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1.
Cereb Cortex ; 33(21): 10949-10958, 2023 10 14.
Artículo en Inglés | MEDLINE | ID: mdl-37727984

RESUMEN

Human brain development is shaped by experiences, especially during preschool, the critical period for cognitive and socioemotional development. This study employed the functional Near-Infrared Spectroscopy technique to explore the neural differences between left-behind children (LBC) and non-left-behind children (NLBC) on joint attention. Through collecting brain image data of 50 children (26 boys, aged 65.08 ± 6.28 months) and conducting multivariable and multiscale sample entropy (MMSE) analysis, the present study found that: (i) LBC showed lower brain complexity than NLBC in right prefrontal cortex; (ii) all participants demonstrated higher brain complexity in responding to joint attention conditions, compared to initiating joint attention ones; (iii) their brain complexity during joint attention was negatively associated with their emotional abilities. The findings advance our understanding of early brain development in LBC by providing evidence for the neural process characteristics of joint attention. Implications for early intervention to promote their brain development are also addressed.


Asunto(s)
Encéfalo , Lóbulo Frontal , Masculino , Humanos , Niño , Preescolar , Entropía , Lóbulo Frontal/diagnóstico por imagen , Corteza Prefrontal/diagnóstico por imagen , Atención
2.
BMC Psychiatry ; 24(1): 510, 2024 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-39020309

RESUMEN

BACKGROUND: Parent-child separation poses a significant challenge for left-behind children (LBC). However, limited empirical evidence exists regarding the correlation between left-behind characteristics and the psychological symptoms of LBC. This study investigated psychological symptoms among LBC and explored associations between left-behind characteristics and those symptoms. METHODS: Using stratified cluster sampling, 1,832 LBC aged 13-18 years from three cities in East China were selected for analysis. Participants' depression and anxiety symptoms were assessed with the Patient Health Questionnaire 9 and the General Anxiety Disorder 7, respectively. Chi-square tests were used to compare differences in detection rates of psychological symptoms among LBC in different groups. Binary logistic regression analysis was used to infer associations between left-behind characteristics and psychological symptoms. RESULTS: Depression and anxiety symptoms were detected in 32.86% and 33.24%, respectively, of participating LBC. Univariate analysis showed statistically significant differences in detection rates of depression symptoms by sex, grade, and timing of parent-child separation. Statistically significant differences were observed in anxiety symptom rates by sex, grade, type of caregiver, and timing of mother-child separation. Multivariate analysis indicated a positive association between LBC's anxiety symptoms and mother-child separation that occurred during post-primary school, and type of caregiver (father only or mother only). Our findings confirm a positive association between left-behind characteristics and anxiety symptoms among LBC. CONCLUSION: The timing of mother-child separation and type of caregiver are potential risk factors for the development of anxiety symptoms in this population.


Asunto(s)
Ansiedad , Depresión , Humanos , Femenino , Masculino , Adolescente , China/epidemiología , Estudios Transversales , Depresión/epidemiología , Depresión/psicología , Depresión/diagnóstico , Ansiedad/psicología , Ansiedad/epidemiología , Separación Familiar
3.
BMC Public Health ; 24(1): 994, 2024 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-38594654

RESUMEN

BACKGROUND: The situation of mental health and discipline behaviors of left-behind children's caregivers were not optimistic in rural China. Caregivers' depression might increase the risk of using violent discipline. However, the specific ways in which depressive symptoms impact violent discipline have rarely been explored in rural areas. This study aims to assess the prevalence of violent discipline among left-behind children under 6 years of age in rural China and explore the potential mechanisms of how caregivers' depressive symptoms affect violent discipline. METHODS: We enrolled a total of 396 pairs of left-behind children and their caregivers in our study, which was conducted in 5 counties of Hebei, Henan, Jiangxi, Guizhou, and Sichuan provinces in China. The depressive symptoms of caregivers were measured by using Zung Self-rating Depression Scale (ZSDS) and violent discipline was assessed by the Child Discipline Module of Multiple Indicator Cluster Surveys (MICS). A self-designed questionnaire was utilized to measure caregiver's parenting attitude. Based on the cross-sectional data, controlling for potential confounders, structural equation modeling (SEM) was used to assess the direct and indirect effects of the mediation models by applying the weighted least squares with mean and variance adjusted (WLSMV) estimate. RESULTS: The prevalence of violent discipline, psychological aggression, and physical punishment was 72.7%, 59.3%, and 60.4% respectively of left-behind children under 6 years of age. According to the results of SEM, parenting attitude acted as a suppressor, suppressing the association between caregivers' depressive symptoms and physical punishment/psychological aggression/violent discipline. The caregivers' depressive symptoms positively influenced all the outcome variables by affecting parenting attitudes (p = 0.002, p = 0.013, p = 0.002). CONCLUSIONS: The presence of depressive symptoms in caregivers increases the use of violent discipline through negative parenting attitudes. The mental health status of primary caregivers of left-behind children in rural China needed emphasis and improvement.


