Objective To analyze the influencing factors of abnormal development of psychology and behavior in left-behind children under 3 years old in rural areas,in order to provide basis for promoting early childhood development. Methods Data were from the under-three-year-old children′s quantitative survey data of Rural Left-behind Children Health Education Project in Poor Areas. The project included 3 249 samples of left-behind children aged 0 to 3 years in 27 poverty counties of 12 provinces in China. Children′s psychological and behavioral problems were detected by the Early Warning Sign Screening Checklist,and the influencing factors were obtained through self-designed questionnaires based on the survey questionnaires of UNICEF Multiple Indicator Cluster Survey 5. Results The overall detection rate of suspected psychological behavioral problems was 9.48%,and it was significantly higher in boys(10.94%) and children aged 0 to 18 months(12.20%) than in girls(7.75%) and children aged 19 to 36 months(8.1%). Left-behind children′s caregivers were over-aged and generally low-educated,and the separation of parents and children was still very serious. Logistic regression analysis showed that good parent-child interaction(OR=0.604,95%CI:0.417-0.876,P=0.008),living with siblings(OR=0.664,95%CI:0.473-0.932,P=0.018),higher family economic level(OR=0.609,95%CI:0.414-0.897,P=0.012) and daily interaction time＞30 minutes(OR=0.467,95%CI:0.230-0.948,P=0.035) were protective factors for children′s psychological behavior development. Never breastfeeding(OR=2.071,95%CI:1.334-3.216,P=0.001),exclusive breastfeeding for more than 8 months(OR=1.793,95%CI:1.089-2.952,P=0.022),and poor care practices(OR=1.833,95%CI:1.047-3.211,P=0.034) were risk factors for children′s psychological behavior development. Conclusions Parenting environment is poor for left-behind children aged 0 to 3 years in rural areas,and there are many factors affecting the development of psychological behaviors. More targeted services and support are required to ensure the optimal development of left-behind children under 3 years old.
Key words
left-behind children /
psychological and behavioral development /
poverty /
rural area
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