早期综合干预对贫困农村地区0~3岁留守儿童心理行为发育的影响

doi:10.11852/zgetbjzz2018-26-07-07

中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (7): 721-724.DOI: 10.11852/zgetbjzz2018-26-07-07

早期综合干预对贫困农村地区0~3岁留守儿童心理行为发育的影响

高雅静¹, 赵春霞², 黄小娜², 张敬旭¹, 王晓莉¹

1 北京大学公共卫生学院妇幼卫生系,北京 100191;
2 联合国儿童基金会中国办事处,北京 100600;

收稿日期:2017-10-28 发布日期:2018-07-10 出版日期:2018-07-10
通讯作者: 王晓莉,E-mail:xlwang@bjmu.edu.cn
作者简介:高雅静(1992-),女,北京人,硕士研究生在读,研究方向为儿童早期发展。
基金资助:
联合国儿童基金会“儿童早期综合发展”项目(0860-A0-05-501-001)

Effect of early integrated intervention on psychological and behavioral development of left-behind
children aged 0～3 in poor rural areas

GAO Ya-jing¹, ZHAO Chun-xia², HUANG Xiao-na², ZHANG Jing-xu¹, WANG Xiao-li¹

1 Department of Maternal and Child Health,School of Public Health,Peking University,Beijing 100191,China;
2 UNICEF China,Beijing 100600,China;

Received:2017-10-28 Online:2018-07-10 Published:2018-07-10
Contact: WANG Xiao-li,E-mail:xlwang@bjmu.edu.cn

摘要/Abstract

摘要： 目的探究早期综合干预对贫困农村地区0~3岁留守儿童心理行为发育的影响,为国家开展留守儿童早期关爱服务提供科学依据。方法 2013年调查山西省和贵州省6个贫困县内1 157例0~3岁留守儿童。其中4个县为干预组,2个县为对照组。两组儿童均接受基本的儿童保健服务,干预组在此基础上给予儿童早期综合干预服务。干预两年后进行效果评价,获得1 248例样本。采用年龄与发育进程问卷中文版—第三版对儿童的心理行为发育进行测评,采用双重差分模型和归因百分比对干预效果进行验证。结果控制基本信息后,干预措施所致干预组粗大动作能区、精细动作能区、解决问题能区和个人社会能区可疑发育迟缓率分别下降5.7%、7.4%、6.5%和6.2%。以上各能区迟缓率的下降,依次有65.5%、60.7%、52.8%和66.7%归因于干预措施。结论早期综合干预可以显著改善0~3岁留守儿童心理行为发育水平,该模式可以考虑在贫困农村地区推广。

关键词: 留守儿童, 综合干预, 心理行为发育

Abstract: Objective To explore the effect of early integrated intervention on psychological and behavioral development of left-behind children aged 0~3 in poor rural areas,in order to provide evidence for optimized policy on left-behind children. Methods A total of 1 157 left-behind children aged 0~3 in 6 poor counties in Shanxi and Guizhou province were investigated in 2013.Four counties were enrolled as the intervention group,and the others were as control group.Both two groups were given basic health services,and the intervention group was given integrated intervention program additionally.After two years,all left-behind children aged 0~3 in two groups were investigated,and finally 1 248 cases were included.The Chinese Version of Ages & Stages Questionnaire-Third Edition (ASQ-3) was used to assess the status of early psychological and behavioral development of children.Difference-in-difference model and attributable risk proportion analysis were used to evaluate the effect of intervention. Results After monitoring the basic information,the decrease rates of suspicious delay in gross motor,fine motor,problem solving and personal-social domain in intervention group were 5.7%,7.4%,6.5% and 6.2%,respectively.And 65.5%,60.7%,52.8% and 66.7% of the reduction in difference resulted from intervention for each domain,respectively. Conclusion Early integrated intervention can significantly improve the psychological and behavioral development of left-behind children aged 0~3 in poor rural areas,so it deserved to be prompted in rural areas.

Key words: left-behind children, integrated intervention, psychological and behavioral development

中图分类号:

R179

高雅静, 赵春霞, 黄小娜, 张敬旭, 王晓莉. 早期综合干预对贫困农村地区0~3岁留守儿童心理行为发育的影响[J]. 中国儿童保健杂志, 2018, 26(7): 721-724.

GAO Ya-jing, ZHAO Chun-xia, HUANG Xiao-na, ZHANG Jing-xu, WANG Xiao-li. Effect of early integrated intervention on psychological and behavioral development of left-behind
children aged 0～3 in poor rural areas[J]. journal1, 2018, 26(7): 721-724.

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早期综合干预对贫困农村地区0~3岁留守儿童心理行为发育的影响

Effect of early integrated intervention on psychological and behavioral development of left-behind
children aged 0～3 in poor rural areas

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早期综合干预对贫困农村地区0~3岁留守儿童心理行为发育的影响

Effect of early integrated intervention on psychological and behavioral development of left-behind children aged 0～3 in poor rural areas

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Effect of early integrated intervention on psychological and behavioral development of left-behind
children aged 0～3 in poor rural areas