中国西部两省(市)农村0?6岁儿童忽视现状及影响因素分析

刘晨煜; 钟朝晖; 潘建平; 王应雄; 钟引; 杨新; 胡晨; 蔡林利; 徐亚

文章摘要

刘晨煜,钟朝晖,潘建平,王应雄,钟引,杨新,胡晨,蔡林利,徐亚.中国西部两省(市)农村0?6岁儿童忽视现状及影响因素分析[J].中华流行病学杂志,2012,33(2):145-149

中国西部两省(市)农村0?6岁儿童忽视现状及影响因素分析

Analysis on the current situation of neglected rural children aged 0-6 years and its impact factors in the western areas of China

收稿日期:2011-09-16 出版日期:2014-09-10

DOI：

中文关键词: 忽视儿童农村影响因素

英文关键词: Neglected Children Rural Influencing factors

基金项目:国家自然科学基金(30872127)

作者	单位	E-mail
刘晨煜	重庆医科大学公共卫生学院, 重庆 400016
钟朝晖	重庆医科大学公共卫生学院, 重庆 400016	zzhlxb@qq.com
潘建平	西安交通大学医学院公共卫生系, 西安
王应雄	重庆医科大学基础医学院
钟引	重庆医科大学公共卫生学院, 重庆 400016
杨新	重庆医科大学公共卫生学院, 重庆 400016
胡晨	重庆医科大学公共卫生学院, 重庆 400016
蔡林利	重庆医科大学公共卫生学院, 重庆 400016
徐亚	重庆医科大学临床学院

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中文摘要:

目的了解中国西部陕西省、重庆市农村0~6岁儿童受忽视的程度及影响因素。方法采用分层多级整群随机抽样方法, 对两省(市)部分地区0~6岁农村儿童受忽视状况进行调查。结果两省(市)共调查农村0~6岁儿童1488名, 儿童总忽视率和总忽视度分别为31.59%、48.32。男女童忽视率和忽视度组间差异无统计学意义(z2=0.86, t/=1.51, P>0.05)。高年龄组儿童受忽视程度显著高于低年龄组儿童(f=13.36, F=33.45, P<0.05)。三代同堂、核心家庭儿童受忽视程度显著低于单亲家庭和再婚家庭儿童(7/=10.03, F=2.83, P<0.05);留守儿童受忽视程度显著高于非留守儿童(Z2=30.30, f/=6.76, P<0.05);而陕西省儿童忽视程度低于重庆市儿童(%2=9.42, U=8.40, P<0.05)。多因素非条件logistic回归分析结果显示:是否留守(0R=1.54；95%C/：1.20~1.97)、家庭类型(Ofl=1.38;95%C/:1.16~1.65)、父亲职业(0ft=0.87;95%c/:0.78~0.97)、母亲的文化程度(0尺=1.27;95%C/:1.07~1.52)、父子间关系(Ofl=1.43;95%C/:1.07~1.91)5个因素是儿童受忽视的主要影响因素。结论陕西省和重庆市农村0~6岁儿童受忽视程度比较严重, 应重视儿童忽视问题。

英文摘要:

Objective To learn the current neglected situation and its impact factors on rural children in two provinces in Western China. Methods The investigation was conducted by using multistage stratified cluster sampling method in some parts of the Shaanxi province and the city of Chongqing. Results 1488 subjects, aged from 0 to 6, were recruited in the present study. Results showed that the total prevalence rates of neglected rural children in the two research sites were 31.59% and 48.32 respectively. No significant difference was found on the prevalence of neglected for boys and girls(x²=0.86, U=1.51, P=0.05). The degrees of negligence in the older children showed a significant increase than in the younger children(x²=13.36, F=33.45, P<0.05). The prevalence and degree of negligence in families with three generations were lower than that of a single-parent families and remarried families(H= 10.03, F=2.83, P<0.05). The one-child-families were significantly lower than multiple children families, both in terms of prevalence and degree of negligence. Our data demonstrated the degrees of negligence in children whose parents were away from home, were higher than the children whose parents stayed with them(x²=30.30, U=6.76, P<0.05). The degree of negligence in Shaanxi was lower than that in Chongqing(x²=9.42, F=8.40, P<0.05). Based on multivariate non-conditional logistic regression analysis, the determinants of stunting among the stranded children were as follows:parents were away from home(0/?=1.54, 95%C/:1.20-1.97); structure of the family(OR=1.38, 95% Cl:1.16-1.65) ; father’s occupation(OR=0.87, 95% Cl:0.78-0.97) ； schooling of the children, s mother(OR=1.27, 95%CI：1.07-1.52); relationship between children and their fathers(OR=\A3, 95%Cl:1.07-1.91) etc. Conclusion The situation of negligence in children living in the rural areas, were serious in Shaanxi and Chongqing provinces, which called for the strengthening on the publicity and education of the issue. School and the society should also pay more attention to this problem.

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