Asunto(s)
Cuidadores , Responsabilidad Parental , Niño , Humanos , Preescolar , Estudios Transversales , Cuidadores/psicología , Depresión/epidemiología , Agresión , China/epidemiología
4.
BMC Public Health ; 24(1): 1660, 2024 Jun 21.
Artículo en Inglés | MEDLINE | ID: mdl-38907219

RESUMEN

BACKGROUND: Comprehensive data has shown that adolescents often suffer from depression, anxiety, and low self-esteem, and are in a particularly fragile stage of psychological, physiological, and social development. Left-behind children in particular tend to have significantly higher, state anxiety and depression compared to non-left-behind children. The Depression, Anxiety, and Stress Scale (DASS-21) is an effective tool for evaluating depression, anxiety, and stress, and is used to measure levels of depression, anxiety, and stress in groups from a variety of backgrounds. The purpose of this study was to determine the effectiveness, reliability, and measurement invariance of the DASS-21 in Chinese left-behind children. METHOD: The test and re-test method was used (N = 676), and the exploratory structural equation model (Mplus v.8.3) used to verify basic measurement models. For measurement invariance, the configural, weak, strong, and strict models were tested. The reliability of the DASS-21 was also tested using the collected data. RESULTS: Analysis results showed that the DASS-21 had a stable three-factor structure in the sample of left-behind children in China. The measurement invariance test showed that gender and time not only had strong invariance, but also strict invariance. The results of cross left and non-left invariance indicated a lack of strict invariance. Finally, the McDonald's omega coefficient of the DASS-21 total scale was 0.864, and the internal consistency of each subscale was also good. CONCLUSIONS: The DASS-21 is shown to be an effective and reliable tool for measuring depression, anxiety and stress in Chinese left-behind children.


Asunto(s)
Ansiedad , Depresión , Separación Familiar , Estrés Psicológico , Adolescente , Niño , Femenino , Humanos , Masculino , Ansiedad/diagnóstico , China , Depresión/diagnóstico , Depresión/psicología , Pueblos del Este de Asia , Análisis Factorial , Análisis de Clases Latentes , Escalas de Valoración Psiquiátrica/normas , Psicometría , Reproducibilidad de los Resultados , Estrés Psicológico/diagnóstico , Migrantes/psicología , Migrantes/estadística & datos numéricos
5.
BMC Public Health ; 24(1): 332, 2024 01 31.
Artículo en Inglés | MEDLINE | ID: mdl-38297309

RESUMEN

BACKGROUND: Parent‒child communication in migrant families is essential to family bonds and the mental health of left-behind children (LBC). Little is known about the different patterns of communication between migrant parents and LBC and associated communication quality and mental health outcomes. METHODS: A sample of 2,183 Chinese children (mean age = 12.95 ± 1.29 years) from Anhui province, including LBC whose parents had both migrated (n = 1,025) and children whose parents had never migrated (never-LBC, n = 1,158), was analyzed. With the LBC sample, latent class analysis was applied to identify the patterns of parent‒child communication. Multinomial logistic regression analysis was conducted to assess the associations between the sociodemographic variables and class membership of LBC. Analysis of covariance and chi-square tests were used to compare communication quality and mental health outcome differences among the classes of LBC and between each of the classes and never-LBC. RESULTS: Five latent classes of communication formed through different media or channels between migrant parents and their LBC were identified. Higher household economic status (OR = 2.81, p < 0.05) was associated with adequate communication. LBC in Class 1, defined by frequent technologically-mediated and face-to-face communication, had a significantly higher quality of communication with their migrant parents (F = 8.92, p < 0.001) and better mental health than those in other latent classes; these children did not have significantly worse mental health outcomes compared to never -LBC. CONCLUSIONS: Facilitating multichannel parent‒child communication is a practical way of reducing mental health inequities between LBC and their peers.


