Self-harm behaviors, suicidal ideation, and associated factors among rural left-behind children in west China

Self-harm behaviors, suicidal ideation, and associated factors among rural left-behind children in west China
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西部农村留守儿童自残行为、自杀意念及影响因素

DOI:
10.1016/j.annepidem.2019.12.014
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发表时间:
2020-02-01
影响因子:
5.6
通讯作者:
Risch, Harvey A.
Risch, Harvey A.
中科院分区:
医学3区
文献类型:
--
作者:
Xiao, Yuanyuan;He, Liping;Risch, Harvey A.

文献摘要

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目的:本研究采用横断面研究方法,对2898名留守儿童的自我伤害行为及其影响因素进行了研究。结果:48%(95%CI:42%-54%)的LBC报告了SH行为。SH与自杀意念显著相关。男性、初中生和父亲文化程度低的低收入人群SH患病率较高。男孩,当地少数民族,初中学生,和LBC的父亲是受过良好教育的被观察到在更严重的医学SH behaviors.Conclusions:SH是一个重大的公共卫生问题,在中国农村LBC的风险增加。应制定有针对性的干预措施,以降低未来的自杀风险。(C)2020爱思唯尔公司All rights reserved.
Purpose: This population-based cross-sectional study describes self-harm (SH) behaviors and associated factors in 2898 Chinese left-behind children (LBC).Methods: Descriptive statistics were used to present and compare the distributional characteristics of SH behaviors. Binary and ordinal logistic-regression models for survey data were applied to explore associated factors of SH.Results: Among the LBC, 48% (95% CI: 42%-54%) reported SH behaviors. SH was prominently associated with suicidal ideation. Boys, junior high-school students, and LBC whose fathers were poorly educated were observed to have higher prevalence of SH. Boys, local ethnic minorities, junior high-school students, and LBC whose fathers were comparatively well educated were observed to be at increased risk of more medically serious SH behaviors.Conclusions: SH is a substantial public health problem among rural Chinese LBC. Targeted intervention measures should be developed to reduce future suicide risk. (C) 2020 Elsevier Inc. All rights reserved.