness levels of Chinese migrant children.
长期以来，孤独一直是中国城市流动儿童面临的一个重大社会心理问题。近年来，社会变革和社会福利公平性的提高减轻了这些流动儿童所面临的不利因素。本研究调查了2006年至2019年流动儿童孤独感水平的时间趋势。在主要的中英文数据库中进行了文献检索，本跨期荟萃分析纳入了报告中国流动儿童儿童孤独量表（CLS）得分均值和标准差的研究。进行加权线性回归以检验调查年份中CLS得分均值的趋势，并计算科恩d值以评估变化幅度。总共纳入了2006年至2019年期间进行的40项横断面研究（截至2022年发表），包括47个流动儿童队列，总样本量为17090。总体而言，调查年份与CLS得分均值之间存在显著下降趋势（非标准化系数[]=-0.342，<0.001），2006年至2019年这种下降的科恩d值为0.411。按性别、学校类型和地理区域细分时，在亚组中也观察到了类似的下降时间趋势（=-0.182至-0.589，<0.001，=0.222-0.719）。2006年至2019年，中国城市流动儿童的孤独感水平有所下降。然而，仍需要持续采取措施和制定包容性政策来降低中国流动儿童的孤独感水平。
