Early Child Problem Behaviors And The Influential Factors Of Rural Area In Hunan Province

ObjectiveTo investigate the incidence of the early problemtic behavior of children in Hunan rural area, and to analyze the influencial factors of early problemtic behavior, and to lay the foundation for rural health service agencies to carry out the intervention of children problem behavior.MethodsA descriptive design was used in this study. 453 pupils sampled from 3 different schools of Yiyang, Chenzhou and Changsha in Hunan rural area, were investigated by a stratified cluster sampling method in July, 2007. Three instruments were employed for data collection. Demographic Information Sheet used to collect subject's individual and their family characteristics, and the coping style when they were upset; Prediction Test of Problem Children (PPCT) scale was designed to investigate the interpersonal relationship, emotional instability and learning difficulties of pupils, and Conners Children Behavior Rating Scale for Teachers (TRS) was planed to measure the behavior problems, hyperactivity, attention deficit-passive and hyperactivity index. Descriptive analysis, t-test, chi-squre test, logistic regression analysis were performed using by the Statistical Package for Social Science (SPSS 13.0) .Results1. Detection rate of children' problem behavior PPCT scale statistic result shows that there are 92 children have severe problem behavior, the detection rate is 20.31%. The most common problem is inadaptation in interpersonal relationship. Conners scale shows that there are 47 children have problem behavior, the detection rate is 10.38%. The highest score in Conners scale is attention deficit-passive subscale.2. Conners subscale compare with the normThe behavior problems subscale of 12～14 years old boy was (0.42±0.38), higher than the norm(0.23±0.38)(P<0.01). The hyperactivity subscale of 8～11 years old boy was (0.14±0.14)(0.54±0.61), lower than the norm (0.60±0.65)(0.70±0.78)(P<0.05). The attention deficit-passive subscale of 9～11 and 12～14 years old boy was(0.68±0.54)(0.58±0.43) lower than the norm(0.85±0.73)(0.71±0.63)(P<0.01,P<0.05). The hyperactivity index subscale of 9～11 years old boy was(0.54±0.54), lower than the norm(0.67±0.65)(P <0.05). There are no differences between the subscales of girls with the norm (P>0.05).3. Problem behavior detection rate of different sex of Conners scaleThere are no differences between the boys and girls of the problem behavior (P>0.05).4. Analysis of the influencial factors of Problem behaviorLogistic regression shows that, the influencial factors of problem behavior were if children desire to go to school (4.383), sex (1.698), the expectation of the parents (0.559), parents going out for job (0.427), if father understand (0.391).5. Coping style when children were upsetThe result shows that, most of children with problem behavior don't want to tell other people, they prefer to say nothing when they were upset, accounting for 49.4%, higher than children don't have problem behavior 9%.Conclusion1. The problem behavior detection rate of PPCT scale is 20.31%. The most common problem is inadaptation in interpersonal relationship. Conners scale shows that the detection rate of problem behavior is 10.38%, higher than Li's result (7.6%), but lower than Chen's result (11.27%).2. There are no differences between the boys and girls of the problem behavior. The behavior problems of 12～14 years old boy are worse than the general children, but the attention deficit-passive are better than the general children. The hyperactivity, attention deficit-passive and hyperactivity index of 9～11 years old boy are better than the general children. The hyperactivity of 8 years old boy is better than the general children. There are no differences of girls' behavior problems, hyperactivity, attention deficit-passive and hyperactivity index with the general children.3. The influencial factors of problem behavior were if children desire to go to school, sex, the expectation of the parents, parents going out for job, and if father understand.4. Most of children with problem behavior don't want to tell other people, just say nothing when they were upset, accounting for 49.4%.