Abstract: Objective To explore the vulnerability of health risk behavior in left-behind children and its relationship with family environment. Methods A total of 310 children, including 178 left-behind children and 132 non-left-behind children were surveyed by Adolescent Health Related Risky Behavior Inventory (AHRBI) and Family Environmental Scale-Chinese Version (FES-CV). Results The left-behind children got more scores than the non-left-behind children in aggression and violence (F=9.320), rule broken (F=8.961), suicide and self-injury (F=10.911) and health-compromising behaviors (F=9.144), The differences had significiance (P all<0.01.2) Family environment of left-behind children could predict 94% variance of their health risk behavior, the structural equation modeling fitting analysis was brought outχ²=40.396, RMSEA=0.047, GFI=0.961, NFI=0.933, PCFI=0.516. Conclusion The left-behind children are most severely vulnerable to health risk behavior, and family environment is an important influencing factor of health risk behavior.

Key words: left-behind children, health risk behavior, family environment

摘要： 目的 探讨留守儿童健康危险行为的易感性及其家庭环境因素, 为其健康保健提供科学依据。方法 采用青少年健康相关危险行为问卷(Adolescent Health Related Risky Behavior Inventory, AHRBI)和中文版家庭环境量表(Family Environmental Scale-Chinese Version, FES-CV)对178名留守儿童和132名农村非留守儿童进行了测查。结果 1)留守儿童和农村非留守儿童在暴力攻击行为(F=9.320)、破坏纪律行为(F=8.961)、自杀自残行为(F=10.911)和健康妥协行为(F=9.144)四个因子上的差异均有高度统计学意义(P均<0.01);2)家庭环境可以预测留守儿童健康危险行为94%的变异, 其因果结构模型的适配度指标为χ²=40.396, RMSEA=0.047, GFI=0.961, NFI=0.933, PCFI=0.516。结论 留守儿童是健康危险行为的易感人群, 家庭环境是留守儿童健康危险行为发生的重要影响因素。

关键词: 留守儿童, 健康危险行为, 家庭环境