湖北农村留守儿童心理健康状况及影响因素分析

目的了解农村留守儿童心理健康状况及其影响因素。方法采用分层整群抽样方法抽取湖北地区5～9年级留守儿童1 672人,以症状自评量表对留守儿童进行心理测试。结果农村留守儿童心理量表测试阳性率为27.8%(95%CI=25.62%～29.91%),留守儿童心理健康状况在性别、寄宿情况、父/母是否有固定工作、务工地点等方面存在差异(P<0.05);二项Logistic回归模型显示,留守儿童父亲受教育程度较高(OR=0.669,95%CI=0.461～0.972)、有固定工作(OR=0.5529,5%CI=0.317～0.962)为保护因素;寄宿(OR=1.710,95%CI=1.054～2.772)为危险因素。结论男生和住宿学生更易发生心理问题,父亲受较高教育,父母有固定工作,打工地点离家近等有利于降低留守儿童心理问题发生率。

Psycholoical health status and its influencing factors among rural left-behind children in Hubei province

Objective To examine the status of mental health and its influence factors among rural left-behind children in Hubei province.Methods Stratified multistage cluster randomization was adopted to choose 1 672 left-behind students of 5 to 9 grades from primary and middle schools in the rural of Hubei province.The Symptom Checklist-90(SCL-90) was used to determine psychological health status of the students.Results The prevalence of positive symptoms of SCL-90 among the students was 27.8%(95% confidence interval:25.62%,29.91%).There were significant differences in the prevalence between the students of different gender,working status and place of their parents.Multiple logistic regression model indicated that the students with their fathers having high education(odds ratio=0.669,95%CI:0.461,0.972) and regular job(OR=0.552,95%CI:0.317,0.962) had a lower prevalence and the lodging students had a higher prevalence(OR=1.710,95%CI:1.054,2.772).Conclusion The schoolboys and lodging students are prone to have psychological health problem than the others.The education level of farther and working status of the parents are correlated with mental health status of primary and middle school students in rural area.