Neglect and associated factors among children aged 3-6 years in families with non-only children in Beijing-Tianjin-Hebei Region
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摘要:
目的 分析京津冀地区非独生子女家庭3~6岁儿童忽视状况及其影响因素,为非独生子女家庭学龄前儿童的健康成长提供帮助。 方法 于2022年4—6月,采用随机整群抽样方法在京津冀的城市地区选取15所幼儿园的2 882名学龄前儿童家长进行基本信息、忽视量表及影响因素的调查。采用χ2检验、t检验和方差分析比较不同类别学龄前儿童的忽视状况,采用二元Logistic回归方法分析非独生子女学龄前儿童忽视的影响因素。 结果 京津冀地区非独生子女家庭3~6岁儿童忽视检出率为33.47%,独生子女家庭儿童为9.24%,差异有统计学意义(χ2=261.94,P<0.01)。非独生子女家庭3~6岁儿童忽视度得分为(42.35±7.52)分,独生子女家庭忽视度为(38.16±6.56)分,差异有统计学意义(t=15.95,P<0.01)。二元Logistic回归分析显示,家庭收入≤4 000元/月(OR=2.75,95%CI=1.18~6.32),主要监护人为祖父母或其他(OR=2.18,95%CI=1.35~3.52),父母关系较差(OR=2.64,95%CI=1.42~3.87)、一般(OR=2.31,95%CI=1.32~4.01)的非独生子女学龄前儿童忽视风险较高(P值均<0.05)。 结论 京津冀地区非独生子女家庭3~6岁儿童忽视率较高。应根据影响因素采取针对性的干预措施,以减少学龄前儿童忽视问题的发生。 Abstract:Objective To analyze the neglect status of children aged 3-6 years old from non-only-child families in Beijing-Tianjin-Hebei region and influencing factors, so as to provide assistance for the healthy growth of preschool children from non-only-child families. Methods From April to June 2022, 2 882 parents of preschool children from 15 kindergartens were selected in urban areas of Beijing-Tianjin-Hebei by randomized cluster sampling method, and were investigated with general information and neglect experiences. The χ2 test, t-test and ANOVA were used to compare the neglect status of different categories of preschool children, and the binary Logistic regression method was used to analyze the influencing factors of the neglect of preschool children who were not only children. Results The detection rate of neglect among children aged 3-6 years from non-only-child families in the Beijing-Tianjin-Hebei region was 33.47%, the detection rate of neglect among children from only-child families was 9.24%, and the difference was statistically significant (χ2=261.94, P < 0.01). The neglect score for children aged 3-6 years in non-only-child families was (42.35±7.52), the neglect score for one-child families was (38.16±6.56), and the difference was also statistically significant (t=15.95, P < 0.01). Binary Logistic regression analysis showed that family income < 4 000 yuan/month (OR=2.75, 95%CI=1.18-6.32), grandparents or other relatives as the primary guardian (OR=2.18, 95%CI=1.35-3.52), and poor parental relationship (OR=2.64, 95%CI=1.42-3.87), average (OR=2.31, 95%CI=1.32-4.01) non-only-child preschoolers had a higher risk of neglect (P < 0.05). Conclusion Neglect is prevalent among 3-to 6-year-old children from non-only-child families in the Beijing-Tianjin-Hebei region. Targeted intervention measures based on influencing factors should be taken to reduce neglect among preschool children. -
Key words:
- Child abuse /
- Mental health /
- Regression analysis /
- Child, preschool
