摘要
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2653名、移居地儿童3174名和原居地儿童2334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〈0.0125)。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[O.709(0.539—0.932),0.698(0.542—0.898)]、父母愉快时间较多[0.710(0.613~O.821),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。
Objective To investigate the detection rate and correlates of behavioral problems among eeo-migrant children in Hui and Hart ethnieities. 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 Achenbaeh' s Child Behavior Checklist (CBCL) and a self-developed correlates questionnaire. Results 765 eeo-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%) (X2----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% CI: 1.144-3.035, for Han) and (0R=2.979, 95% Ch 2.067-4.293, for Hui) , physical defects (OR= 1.730,95%CI: 1.087-2.751, for Han) and (0R=2.552,95%CI: 1.649-3.950, for Hui), arable as a main income way(OR=l.272,95%Ch 1.066-1.518, for Han) and (0R=1.212,95%CI: 1.033-1.422, for Hui) , parents' education level above middle school (017=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 (0R^0.826, 95%6/: 0.718-0.949, for Hui). However, major diseases in the process of growth (OR=1.794, 95%C1: 1.163-2.767), and parents with chronic illness or disability (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% CI: 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
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2014年第2期142-146,共5页
Chinese Journal of Epidemiology
基金
国家自然科学基金(81160172)
关键词
儿童行为问题
生态移民
现况调查
Children behavior problems
Eco-migrant
Cross-sectional survey