Asunto(s)
Comunicación , Padres , Humanos , Niño , Adolescente , Relaciones Padres-Hijo , China , Evaluación de Resultado en la Atención de Salud
6.
J Res Adolesc ; 2024 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-38708834

RESUMEN

Left-behind children are likely to experience peer victimization, which can have detrimental consequences in their developmental outcomes. Yet, limited longitudinal research have examined peer victimization trajectories over time or the factors associated with left-behind children in China. The purpose of the present study was to examine what, if any, distinct trajectories of peer victimization exist among left-behind children and whether these trajectories are related to school climate, left-behind status, and their interactions. Participants were 853 Chinese left-behind children (Mage = 14.25, SD = 2.39; 43.4% girls) who participated in a four-wave longitudinal study conducted in rural China. Participants reported school climate (indexed by safety and order, acceptance and support, equality and fairness, autonomy and cooperation) at T1 and peer victimization across T1 to T4 spanning 2 years. Latent class growth analyses identified four peer victimization trajectories, including a stably low-decreasing group, a moderate-decreasing group, a high-decreasing group, and an increasing group. Multinomial logistic regression analyses revealed that children who perceived more positive school climate were more likely to exhibit a stably low-decreasing trajectory compared to the other three groups. In addition, among left-behind children who perceived more positive school climate, children with single-parent migrating were more likely to be members of the stably low-decreasing group as compared to those with both-parent migrating. Peer victimization among left-behind children is a concern especially for those who were left behind by both parents and perceived less positive school climate. Targeted school-based interventions and services focused on reducing peer victimization and improving school climate are needed for left-behind children, especially those with both-parent migrating.

7.
J Adolesc ; 96(5): 969-982, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38375869

RESUMEN

INTRODUCTION: Left-behind children are a special group that needs urgent attention. Due to enduring separation from their parents, loneliness is considered the most common and prevalent developmental hurdle in the experiences of left-behind children. This longitudinal cross-lagged study examined the direction of the association between loneliness and both internalizing and externalizing symptoms, with considering gender and left-behind status differences. METHODS: A total of 1175 rural Chinese children (48.3% boys, 39.9% left-behind children, Mage = 14.54 ± 1.18 at baseline) completed self-reported loneliness, social anxiety, and mobile phone addiction at two-time points with 6 months intervals. Descriptive statistics, cross-lagged panel analysis, and multiple group analysis were estimated in the present study. RESULTS: Loneliness exacerbated social anxiety and mobile phone addiction, and vice versa. In addition, gender and left-behind status moderated these relationships, with boys more likely to be mobile phone addicted due to loneliness and girls more likely to be lonely due to mobile phone addiction. More importantly, left-behind children with loneliness are more prone to social anxiety and mobile phone addiction, and vice versa, compared with non-left-behind children. CONCLUSIONS: The targeted interventions should be carried out for different genders and left-behind statuses. Particularly for left-behind children, neglecting to address both the symptoms of loneliness and both social anxiety and mobile phone addiction could significantly undermine the efficacy of intervention programs that solely target either one of these afflictions.


