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

Chinese Journal of Contemporary Pediatrics ›› 2011, Vol. 13 ›› Issue (12) : 977-980.

PDF(976 KB)
PDF(976 KB)
Chinese Journal of Contemporary Pediatrics ›› 2011, Vol. 13 ›› Issue (12) : 977-980.
CLINICAL RESEARCH

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
Author information +
History +

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.

Key words

Nutrition status / Mental health / Physical health / "Left-behind" child

Cite this article

Download Citations
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

References

[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.
PDF(976 KB)

Accesses

Citation

Detail

Sections
Recommended

/