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

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