湖北仙桃农村留守儿童健康状况的初步研究

王艳军; 何秉燕; 方丽辉; 李慧娟

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中国当代儿科杂志 ›› 2011, Vol. 13 ›› Issue (12) : 977-980.

论著·临床研究

湖北仙桃农村留守儿童健康状况的初步研究

王艳军，何秉燕，方丽辉，李慧娟

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Preliminary study on the health status among the "left-behind" children in the Xiantao rural area of Hubei Province

WANG Yan-Jun, HE Bing-Yan, FANG Li-Hui, LI Hui-Juan

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摘要

目的：研究湖北仙桃农村留守儿童营养状况、心理健康和身体健康状况。方法：对湖北仙桃农村6所小学4～6年级学生1000人进行问卷调查，包括一般情况问卷、家庭经济状况问卷、儿童抑郁问卷；并对其进行体格检查。与父母生活在一起，父母无外出打工经历的儿童作为对照组。结果：收回有效问卷875份，其中留守儿童590名，对照儿童285名。留守儿童平均体重35.5±7.1 kg,显著低于对照儿童的36.3±8.8 kg (P＜0.05)；留守儿童体重/年龄z评分（-0.9811±0.54）也显著低于对照儿童（-0.7012±0.34）（P＜0.05）。但留守儿童身高、皮脂厚度、体重指数（BMI）以及基本营养状态与对照儿童相比差异无统计学意义。留守儿童抑郁平均得分显著高于对照儿童（11.4± 7.2 vs 8.0± 5.8，P＜0.01)，抑郁发生率亦显著高于对照儿童(15.3% vs 6.0%，P＜0.01)。留守儿童扁桃体肿大发生率明显高于对照儿童(32.0% vs 23.2%, P＜0.01)；呼吸道感染发生率（14.6%）显著高于对照儿童(14.6% vs 9.5%, P＜0.05)；消化道感染发生率亦显著高于对照儿童(7.6% vs 3.9%, P＜0.05)。结论：留守儿童营养状况基本正常，但心理健康状况欠佳，且容易患呼吸道感染等常见病。

Abstract

OBJECTIVE: To study the health status of the primary school children who remain in their home villages (the "left-behind" children) in a rural area of Hubei Province, Central China, whilst their parents are migrant workers in the cities of China. METHODS: A total of 1000 pupils in the 4th to 6th grade from six rural primary schools in Xiantao City, Hubei Province were enrolled. All subjects were surveyed with questionnaires and received physical examinations. Pupils whose parents had no history of migrant work and who lived with both parents were defined as the control groups. RESULTS: Among the 875 valid questionnaires, there were 590 "left-behind" children and 285 controls. The mean body weight was significantly lower among the "left-behind" children (35.5±7.1 kg) than the controls (36.3±8.8 kg) (P＜0.05). The weight/age z score of "left-behind" children (-0.9811±0.54) was also significantly lower than that of the controls (-0.7012±0.34) (P＜0.05). However, the other physical indicators including body height, height/age z score, thickness of sebum, and body mass index and the common nutrition status showed no significant differences between the two groups. The "left-behind" children scored significantly higher in the Children′s Depression Inventory than the controls (11.4± 7.2 vs 8.0± 5.8, P＜0.01), and the incidence of depression was also significantly higher in "left-behind" children than in controls (15.3% vs 6.0%, P＜0.01). Compared with the controls, the "left-behind" children had significantly higher incidences of antiadoncus (32.0% vs 23.2%; P＜0.01), respiratory tract infections (14.6% vs 9.5%; P＜0.05), and gastrointestinal infections (7.6% vs 3.9%; P＜0.05). CONCLUSIONS: Although the "left-behind" children have normal nutrition status, they tend to have poor mental health and are more susceptible to infections.

导出引用

王艳军，何秉燕，方丽辉，李慧娟. 湖北仙桃农村留守儿童健康状况的初步研究[J]. 中国当代儿科杂志. 2011, 13(12): 977-980

WANG Yan-Jun, HE Bing-Yan, FANG Li-Hui, LI Hui-Juan. Preliminary study on the health status among the "left-behind" children in the Xiantao rural area of Hubei Province[J]. Chinese Journal of Contemporary Pediatrics. 2011, 13(12): 977-980

中图分类号： R179

参考文献

［1］Pan P. Poisoned back to poverty: as China embraces capitalism, hazards to worker rise［N/OL］. Washington Post, 4 Aug: A01, 2002. http://www. washingtonpost. com.