Asunto(s)
Soledad , Población Rural , Humanos , Soledad/psicología , Masculino , Femenino , Estudios Longitudinales , Adolescente , Población Rural/estadística & datos numéricos , Teléfono Celular/estadística & datos numéricos , Conducta Adictiva/psicología , Conducta Adictiva/epidemiología , Niño , Ansiedad/epidemiología , Ansiedad/psicología , Factores Sexuales , China/epidemiología
8.
Child Care Health Dev ; 50(1): e13226, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-38265138

RESUMEN

BACKGROUND: The early development of left-behind children requires great concern and improvement. Yet, current interventions for left-behind children are mainly focussed on children older than 3. This study aims to assess the effectiveness of a home visiting programme on family responsive care and early development of rural left-behind children and examine whether family responsive care mediates the effects of intervention on child development. METHODS: A quasi-experimental study design was utilized in this study. A stratified clustered sampling was employed to choose villages in programme towns into intervention group. A control village was matched with every intervention village. All of the left-behind children and their caregivers meeting the inclusion criteria in the chosen villages were enrolled in the survey. The outcomes included child development, caregiver's early stimulation, parent-child communication, and learning materials. Baseline assessments were conducted in 2018, and endline assessments were conducted in 2020. RESULTS: In the endline survey, we enrolled 608 children with 258 in the intervention group and 350 in the control group. Left-behind children in the intervention group were less likely to have development delay compared with the control group (odds ratio [OR] = 0.59, 95% confidence interval [CI]: 0.36, 0.96). Migrant parents of children in the intervention group showed higher proportion of expressing emotional support to their children when communicating (OR = 1.69, 95% CI: 1.05, 2.72). Children who received home visits more than once per 2 months had lower level of suspected development delay than children in the control group (OR = 0.34, 95% CI: 0.18, 0.68). Caregiver's early stimulation and migrant parents' emotional support to left-behind children mediated the intervention dose and left-behind children's development. CONCLUSION: Caregiver's early stimulation mediates the intervention and child's development. The findings suggest a promising future for scaling similar early childhood development interventions for left-behind children in rural settings.


Asunto(s)
Visita Domiciliaria , Proyectos de Investigación , Humanos , Preescolar , Desarrollo Infantil , China , Comunicación
9.
Child Care Health Dev ; 50(1): e13166, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-37648669

RESUMEN

BACKGROUND: This study aimed to examine attentional bias (AB) for sad and social rejection words in Chinese left-behind children (LBC) with depression. METHOD: We investigated both stimulus specificity and components of AB in different groups using a cross-sectional design. Data were drawn from a school assessment of depression and anxiety, from which we selected LBC with depression (n = 40), LBC without depression (n = 33), a control group with depression (n = 31), and a control group without depression (n = 37). AB was measured with a dot-probe task covering two stimulus types (sad and rejection). RESULTS: The analysis of AB scores revealed a significant three-way interaction (LBC × depression × word type), F(1, 137) = 4.00, p = 0.047, η2 = 0.028, with depressed non-LBC exhibiting a significant depression × word type interaction, F(1, 66) = 4.67, p = 0.034, η2 = 0.066, while the depression × word type interaction was not significant in LBC, F(1, 71) = 0.18, p = 0.675, η2 = 0.002. Depressed children living with their parents showed AB towards sad words but not rejection words, while depressed LBC showed greater AB towards both rejection and sad words. CONCLUSIONS: The findings provide evidence that an AB towards sad information is critically involved in the depressed LBC. Compared with non-LBC depressed individuals, an AB for rejection may be involved as a risk factor in the LBC. It sheds light on the effective intervention programmes for LBC's depression and have important practical significance for reducing depression and improving the mental health of LBC.


Asunto(s)
Sesgo Atencional , Depresión , Niño , Humanos , Estudios Transversales , Ansiedad , China
10.
BMC Psychiatry ; 23(1): 478, 2023 06 29.
Artículo en Inglés | MEDLINE | ID: mdl-37386383

