农村地区学龄儿童行为问题及相关因素剖析.docVIP

农村地区学龄儿童行为问题及相关因素剖析 　　【摘要】 目的 了解农村地区学龄儿童行为问题现况及其影响因素，为儿童行为的早期干预提供依据。方法 采用整群随机抽样的方法，以Conners行为量表父母问卷对809名农村学龄期儿童进行调查。结果 被调查儿童行为异常检出率为16.6％，男生品行问题、学习问题、冲动-多动和多动指数等4项因子的平均得分均高于女生。不同年级学生在学习问题、冲动-多动和多动指数因子平均得分上差异有统计学意义，低年级组得分较低。“留守儿童”心身障碍和焦虑因子平均得分高于非“留守儿童”。多因素Logistic回归分析显示，家庭抚养儿童数少、儿童健康状况差、监护人经常在别人面前负面评价孩子和经常责骂/羞辱孩子等是农村学龄儿童行为问题的独立危险因素。结论 农村学龄儿童特别是“留守儿童”存在某些行为问题。应针对其不同特征采取适当的心理和社会干预措施，以提高农村学龄儿童身心健康水平。 　　【关键词】 行为，成瘾；精神卫生；因素分析，统计学；儿童；农村人口 　　【中图分类号】 R 179 R 395.6 R 749.92 【文献标识码】 A 【文章编号】 1000－9817(2007)05－0427－02 　　Behavior Problems and the Influencing Factors Among Rural School?aged Children/ TAO Xing?yong, LI Ying?chun, RUAN Liang, et al. School of Public Health, Anhui Medical University, Hefei(230032), China 　　【Abstract】 Objective To study the situation and the influencing factor of behavior problems among school?aged children in rural area, and to provide evidence for the early intervention. Methods A cluster sample of 809 rural school?aged children were investigated by Conners Parent Symptom Questionnaire(PSQ). Results The total incidence rate of behavior problem was 16.6%. Mean scores were significantly higher in male than those in female for the factors of conduct disorder, learning disorder, impulsive?hyperactive disorder and hyperactive index. Significant differences were also found in mean scores of learning disorder, impulsive?hyperactive disorder and hyperactive index among children of different grades. The mean scores of left?behind children were significantly higher than those of non?left?behind children both in psychosomatic disorder and anxiety. Multivariate logistic regression analysis indicated that fewer fostered children in family, poor health of children, negative appraisal for children and scolding/humiliating children by parents/guardians frequently were the independent risk factors for behavior problems. Conclusion Some behavior problems exist among rural school?aged children especially for left?behind children. It is important to take relevan