［2］Lague D. The human tide sweeps into cities［N/OL］. Far East Economic Review, 9 Jan 2003. http://en.wikipedia.org/wiki/Far_Eastern_Economic_Review.

［3］Jingzhong Y, Lu P. Differentiated childhoods:impacts of rural labor migration on left-behind children in China［J］. J Peasant Stud, 2011, 38 (2):355-377.

［4］段成荣,周福林.我国留守儿童现状研究［J］.人口研究，2005, 29 (1): 29-36.

［5］Kovas M. Rating scales to assess depression in school-aged children［J］. Acta Paedopsychiatr, 1981, 46(5-6): 305-315.

［6］Giannakopoulos G, Kazantzi M, Dimitrakaki C, Tsiantis J, Kolaitis G, Tountas Y. Screening for children′s depression symptoms in Greece: the use of the Children′s Depression Inventory in a nation-wide school-based sample［J］. Eur Child Adolesc Psychiatry, 2009, 18 (3): 485-492.

［7］俞大维，李旭.儿童抑郁量表（CDI）在中国儿童中的初步运用［J］.中国心理卫生杂志，2000，14（4）：225-227.

［8］De Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents［J］. Bull World Health Organ, 2007, 85(9): 660-667.

［9］戚仁泽.检体诊断［M］.// 戚仁泽.诊断学.第3版.北京：人民卫生出版社，1995:73-74.

［10］穆敏，王素芳，万艳梅，马兴好，余婷，王燕，等.安徽某地区农村留守儿童营养健康状况分析［J］.安徽医科大学学报，2010，45（6）：829-830.

［11］Ma S. China′s “left-behind” children often suffer health consequences［J］. CMAJ, 2010, 182 (16): E731-E732

［12］Fan F, Su L, Gill MG, Birmaher B. Emotional and behavioral problems of Chinese left-behind children: preliminary study［J］. Soc Psychiatry Psychiatr Epidemiol, 2010, 45 (6): 655-664.

［13］Tan C, Luo J, Zong R, Fu C, Zhang L, Mou J, et al. Nutrition knowledge, attitudes, behaviors and the influencing factors among non-parent caregivers of rural left-behind children under 7 years old in China［J］. Public Health Nutr, 2010, 13 (10): 1663-1668.

［14］严琴琴，焦文燕，蔺婧，焦富勇.儿童期躯体情感虐待经历对大学生心理健康的影响［J］.中国当代儿科杂志，2009，11（8）：675-678.

［15］Jia Z, Shi L, Cao Y, Delancey J, Tian W. Health-related quality of life of “left-behind children”:a cross-sectional survey in rural China［J］. Qual Life Res, 2010, 19 (6): 775-780.

［16］吴革菲，刘智胜，胡家胜，何彩英，吴舒华，毛冰，等.癫癎患儿抑郁情绪及影响因素［J］.实用儿科临床杂志，2011，26（12）：933-936.

［17］高文斌，王婷，刘正奎，王香玲.农村留守儿童抑郁的特点及影响因素［J］.中国行为医学杂志，2007，16（3）：238-241.

［18］Liu Z, Li X, Gao X. Left too early:The effects of age at separation from parents on Chinese rural children′s symptoms of anxiety and depression［J］. Am J Public Health, 2009, 99 (11): 20492054.

［19］Nelis SM, Rae G. Brief report: peer attachment in adolescents［J］. J Adolesc, 2009, 32(2): 443-447.

［20］Gao Y, Li L, Kim J, Conqdon N, Lau J, Griffiths S. The impact of parental migration on health status and health behaviors among left behind adolescent school children in China［J］. EMC Public Health, 2010, 10(1): 56.

［21］刘宇，方刚，邱小杉，李富春，沈丽琴.四川省射洪县留守儿童现况及免疫状况分析［J］.预防医学情报杂志，2009，25（12）：926-929.