International Journal of Environmental Research and Public Health
Volume 14, Issue 11, 2017

Prevalence of mental health problems and associated risk factors among rural-to-urban migrant children in Guangzhou, China (Article) (Open Access)

Wang J. , Liu K. , Zheng J. , Liu J. , You L.*
  • a School of Nursing, Sun Yat-Sen University, 74, Zhongshan 2nd Rd, Guangzhou, 510080, China
  • b School of Nursing, Sun Yat-Sen University, 74, Zhongshan 2nd Rd, Guangzhou, 510080, China
  • c School of Nursing, Sun Yat-Sen University, 74, Zhongshan 2nd Rd, Guangzhou, 510080, China
  • d School of Nursing, Sun Yat-Sen University, 74, Zhongshan 2nd Rd, Guangzhou, 510080, China
  • e School of Nursing, Sun Yat-Sen University, 74, Zhongshan 2nd Rd, Guangzhou, 510080, China

Abstract

Rural-to-urban migration, which has achieved a huge scale during China’s economic reform, is a potential risk factor for the mental health of migrant children. To test this hypothesis, this study assessed the mental health status of rural-to-urban migrant children. Guided by Andersen’s behavioral model, the study explored the risk factors associated with mental health. The study recruited 1182 fifth/sixth-grade children from four private and four public primary schools in Guangzhou in 2014 in a descriptive cross-sectional design. Mental health status was measured by the strengths and difficulties questionnaire. Predisposing characteristics including demographics (e.g., age, gender), social structure (e.g., education, occupation) and health beliefs (health attitude) were recorded. Enabling characteristics including family and community resources and the need for health services were analyzed to explore the risk factors. The results indicate that more rural-to-urban migrant children were classified in the abnormal (21.0%) or borderline (18.8%) categories based on the total difficulties scores, the proportions of which were much higher than those of local children (9.8% abnormal, 13.8% borderline). Factors associated with a greater likelihood of mental health problems included single-parent families, seeking health information actively, family income cannot meet basic needs and poor perceived health status. Compared with the local children, the rural-to-urban migrant children had relatively poor mental health, hence monitoring and supporting mental health for rural-urban migrant children is critical. © 2017 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Mental health Migrant Children risk factors

Index Keywords

urban population information seeking China educational status immigrant demography health insurance mental health human attention deficit disorder community health belief statistics and numerical data rural population controlled study health status social structure financial management Mental Disorders Cross-Sectional Studies mental disease income school child migrant cross-sectional study psychology Adolescent single-parent family male Humans female young population risk factor Risk Factors Guangdong health services prevalence peer group Article rural-urban migration employment status migration disease predisposition family income Transients and Migrants Guangzhou attitude to health Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034609562&doi=10.3390%2fijerph14111385&partnerID=40&md5=aae3cd7a0f01b085226a9b1487f2a63b

DOI: 10.3390/ijerph14111385
ISSN: 16617827
Cited by: 7
Original Language: English