CAJ | 학술논문

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(0.613 ～ 0.821),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.
목적 조사생태이민지구인동행위문제현황급기상관인소.방법 채용다계단추양방법추취저하생태이민지구인동2 653명、이거지인동3 174명화원거지인동2 334명.유가장완성Achenbach행위문제량표화자편생태이민인동행위문제상관인소문권.결과 생태이민인동행위문제검출솔위28.8％(765인),원거지인동위24.2％(564인),이거지인동위19.3％(611인),차이유통계학의의(x2=73.547,P＜0.012 5).생태천이영향회족인동행위포괄6～11세남동교왕불량、억욱、강박、위기、공격성인자,12～ 16세남동교왕불량인자,녀동불성숙성다동、위기、공격성행위화잔인인자.생태천이대한、회량족인동행위문제공동적영향인소급기OR치(95％CI)분별위부궁산출생[1.863 (1.144～3.035),2.979 (2.067 ～ 4.293)]、인동생리결함[1.730(1.087 ～2.751),2.552(1.649 ～ 3.950)]、가정수입이경충토지위주[1.272 (1.066～ 1.518),1.212(1.033～1.422)]、부모문화정도초중이상[0.709(0.539～0.932),0.698(0.542 ～0.898)]、부모유쾌시간교다[0.710(0.613 ～ 0.821),0.826(0.718 ～0.949)];이생장과정중유중대질병[1.794(1.163 ～2.767)]、부모환유만성질병혹잔질[1.463(1.061～2.016)]부영향한족인동;단친가정혹중조가정[1.583(1.078 ～2.325)]、부모경상음주[1.557(1.019～2.379)]、부모외출공작반년이상[1.494(1.197 ～1.864)]、부모대이거후생활만의도교고[0.813(0.700～0.945)]、인동년령교대[0.939(0.889 ～0.991)]부영향회족인동.결론 생태이민지구인동심리건강상황교차,회족인동심리건강수생태천이영향교대,회、한량족인동행위문제적영향인소존재교대차이.
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％)(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 (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 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 life now (OR=0.813,95％ CI:0.700-0.945),and children in older age (OR=0.939,95％CI: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.