| 颜国利,方建群,张朝霞,冯丽平,吴锦荣,马馥荔,陈诗祺,赵冉然,王颖丽,王志忠.宁夏生态移民地区儿童行为问题现况调查[J].Chinese journal of Epidemiology,2014,35(2):142-146 |
| 宁夏生态移民地区儿童行为问题现况调查 |
| A cross-sectional survey on behavior problems among eco-migrant children of Hui and Han in Ningxia, China |
| Received:June 04, 2013 |
| DOI：10.3760/cma.j.issn.0254-6450.2014.02.009 |
| KeyWord: 儿童行为问题 生态移民 现况调查 |
| English Key Word: Children behavior problems Eco-migrant Cross-sectional survey |
| FundProject:国家自然科学基金(81160172) |
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| Abstract: |
| 目的 调查生态移民地区儿童行为问题现况及其相关因素。方法 采用多阶段抽样方法抽取宁夏生态移民地区儿童2 653名、移居地儿童3 174名和原居地儿童2 334名。由家长完成Achenbach行为问题量表和自编生态移民儿童行为问题相关因素问卷。结果 生态移民儿童行为问题检出率为28．8％（765人），原居地儿童为24．2％（564人），移居地儿童为19．3％（611人），差异有统计学意义（X2=73．547，P<0．012 5）。生态迁移影响回族儿童行为包括6—11岁男童交往不良、抑郁、强迫、违纪、攻击性因子，12～16岁男童交往不良因子，女童不成熟性多动、违纪、攻击性行为和残忍因子。生态迁移对汉、回两族儿童行为问题共同的影响因素及其OR值（95％CI）分别为剖宫产出生[1．863（1．144~3．035），2．979（2．067～4．293）]、儿童生理缺陷[1．730（1．087~2．751），2．552（1．649~3．950）]、家庭收入以耕种土地为主[1．272（1．066～1．518），1．212（1．033～1．422）]、父母文化程度初中以上[0．709（0．539~0．932），0．698（0．542—0．898）]、父母愉快时间较多[0．710（o．613～0．82I），0．826（0．718～0．949）]；而生长过程中有重大疾病[1．794（1．163~2．767）]、父母患有慢性疾病或残疾[1．463（1．061—2．016）]仅影响汉族儿童；单亲家庭或重组家庭[1．583（1．078~2．325）]、父母经常饮酒[1．557（1．019~2．379）]、父母外出工作半年以上[1．494（1．197～1．864）]、父母对移居后生活满意度较高[0．813（0．700~0．945）]、儿童年龄较大[0．939（0．889～0．991）]仅影响回族儿童。结论 生态移民地区儿童心理健康状况较差，回族儿童心理健康受生态迁移影响较大，回、汉两族儿童行为问题的影响因素存在较大差异。 |
| English Abstract: |
| Objective To investigate the detection rate and correlates of behavioral problems among eco-migrant children in Hui and Han ethnicities. Methods Using multistage randomized sampling method, 2 653 eco-migrant teenagers, 3 174 indigenous and 2 334 homeland peers were selected. Their parents were asked to finish the Achenbach's Child Behavior Checklist(CBCL) and a self-developed correlates questionnaire. Results 765 eco-migrant children with behavioral problems were detected, with detection rate as 28.8%，higher than that of homeland group (24.2%)and native group(19.3%)(x z=73.547，P<0.012 5). Ecological migration mainly influenced factors as bad contacts, depression, obsessive-compulsive, discipline, attack for boys aged 6-11，bad contacts for boys aged 12-16 and extraversion behavioral problems for girls aged 12-16, in Hui. These factors both associated to eco-migrant children's behavioral problems in Hui and Han: cesarean section ( OR=1.863，95% Cl: 1.I44-3.035，for Han) and (OR=2.979, 95%CI: 2.067-4.293，for Hui )，physical defects ( OR=1.730 , 95%CI: 1.087-2.751，for Han) and (OR=2.552, 95%CI: 1.649-3.950, for Hui)， arable as a main income way ( OR=1.272 , 95% CI: 1.066-1.518 , for Han ) and ( OR=1.212, 95%CI: 1.033-1.422, for Hui)，parents' education level above middle school (OR=0.709, 95% CI: 0.539-0.932, for Han) and (OR=0.698, 95%CI: 0.542-0.898, for Hui)，parents' frequently in good mood (OR=0.710, 95%CI: 0.613-0.821，for Han) and (OR=0.826, 95%CI: 0.718-0.949, for Hui). However, major diseases in the process of growth (OR=1.794, 95%CI: 1.163-2.767)，and parents with chronic illness or disahility(OR=1.463, 95%CI: 1.061-2.016) only associated with that in Han; single-parent or remarried families ( OR=1.583，95% CI: 1.078-2.325)，parents often drinking ( OR=1.557 , 95% Cl: 1.019- 2.379 )，the time of parents' work longer than half a year ( OR=1.494, 95% CI: 1.197-1.864 )，parents' more content to life now ( OR=0.813，95% CI;0.700-0.945)，and children in older age ( OR=0.939, 95%C1: 0.889-0.991)only related to that in Hui. Conclusion The eco-migrant children showed a low state in mental health, especially among Hui peers, and the correlated factors were different in Han and Hui, which was supposed to get great importance when
taking effective intervention. |
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