RESUMEN

BACKGROUND: Unintentional injuries among children and adolescents are a major public health problem worldwide. These injuries not only have negative effects on children's physiology and psychology, but also bring huge economic losses and social burdens to families and society. Unintentional injuries are the leading cause of disability and death among Chinese adolescents, and left-behind children (LBC) are more prone to experience unintentional injury. The purpose of this study was to evaluate the type and incidence of unintentional injury among Chinese children and adolescents and explore the influences of personal and environmental factors by comparing the differences between LBC and not left-behind children (NLBC). METHODS: This cross-sectional study was conducted in January and February 2019. Additionally, 2786 children and adolescents from 10 to 19 years old in Liaoning Province in China were collected in the form of self-filled questionnaires, including Unintentional Injury Investigation, Unintentional Injury Perception Questionnaire, Multidimensional Subhealth Questionnaire of Adolescent (MSQA), Negative life events, "My Class" questionnaire and Bullying/victim Questionnaire. Multiple logistic regression analysis was used to explore the factors associated with unintentional injury among children and adolescents. Binary logistic regression analysis was used to explore the factors affecting unintentional injuries between LBC and NLBC. RESULTS: The top three unintentional injuries were falling injuries (29.7%), sprains (27.2%) and burns and scalds (20.3%) in our study population. The incidence of unintentional injuries in LBC was higher than that in NLBC. Burn and scalds, cutting injury and animal bites in LBC were higher than those in NLBC. The results show that junior high school students (odds ratio (OR) = 1.296, CI = 1.066-1.574) were more likely to report multiple unintentional injuries than primary school students. Girls (OR = 1.252, CI = 1.042-1.504) had higher odds of reporting multiple unintentional injuries. The odds of multiple injuries in children and adolescents with low levels of unintentional injury perception were higher than those in children and adolescents with high levels of unintentional injury perception (OR = 1.321, C = 1.013-1.568). Children and adolescents with a higher levels of mental health symptoms (OR = 1.442, CI = 1.193-1.744) had higher odds of reporting multiple unintentional injuries. Compared with teenagers who had never experienced negative life events, teenagers who had experienced negative life events many times (OR = 2.724, CI = 2.121-3.499) were more likely to suffer unintentional injuries many times. Low-level discipline and order (OR = 1.277, CI = 1.036-1.574) had higher odds of reporting multiple unintentional injuries. In-school adolescents who were bullied were more likely to report being injured multiple times than their counterparts who were not bullied (OR = 2.340, CI = 1.925-2.845). Low levels of unintentional injury perception, experienced negative life events and bullying had greater impacts on LBC than on NLBC. CONCLUSION: The survey found that the incidence of at least one unintentional injury was 64.8%. School level, sex, unintentional injury perception, subhealth, negative life events, discipline and order and bullying were associated with incidents of unintentional injury. Compared with NLBC, LBC had a higher incidence of unintentional injury, and special attention should be given to this group.


Asunto(s)
Accidentes , Separación Familiar , Heridas y Lesiones , Humanos , Pueblo Asiatico , Acoso Escolar/estadística & datos numéricos , China/epidemiología , Estudios Transversales , Niño , Adolescente , Heridas y Lesiones/epidemiología , Heridas y Lesiones/etiología , Accidentes/estadística & datos numéricos , Factores de Riesgo , Adulto Joven , Encuestas y Cuestionarios
11.
BMC Psychiatry ; 23(1): 291, 2023 04 26.
Artículo en Inglés | MEDLINE | ID: mdl-37101196

RESUMEN

BACKGROUND: Non-suicidal self-injury (NSSI) is a risk factor for suicide. This study aimed to investigate the prevalence of NSSI and professional psychological help-seeking status and influencing factors among left-behind children (LBC) in China. METHODS: We implemented a population-based cross-sectional study in participants aged 10-18 years. Sociodemographic characteristics, NSSI, help-seeking status and coping style were measured by self-reported questionnaires. A total of 16,866 valid questionnaires were collected, including 6096 LBC. Binary logistic regression models were used to analyze the factors influencing NSSI and professional psychological help-seeking. RESULTS: The incidence of NSSI among LBC was 4.6%, significantly higher than that of non-left-behind children (NLBC). This incidence was higher among girls. Moreover, 53.9% of LBC with NSSI did not receive any treatment and only 22.0% sought professional psychological help. LBC often adopt emotion-oriented coping styles, specifically, those with NSSI. LBC with NSSI who seek professional help tend to adopt problem-oriented coping styles. Logistic regression analysis revealed that girls, learning stage, single-parent, remarried families, patience, and emotional venting were risk factors for NSSI in LBC, while problem-solving and social support seeking were protective factors. Moreover, problem-solving was also a predictor for seeking professional psychological help, patience will prevent it. LIMITATIONS: This was an online survey. CONCLUSIONS: The prevalence of NSSI in LBC is high. Gender, grade, family structure, and coping style affect the occurrence of NSSI among LBC. Only a few LBC with NSSI seek professional psychological help, while the coping style will affect the help-seeking behavior.