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 京津冀地区非独生子女与独生子女家庭3~6岁儿童忽视度得分比较(x±s)
Table 1. Comparison of neglect scores of children aged 3-6 years in non-only-child and only-child families in Beijing-Tianjin-Hebei Region (x±s)
是否独生子女 人数 身体 情感 教育 安全 医疗 总忽视度 否 1 258 43.62±8.62 41.32±7.25 45.12±9.63 38.53±9.87 42.25±9.85 42.35±7.52 是 1 624 39.26±7.86 37.86±5.95 41.56±8.62 35.26±8.65 38.26±9.25 38.16±6.56 t值 14.16 14.07 10.44 9.46 11.16 15.95 P值 <0.01 <0.01 <0.01 <0.01 <0.01 <0.01 表 2 京津冀地区非独生子女家庭不同组别3~6岁儿童忽视检出率比较
Table 2. Comparison of neglect detection rates among children aged 3-6 years of different groups from non-only-child families in Beijing-Tianjin-Hebei Region
组别 选项 人数 忽视人数 χ2值 P值 组别 选项 人数 忽视人数 χ2值 P值 性别 男 565 195(34.51) 0.51 0.48 家庭月收入/元 ≤4 000 96 55(57.29) 33.96 <0.01 女 693 226(32.61) 4 001~7 000 249 91(36.55) 年龄/岁 3 211 72(34.12) 9.47 0.01 7 001~10 000 455 151(33.19) 4 313 83(26.52) >10 000 458 124(27.07) 5 533 195(36.59) 父母学历 初中及以下 209 96(45.93) 22.04 <0.01 6 201 71(35.32) 高中 249 91(36.55) 家庭类型 核心 284 88(30.99) 16.25 <0.01 大专 321 94(29.28) 单亲 13 11(84.62) 本科及以上 479 140(29.23) 三代同堂 950 319(33.58) 主要监护人 父母 1 009 303(30.03) 27.03 <0.01 再婚家庭 11 3(27.27) 祖父母或其他 249 118(47.39) 家庭子女排行 第一 436 127(29.13) 7.69 0.02 父母关系 较差 13 8(61.54) 34.43 <0.01 第二 800 283(35.38) 一般 171 88(51.46) 第三及以上 22 11(50.00) 较好 1 074 325(30.26) 注: ()内数字为检出率/%。 表 3 京津冀地区非独生子女家庭不同组别3~6岁儿童忽视度得分比较(x±s)
Table 3. Comparison of neglect scores among children aged 3-6 years of different groups from non-only-child families in Beijing-Tianjin-Hebei Region (x±s)
组别 选项 人数 忽视度 t/F值 P值 性别 男 565 42.46±6.85 0.64 0.53 女 693 42.22±6.52 年龄/岁 3 211 42.34±6.12 1.86 0.13 4 313 42.87±6.24 5 533 43.57±6.33 6 201 43.92±6.34 家庭类型 核心 284 41.35±8.12 2.12 0.09 单亲 13 48.12±9.12 三代同堂 950 42.36±7.56 再婚家庭 11 44.25±4.32 家庭子女排行 第一 436 41.75±7.25 3.05 0.05 第二 800 42.36±7.24 第三及以上 22 47.62±4.12 家庭月收入/元 ≤4 000 96 44.98±7.25 5.72 <0.01 4 001~7 000 249 43.52±7.86 7 001~10 000 455 42.36±7.45 >10 000 458 40.16±7.21 父母学历 初中及以下 209 44.12±7.52 4.52 <0.01 高中 249 43.25±7.56 大专 321 41.62±7.25 本科及以上 479 41.28±7.56 主要监护人 父母 1 009 41.86±7.25 -3.85 <0.01 祖父母或其他 249 43.86±7.67 父母关系 较差 13 48.56±9.25 14.25 <0.01 一般 171 45.72±7.12 较好 1 074 41.53±7.56 表 4 京津冀地区非独生子女家庭3~6岁儿童忽视的多因素Logistic回归分析(n=1 258)
Table 4. Multivariate Logistic regression analysis of child neglect of 3-6 year olds in non-only-children families in Beijing-Tianjin-Hebei Region (n=1 258)
截距与自变量 选项 β值 标准误 Wald χ2值 P值 OR值(95%CI) 截距 -1.34 0.23 38.12 <0.01 家庭月收入/元 >10 000 1.00 ≤4 000 1.01 0.43 5.72 0.02 2.75(1.18~6.32) 4 001~7 000 0.28 0.34 0.75 0.39 1.32(0.72~2.45) 7 001~10 000 0.26 0.26 0.95 0.34 1.29(0.79~2.11) 主要监护人 父母 1.00 祖父母或其他 0.78 0.26 9.88 <0.01 2.18(1.35~3.52) 父母关系 较好 1.00 较差 0.98 0.96 1.05 <0.01 2.64(1.42~3.87) 一般 0.85 0.29 8.53 <0.01 2.31(1.32~4.01) -
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