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Xue Yu,1,* Ling-Ling Wang,2,* Miao-Miao Liu,3 Qiu-Li Li,4 Xiu-Ying Dai,4 Lin-Gui Li5 1Department of Psychiatry, Beijing First Hospital of Integrated Traditional Chinese and Western Medicine, Beijing, Peopleâs Republic of China; 2Clinical Psychiatry 16, Luoyang Fifth Peopleâs Hospital-Fifth Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan Province, Peopleâs Republic of China; 3Mental Health Education Center, Yinchuan University of Energy, Yongning, Ningxia Hui Autonomous Region, Peopleâs Republic of China; 4Mental Health Education Consulting Center, College of Clinic Medicine, Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region, Peopleâs Republic of China; 5Department of Epidemiology, School of Public Health and Management, Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region, Peopleâs Republic of China*These authors contributed equally to this workCorrespondence: Xue Yu, Department of Psychiatry Beijing First Hospital of Integrated Traditional Chinese and Western Medicine, No. 13 Jintai Road, Chaoyang District, Beijing, 100026, Peopleâs Republic of China, Tel +86-137-1862-8959, Email yuxuehnm6@tom.comBackground: The internalizing behavior problems (IBPs) of left-behind children (LBC) due to parental migration are a widespread public health concern in China. A previous study showed that the detection rate of behavioral problems in the Hui was far higher than in the LBC of the Han nationality. However, to date, limited research has focused on IBPs in Chinese LBC of the Hui nationality. The aims of this present study are to explore the prevalence of IBPs and the influencing factors among the Hui LBC in the rural areas of China.Methods: A cross-sectional study was conducted among school students from the southern rural areas in Ningxia, China (2012â 2013). The caregivers or parents assessed IBPs using Achenbachâs Child Behavior Checklist for parents. The children completed the Egma Minnen av Bardndosnauppforstran, Junior Eysenck Personality Questionnaire and PiersâHarris Childrenâs Self-concept Scale. Data on 383 Hui LBC aged 6â 16 y were included in this study. Multivariate logistic regression analysis was used to examine the relationships between the independent variables and childrenâs internalizing behaviors.Results: Among the Hui population, the prevalence of IBPs in LBC and non-left-behind children (non-LBC) was 21.67% (83 of 383) and 18.18% (104 of 572), respectively, with no significant difference between these two groups (Ï2 = 1.77 and P = 0.18). However, among males of the Hui population, the prevalence of IBPs in LBC was 22.16%, which is significantly higher than in non-LBC (14.07%; Ï2 = 5.07; and P = 0.02). By controlling for gender and age, the multivariate logistic regression analysis showed that a mother highly favoring the subject (odds ratio [OR] = 2.70), average levels of neuroticism (OR = 9.01), and high levels of neuroticism (OR = 8.44) were risk factors for IBPs in Hui LBC.Conclusion: Our findings suggest that IBPs among male LBC of the Hui nationality in rural China were positively related to parental migration. Positive measures should be taken to prevent IBPs of male LBC of the Hui nationality in rural China in terms of personality development and parental childrearing patterns.Keywords: Hui nationality, left-behind children, internalizing behavior problems, rural areas |