Asunto(s)
Pueblos del Este de Asia , Conducta Autodestructiva , Niño , Femenino , Humanos , China/epidemiología , Estudios Transversales , Emociones , Prevalencia , Factores de Riesgo , Conducta Autodestructiva/epidemiología , Conducta Autodestructiva/psicología , Encuestas y Cuestionarios , Masculino , Adolescente
12.
BMC Public Health ; 23(1): 111, 2023 01 16.
Artículo en Inglés | MEDLINE | ID: mdl-36647024

RESUMEN

PURPOSE: The primary objective of this study was to evaluate knowledge and behavior of medication use among guardians of left-behind children (LBC) and non-left-behind children (NLBC). METHODS: A cross-sectional study was conducted in Chengdu, the major city of southwestern China from May 2020 to August 2020. A logistic regression model was conducted to assess medication-related knowledge and behavior of guardians between the LBC group and NLBC group, adjusted for confounders. Stratified analysis was further performed. RESULTS: The overall mean scores for knowledge and for behavior were 20.22 (standard deviation = 4.472) and 15.77 (standard deviation = 3.604), respectively. No significant difference was found in medication-related knowledge and behavior scores between LBC and NLBC guardians (P > 0.05). A significant difference was only observed after adjusting for past medical history and history of present illness (HPI). CONCLUSION: There was no significant difference in the awareness and behavior of medication use between guardians of LBC and NLBC in this study, having more contact with the doctor was an effective method of health education that could possibly improve their health literacy.


Asunto(s)
Población Rural , Humanos , Niño , Estudios Transversales , China , Modelos Logísticos
13.
BMC Public Health ; 23(1): 1404, 2023 07 20.
Artículo en Inglés | MEDLINE | ID: mdl-37474894

RESUMEN

BACKGROUND: Few prior studies have investigated the income gradient in child mental health from a socio-environmental perspective. In an age when child mental health problems in a rapidly changing social environment have become a worldwide issue, an understanding of the socio-environmental mechanisms of the income disparities in child mental health outcomes is imperative and cost-effective. METHODS: By conducting structural equation analyses with Chinese nationally representative survey data, this study explored the family income gradient in child depression and its potential socio-environmental pathways at the neighborhood, family and school levels, differentiating left-behind and not-left-behind children. RESULTS: We found a robust family income gradient in depressive symptoms. Neighborhood cohesion mitigated the income gradient in depressive symptoms by playing a suppression role. School social capital acted as a mediator. Neighborhood trust, neighborhood safety and family social capital played no significant impact. The mitigating and mediating roles of social capital components were significant among only the not-left-behind children. CONCLUSIONS: To reduce income-related inequalities in child mental health in the long run, integrating policies that directly reduce poverty with policies that improve distal socio-environments is necessary.


Asunto(s)
Salud Infantil , Depresión , Separación Familiar , Renta , Salud Mental , Capital Social , Determinantes Sociales de la Salud , Niño , Humanos , Depresión/economía , Depresión/psicología , Pueblos del Este de Asia/psicología , Salud Mental/economía , Salud Infantil/economía , Determinantes Sociales de la Salud/economía , Factores Socioeconómicos
14.
BMC Public Health ; 23(1): 2, 2023 01 02.
Artículo en Inglés | MEDLINE | ID: mdl-36593478

RESUMEN

BACKGROUND: Parental migration is an important factor affecting left-behind children's health. However, few studies have addressed the effect of parental migration on children's vision health in China. To fill the gap, this study aimed to assess the impact of parental migration on left-behind children's vision health and to explore the possible mechanisms of the effect. METHODS: Data were obtained from the baseline survey of the China Education Panel Survey (CEPS), which included over 10,000 junior high school students. This study used myopia, the most common vision problem among junior high school students, and tried to analyze whether myopia was corrected with eyeglasses as indicator variables of vision health. The impact of parental migration on vision health was assessed using an instrumental variables approach. RESULTS: The results show that parental migration reduced the likelihood of myopia in left-behind children and decreased the possibility of myopic left-behind children being corrected. This result passed a series of robustness tests. The mechanism analysis indicated that compared to non-left-behind children, left-behind children spent more time on outdoor activities and less time on after-school classes, reducing their risk of being myopic. Further, because left-behind children live apart from their parents, their myopia problem is more difficult for parents to notice, and left-behind children are less likely to inform their parents of their myopia than non-left-behind children actively. This helps to explain why left-behind children have a lower correction rate with eyeglasses. CONCLUSIONS: Our findings suggest that parental migration, while not increasing the prevalence of myopia in left-behind children, has led to inequity in myopic left-behind children's correction. Given the severe consequences of uncorrected myopia, action is required to enhance the correction rate of myopic left-behind children.


