| Objectives To explore the current situation of neglect level among preschool childrenin urban and rural area of Tangshan, and to discuss the influencing factors of childneglect，so as to provide scientific knowledge for taking preventive measures.Methods1642preschool children in urban area and1166preschool children in rural areaof Tangshan were extracted by stratified cluster sampling method. Chinese urban/ruralchildren aged3～6neglect Scale and a self-design questionnaire that parents wrote wasused to invest child neglect and related factors. Survey content included the generalsituation of children and parents, family environment, children’s education and childneglect. Epidata3.02was used to establish database. SPSS17.0was employed foranalyzing neglect rate and degree for using chi-square test,t test,ANOVA, logisticregression and multivariate linear regression and analysis.Results1The total neglect rate and degree of preschool children in Tangshan urban were36.4%and43.32±7.76. There were no significantly difference in terms of total neglectrate or degree between boys (36.7%,43.39±7.93) and girls (36.1%,43.25±7.58)(χ2=0.054，P=0.816；t=0.359，P=0.720). Rate of medical neglect of boys and girls werethe majority (17.7%，17.1%) and educational neglect degree was the most serious (47.10±11.23，46.45±10.37). They were significantly difference regarding of total neglect rateand degree among different ages (χ2=13.959，P=0.003；F=5.774，P=0.001), and that3-year-old children had the highest neglect rate (45.0%) and degree (44.87±7.92).Meanwhile and the lowest was6-year-old children for neglect rate(32.7%) and4-year-oldchildren for neglect degree(42.80±7.12).2The total neglect rate and degree of preschoolchildren in Tangshan rural was47.8％and44.35±6.45. There were no significantlydifference in terms of total neglect rate and degree between boys(49.0%,44.58±6.11)and girls (46.5%,44.19±6.82)(χ2=0.759，P=0.384；t=1.020，P=0.308). Rate anddegree of physical neglect of boys were the highest (19.3%,48.46±8.96), but that ofmedical neglect rate and physical neglect degree of girls were the highest (19.0%,47.36±9.48).They were no significantly difference at total neglect rate and degree among differentages (χ2=6.295，P=0.098；F=1.100，P=0.348).3The frequencies and degrees of neglectfor children living in the rural areas were higher than urban children (χ2=36.282，P<0.001；t=3.874，P<0.001). Medical neglect rate and educational neglect degreewere (17.4%，18.4%),(46.78±10.81，47.96±8.65) respectively, which were the highest inurban and rural area.4All of urban and rural preschool children were mainly involved insingle item of negligence, with incidence rates as17.0%and24.2%, proportions as46.7%and50.6%.5Non-conditional Logistic regression analysis showed that risk factors ofneglect for urban preschool children were younger, children and parents with introvertedpersonality, bad relationship of family members, parent’s inconsistently educationalattitude and foster care, and those for rural preschool children were mather’s loweducational level, mather with poor health, single parents, less family capita housing area,bad relationship of family members, inconsistently educational attitude to child.6Multiplelinear regression showed that the influencing factors of the degree of neglect for urbanpreschool children were children’s age, character of child and parents, homestyle, familycapita housing area, relationship of family members, educational method and attitude tochild, foster care, and those for rural preschool children were mather’s educational level,father’s health, relationship of family members, educational method and attitude to child.Conclusions1The neglect rate of preschool children both in urban and rural area ofTangshan was higher, and the neglect degree was more serious, especially in rural areas.Therefore our society and families should pay more attention to child neglect.2The riskfactors of Child neglect come from the following parts including child itself, parents andfamily.3Parents should improve themselves regarding of knowledge and skill of nursingchildren, establish scientific education mode, create harmony family atmosphere, so as toguarantee child growing healthily. |
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