重庆市农村0～6岁儿童忽视现状及影响因素

目的 了解重庆市农村0～6岁儿童忽视状况及影响因素.方法 采用“中国农村儿童忽视评价常模”中制定的量表和评价方法及分层多级整群抽样方法,于2010年12月在重庆市3个区抽取822名0～6岁农村儿童作为调查对象,用忽视率和忽视度描述其受忽视状况,采用logistic多因素回归分析方法分析影响忽视的相关因素.结果 调查对象忽视率和忽视度分别为35.64％(293/822)、49.69±6.45.男童忽视度(50.23±6.40)高于女童(49.09±6.47)(P＜0.05);留守儿童忽视率40.48％(202/499)]与忽视度(50.64±6.29)均高于非留守儿童28.17％(91/323),48.23±6.44](P ＜0.05).多因素非条件logistic回归分析结果显示,留守儿童(OR=1.61,95％ CI:1.17 ～2.21)、单亲和再婚家庭(OR=1.39,95％CI:1.10～1.76)、在家务农和外出务工的母亲职业(OR=0.81,95％CI:0.73 ～0.90)、冷淡疏远的母子关系(OR=1.42,95％ CI:1.02～ 1.97)等情况的儿童更容易受到忽视.结论 重庆市农村0～6岁儿童受忽视程度比较严重,影响儿童受忽视的主要因素为留守儿童、单亲和再婚家庭、在家务农和外出务工的母亲职业、冷淡疏远的母子关系.

The current situation of children neglect and its influencing factors for rural children aged 0 - 6 years in Chongqing

Objective To learn the current situation of children neglect and its influencing factors among children aged from 0 -6 years in rural Chongqing.Methods Scales and evaluation methods in the "Chinese rural child neglected evaluation model" were used in this study.The investigation was conducted by using multistage stratified cluster sampling method in December 2010,and 822 rural children aged 0 to 6years of three districts in Chongqing were randomly select for the survey,with neglect rate and the neglect degree to describe their neglect status,using logistic regression analysis to analyze factors affecting children neglect.Results The total neglect rate and the neglect degree in the rural children were 35.64％(293/822) and 49.69 ± 6.45,respectively.The neglect degree in boys was higher than that of girls ( boys:50.23 ± 6.40 vs girls: 49.09 ± 6.47,P ＜ 0.05 ).Further,Our data demonstrated both the neglect rate and the neglect degrees in children whose parents away from home were higher than that of the children whose parents stayed with them (neglect rate:40.48 ％ (202/499) vs 28.17 ％ (91/323 ),P ＜ 0.05 ; neglect degree:50.64 ± 6.29 vs 48.23 ± 6.44,P ＜ 0.05 ).Based on multivariate unconditional logistic regression analysis,the determinants of children neglect were: parents were away from home( OR =1.61,95％ CI: 1.17 - 2.21 ),single mother and remarried family ( OR =1.39,95％ CI: 1.10 - 1.76 ),maternal occupation ( OR =0.81,95％ CI:0.73 -0.90),estrangement relationship between children and their mothers ( OR =1.42,95％ CI:1.02 - 1.97).Conclusion The neglect situation of rural children is serious in Chongqing,and the main factors are parents away from home,single mother and remarried family,maternal occupation,and estrangement relationship between children and their mothers.