Asunto(s)
Salud Infantil , Miopía , Humanos , Niño , Padres , Miopía/epidemiología , China/epidemiología , Estudiantes , Encuestas y Cuestionarios
15.
Child Care Health Dev ; 49(6): 1076-1086, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37006195

RESUMEN

BACKGROUND: Loneliness and depression are common emotional problems among left-behind children, and these emotional problems may have a high correlation with attachment relationships. AIMS: This study aimed to investigate the effects of parent-child attachment on left-behind children's loneliness and depression and the mediating roles of peer attachment and teacher-student relationship and their gender differences. METHODS: Using two waves of data, 614 left-behind children participated in the longitudinal study by completing a series of relevant questionnaire two times (spaced 6 months). RESULTS: The results showed that (1) both father-child attachment and mother-child attachment could negatively predict the loneliness and depression of left-behind children. Further, mother-child attachment has a greater predictive effect on loneliness. (2) Peer attachment played a mediating role in parent-child attachment and left-behind children's loneliness; teacher-student relationship played a mediating role in parent-child attachment and left-behind children's loneliness and depression. (3) The scores of girls were higher than those of boys in the four types of attachment relationships; the mediating role of teacher-student relationship between parent-child attachment and depression was significant only among boys. CONCLUSIONS: This study explored the factors that may have impacts on left-behind children's loneliness and depression as well as its potential mechanism and their gender differences based on the perspective of multiple-attachment theory. These results emphasize the important role of close parent-child attachment in reducing loneliness and depression among left-behind children, as well as the necessary mediating role of peer attachment and teacher-student relationships. These findings provide some valuable recommendations for preventing left-behind children's loneliness and depression.


Asunto(s)
Relaciones Interpersonales , Soledad , Masculino , Femenino , Humanos , Soledad/psicología , Estudios Longitudinales , Relaciones Padres-Hijo , Estudiantes/psicología
16.
Psychol Health Med ; 28(4): 876-883, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36411537

RESUMEN

The popularity of labor migration in Vietnam leaves millions of children at home. The study aims to compare the mental health of left-behind children (LBC) and non-left-behind children (NLBC) in a Vietnamese sample and examine social factors that could influence LBC's mental health. The study enrolled a sample of 371 LBC and 302 NLBC. Emotional Symptoms and Conduct Problems subscale of the SDQ were regarded as indicators of mental health. Results showed no differences between LBC and NLBC in terms of Emotional symptoms and Conduct problems. Notably, female LBC was more susceptible to Emotional symptoms than male LBC and female NLBC. Social support from family was negatively associated with mental health problems. No association was found between parent-child communication and mental health.


Asunto(s)
Salud Mental , Relaciones Padres-Hijo , Humanos , Masculino , Femenino , Prevalencia , Factores Protectores , Vietnam/epidemiología , Apoyo Social , Comunicación , China/epidemiología , Población Rural , Encuestas y Cuestionarios
17.
J Youth Adolesc ; 52(10): 2144-2157, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37481502

