关键词: 成都地区, 农村留守儿童, 两周患病未就诊

Abstract: Objective To analyze the causes and influencing factors related of two-week absence of medical treatment for left-behind children in rural areas of Chengdu,in order to provide scientific evidence for making health services policies. Methods Totally 468 left-behind children and their guardians were randomly selected from six towns of Chengdu city from January to December in 2015. The general situation of left-behind children,the general condition of the caregiver and the two-week prevalence rate,and the two-week non-diagnosis rate were investigated by questionnaire survey. Results In this survey,150 left-behind children reported had been sick within two weeks,the two-week prevalence rate was 32.05%. Among them,19 patients were not treated,and the rate of undiagnosed patients in the two weeks was 12.67%.There were significant differences in the untreated rate of two-week illness of left-behind children in Chengdu with different gender,whether they had only one child,the different gender,age and education level of the guardian,the payment method of medical expenses,and the monthly family income(P<0.05). Logistic regression analysis showed that left-behind girls (OR=1.408,95%CI:1.260~1.733),guardians aged 60 years and over (OR=1.533,95%CI:1.396~1.837) were independent risk factors for untreated of two-week illness of left-behind children in rural areas in Chengdu. Only child (OR=0.502,95% CI:0.220~0.813),female guardian (OR=0.644,95%CI:0.302~0.785),guardian′s education level above primary school (OR=0.675, 95% CI:0.309~0.858),the family monthly income of 3 000 yuan or more (OR=0.607,95%CI:0.330~0.891) were the independent protective factors(P＜0.05). Conclusionss In Chengdu rural schools,the untreated rate of two-week illness of left-behind children is generally at a low level,which is mainly affected by the gender of left-behind children,whether they are only children,the gender of guardians,the age of guardians,the cultural level of guardians and the monthly income of families. Health educations should be promoted among left-behind children and guardians.

Key words: Chengdu area, rural left-behind children, the untreated of two-week illness