Abstract: Objective To investigate the status of child neglect among preschool children in Tangshan urban area and to formulate corresponding intervention measures and policies. Methods A total of 1 642 parents of children aged 3 to 6 years old were extracted by stratified cluster sampling method from 8 kindergartens based on the "Child Neglect Norms" used in China. Results The total neglect rate and degree of children in Tangshan urban area were 36.4% and 43.3 respectively.The neglect rate of medical was highest for 17.4% and the neglect degree of education were most serious for 46.8.The total neglect rate for child neglect in males and females were 36.7% and 36.1% with total degree as 43.4 and 43.3 respectively.There were not statistically significant differences in total neglect rate and degree between different genders(P>0.05).The males had significantly higher rate of education neglect than the females (χ²=5.574, P=0.018).There were statistically significant differences in total neglect rate and degree between different age groups (P<0.05), which the neglect rate and degree of children aged 3 years old were the highest.All children aged 3~6 were mainly involved in single item of negligence, with incidence rates as 17.0％ and proportions as 46.7%. Conclusion The state of child neglect among urban children aged 3 to 6 years old in Tangshan urban area is serious, and relevant departments and parents should pay more attention to child neglect.

Key words: preschool children, neglect, city, cross-sectional study

摘要： 目的 了解唐山市城区学龄前儿童的忽视状况, 为制定相应的干预措施提供依据。方法 采用分层整群抽样方法, 应用“中国3～6岁城区儿童忽视状况评价问卷”, 对唐山市城区8所幼儿园的1 642名3～6岁儿童家长进行问卷调查。结果 唐山市城区3～6岁儿童的总忽视率为36.4%, 总忽视度为43.3, 其中医疗忽视率最高, 为17.4%, 教育忽视度最重, 为46.8。男、女童的总忽视率分别为36.7%和36.1%, 总忽视度分别为43.4和43.3, 差异均无统计学意义(P>0.05)。男童的教育忽视率高于女童, 差异有统计学意义(χ²=5.574, P<0.05)。不同年龄儿童的总忽视率和总忽视度比较, 差异均有统计学意义(P<0.05), 3岁儿童的总忽视率和总忽视度均最大。儿童以受单项忽视为主, 发生率为17.0%, 构成比为46.7%。结论 唐山市城区学龄前儿童被忽视现象较为严重, 应引起相关部门和家长的足够重视。

关键词: 学龄前儿童, 忽视, 城市, 横断面调查