RESUMEN

Prior research examining parent-child separation and the hypothalamic-pituitary-adrenal (HPA) axis functioning has primarily focused on separation due to parental divorce or loss or forced migration. Less clear is the impact of parental economic migration on adolescents' HPA axis functioning. The present study fills this gap by examining diurnal cortisol patterns among left-behind adolescents who experienced separation from their migrant parents. Participants were 293 Chinese adolescents (33.4% girls, 66.21% left-behind adolescents; Mage = 10.80 years old, SD = 0.82 years). Two-level multilevel modeling was conducted to examine the associations between parent-child separation experiences and diurnal cortisol patterns. Although no significant differences were found between left-behind adolescents and their non-left-behind peers, results revealed that left-behind adolescents who experienced parent-child separation at earlier ages had more blunted diurnal cortisol slopes (usually signaling poorer mental and physical health), compared to their counterparts who experienced separation at older ages. Left-behind adolescent girls who had more adverse separation experiences exhibited smaller waking cortisol and blunted diurnal slopes; these findings were not observed among left-behind adolescent boys. Observing the association between timing of parent-child separation and adolescents' diurnal cortisol and the moderating effects of child sex, this study contributes uniquely to the developmental science of left-behind adolescents' physiological health.


Asunto(s)
Hidrocortisona , Sistema Hipotálamo-Hipofisario , Masculino , Femenino , Humanos , Adolescente , Niño , Sistema Hipotálamo-Hipofisario/fisiología , Divorcio , Sistema Hipófiso-Suprarrenal/fisiología , Saliva , Relaciones Padres-Hijo , Estrés Psicológico
18.
J Community Psychol ; 51(2): 662-675, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-34985781

RESUMEN

In this study, we adopt the human capital formation framework to understand the association of the various risk and protective factors in the family settings of rural children with their cognitive performance as measured by vocabulary and math test scores. We examine the role of caregiver reading or storytelling to children at younger age and the deprivation of parental care due to labor migration at different stages of childhood on child performance in vocabulary and math tests when they are over 10 years old. Our findings confirm the crucial role of parental presence in child's cognitive development both during early childhood and later ages. Extended periods of parental absence during early and later years of childhood are most pernicious for child cognitive performance. Our analysis also reveals significantly positive effect of caregiver reading and storytelling on children's vocabulary test performance. This study provides strong evidence for the benefits of programs that promote good parenting practice and caregiver involvement in child cognitive development.


Asunto(s)
Desarrollo Infantil , Lectura , Niño , Humanos , Preescolar , Padres/psicología , Responsabilidad Parental , China
19.
J Community Psychol ; 51(2): 605-625, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-34897731

RESUMEN

Migration's impact on Chinese rural children's psychosocial development is the subject of growing research attention. While scholars highlight the critical role of social support, they have yet to systematically examine whether and how community social capital, which provides proximal social support for families, affects rural children's psychosocial development as well as whether such associations vary by children's migration status. Using data from the child component of the 2012 Chinese Urbanization and Labor Migration Survey, this article shows that community social capital reduces children's behavioral and emotional problems; however, left-behind children and migrant children gain less from community social capital than children with at-home parents. In addition, left-behind girls fare worse and gain less from community social capital than left-behind boys. Together, these findings imply that community social capital reinforces the disadvantaged psychosocial development of rural children who experience parental migration and evidence the enduring gender inequality in rural China.


Asunto(s)
Capital Social , Migrantes , Masculino , Femenino , Niño , Humanos , Pueblos del Este de Asia , Padres , Emigración e Inmigración
20.
Int J Psychol ; 58(4): 351-359, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-36924129

RESUMEN

Left-behind children (LBC) have been found to be disadvantaged in academic adaption due to the lack of parental care and supervision they receive. Educational flow, which is known as an optimal learning state for adolescents, would be beneficial for academic adaption among LBC. Self-compassion may provide a growth mindset to improve their abilities and immersion in learning. The present study focuses on educational flow and explores both the level and the protective mechanism of educational flow among LBC using cross-sectional data. Specifically, we examine whether self-compassion contributes to educational flow through future orientation. The study sample comprises participants from a middle school in Henan province. A total of 371 LBC participated in the study, with a mean age of 14.04. We find that family income is positively associated to LBC's educational flow. Furthermore, self-compassion is positively associated with future orientation and educational flow, future orientation is positively associated with educational flow and self-compassion generates higher level of future orientation, which in turn promoting educational flow. Overall, our findings suggest that it is essential to incorporate self-compassion and future orientation when promoting the academic adaption of LBC.


Asunto(s)
Padres , Autocompasión , Adolescente , Humanos , Niño , Estudios Transversales , Escolaridad , Instituciones Académicas , China
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