Objective To describe the current situation of urban preschool children's neglect in Nantong city, and to explore its influencing factors, so as to provide theoretical bases for the prevention and treatment of child neglect in this region. Methods Using stratified random cluster sampling method, 9 kindergartens in the urban area of Nantong were selected in January 2021.Totally 1 141 children's parents were investigated with Chinese Urban Children Aged 3 — 6 Years Neglect Evaluation Norm Scale. Results The neglect rate of preschool children in Nantong city was 28.6%, and the neglect degree was 40.21±6.67. The neglect rates of boys and girls were 28.0% and 29.2% respectively, and the neglect degrees were 40.29 ± 6.54 and 40.13 ± 6.80 respectively, the differences were not statistically significant(P＞0.05). There were no significant differences in neglect rate, neglect degree among different age groups(P＞0.05). The neglect rate and neglect degree were higher in non-only child than those of only child(χ2=6.209, t=3.947), lower in higher family monthly income(χ2=28.487, F=25.453), lower in medium socioeconomic status group(χ2=11.595, F=17.215), lower in children whose main caregivers were parents than those of children whose main caregivers grandparents(χ2=19.269, F=5.402), the differences were all statistically significant(P＜0.05). Multivariate Logistic regression analysis showed that the risk of neglect in non-only children were 1.338 times higher than only children, the risk of neglect with family monthly income < 8 000 RMB and 8 000 - 12 000 RMB were 2.183 times and 2.016 times respectively higher than that of children with family monthly income>12 000 RMB(P＜0.05). The risk of neglect in children whose main caregivers were grandparents or maternal grandparents were 1.979 times higher than that in childrenwhose parents are the main caregivers(P＜0.05). Conclusion The neglect of preschool children in Nantong city is common, and the influencing factors are complex, which needs to be paid more attention and be improved by effective measures.
Key words
preschool children /
child neglect /
family factors
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References
[1] U.S. Department of Health & Human Services, Administration for Children and Families, Administration on Children, Youth and families, Children's Bureau.Child maltreatment 2019[R]. Washington, 2021.
[2] Centers for Disease Control and Prevention. Preventing child abuse & neglect[R]. Atlanta, Georgia,2020.
[3] Laura B, Martine BP, Rachel Z, et al. Suggestibility in neglected children: The influence of intelligence, language, and socialskills[J]. Child Abuse Negl, 2018, 79: 51-60.
[4] Department of Health, NHS England. Future inmind: Promoting, protecting and improving our children and young people's mental health and wellbeing[R]. Williams Lea, London,2015.
[5] 潘建平, 杨子尼, 任旭红, 等. 中国3~6岁城区儿童忽视常模的研制[J]. 中国公共卫生杂志, 2003, 19(1):33-36.
[6] 翟屹, 夏代提古丽·苏拉衣曼, 李伟荣, 等. 家庭社会经济地位与儿童超重肥胖的关系[J]. 中华预防医学杂志, 2013, 47(10):945-948.
[7] 栾艳, 王毅. 辽阳市宏伟区学龄前儿童忽视状况及其影响因素分析[J]. 中国初级卫生保健, 2015, 29(8):42-44.
[8] 吴萍萍, 董菊, 贺苗, 等. 乌鲁木齐农村3～6岁儿童忽视与行为问题关联[J]. 中国学校卫生, 2020, 41(5):720-723.
[9] Wang LL, Qu GB, Tang X, et al. Child neglect and its association with social living ability: does the resilience attenuate the association?[J]. Psychol Health Med, 2019, 24(5):519-529.
[10] Bick J, Charles AN. Early adverse experiences and the developing brain[J]. Neuropsychopharmacology, 2016, 41(1):177-196.
[11] 李南, 费忠化, 梁艳, 等. 鲁西南地区二孩家庭学龄前儿童忽视现状及影响因素[J]. 中国学校卫生, 2019, 40(9):1330-1332, 1336.
[12] 吴瑞, 陈佳, 陆玲, 等. 学龄前儿童家庭社会经济地位与父母教养方式的关系[J]. 中国学校卫生, 2020, 41(1):117-119.
[13] Tipper A. Economic models of the family and the relationship between economic status and health[J]. Soc Sci Med, 2010, 70(10):1567-1573.
[14] Jung JH, Kwak YH. Physical health and emotional and behavioral problems in maltreated children according to family economic status: Health problems of maltreated children in Korea[J].Medicine(Baltimore), 2021, 100(13):e25228.
[15] Conrad-Hiebner A, Byram E. The temporal impact of economic insecurity on child maltreatment: A systematic review[J]. Trauma Violence Abuse, 2020, 21(1):157-178.
[16] 王玲玲. 安徽省部分农村地区学龄前儿童忽视状况及其影响因素研究[D]. 合肥:安徽医科大学. 2019.
[17] Crouch E, Probst JC, Radcliff E, et al. Prevalence of adverse childhood experiences(ACEs) among US children[J]. Child Abuse Negl, 2019, 92: 209-218.
[18] 张月芳, 王伟, 朱亚宁, 等. 隔代抚养对婴幼儿体格及神经心理发育的影响[J]. 中国儿童保健杂志, 2015, 23(10):1044-1046.
[19] 邓长明, 陈光虎, 石淑华. 隔代带养儿童心理行为问题对比分析[J]. 中国心理卫生杂志, 2003, 17(3):196.
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