关键词: 儿童忽视, 影响因素, 独生子女家庭

Abstract: Objective To estimate the prevalence of child neglect in one-child families in China and examine its risk factors so as to provide the basis for its prevention and intervention. Methods This was a cross-sectional study of 2 044 children aged 7~10 years and their parents recruited from 4 primary schools of Suzhou City,China.Neglect and its subtypes were investigated by Evaluation Questionnaire of Child Neglect of Urban Children Aged 3～6 Years in China this validated indigenous measurement scale reported by parents.Child,parental and family characteristics were obtained by questionnaires and review of social security records.Logistic regression analises were performed to estimate the association between risk factors and types of child neglect while controlling for covariates. Results Supervision neglect was the most prevalent type of neglect (20.3%),followed by emotional (15.2%),physical (11.1%),medical (7.7%),general (6.1%) and educational neglect (6.0%).The adjusted odds ratio showed that children's gender were associated with physical neglect(OR=0.71,P<0.05).Children's physical health status(OR=1.43),cognitive impairment (OR=1.96)and parental education(OR=0.70,0.71) were associated with emotional neglect (all P <0.05).Children's physical health status(OR=1.68),maternal age (OR=7.33),employment(OR=1.94) and education(OR=0.49)were associated with educational neglect (all P<0.05).Mother's health problem were associated with supervision neglect (OR=1.57).Maternal education(OR=0.44) and family income (OR=1.55)were associated with medical neglect (all P<0.05). Conclusions Child neglects are prevalent in one-child families from eastern Unban China.The risk factors appeared to be different from those found in some western societies.This indicates the prevention and intervention of child neglect in well-developed unban in China is very urgent.

Key words: child neglect, influencing factors, one-child families