The impact of parental migration on health status and health behaviours among left behind adolescent school children in China

Yang Gao, Li Ping Li, Jean Hee Kim, Nathan Congdon, Joseph Lau, Sian Griffiths, Yang Gao, Li Ping Li, Jean Hee Kim, Nathan Congdon, Joseph Lau, Sian Griffiths

Abstract

Background: One out of ten of China's population are migrants, moving from rural to urban areas. Many leave their families behind resulting in millions of school children living in their rural home towns without one or both their parents. Little is known about the health status of these left behind children (LBC). This study compares the health status and health-related behaviours of left behind adolescent school children and their counterparts in a rural area in Southern China.

Methods: A cross-sectional study was conducted among middle school students in Fuyang Township, Guangdong, China (2007-2008). Information about health behaviours, parental migration and demographic characteristics was collected using a self-administered questionnaire. Overweight/obesity and stunting were defined based on measurements of height and weight. Univariate and multivariate analyses were used to estimate the differences in health outcomes between LBC and non-LBC.

Results: 18.1% of the schoolchildren had one or both parents working away from home. Multivariate analysis showed that male LBC were at higher risk of skipping breakfast, higher levels of physical inactivity, internet addiction, having ever smoked tobacco, suicide ideation, and being overweight. LBC girls were more likely to drink excessive amounts of sweetened beverage, to watch more TV, to have ever smoked or currently smoke tobacco, to have ever drunk alcohol and to binge drinking. They were also more likely to be unhappy, to think of planning suicide and consider leaving home.

Conclusions: Our findings suggest that parental migration is a risk factor for unhealthy behaviours amongst adolescent school children in rural China. Further research is required in addition to the consideration of the implications for policies and programmes to protect LBC.

References

    1. Duan CR, Zhou FL. Studies on left behind children in China [in Chinese] Population Research. 2005;29:29–36.
    1. Hu X, Cook S, Salazar MA. Internal migration and health in China. The Lancet. 2008;372:1717–9. doi: 10.1016/S0140-6736(08)61360-4.
    1. Keung Wong DF, Li CY, Song HX. Rural migrant workers in urban China: living a marginalised life. International Journal of Social Welfare. 2007;16:32–40. doi: 10.1111/j.1468-2397.2007.00475.x.
    1. Riesch SK, Anderson LS, Krueger HA. Parent-child communication processes: preventing children's health-risk behavior. J Spec Pediatr Nurs. 2006;11:41–56. doi: 10.1111/j.1744-6155.2006.00042.x.
    1. Spear HJ, Kulbok PA. Adolescent health behaviors and related factors: a review. Public Health Nurs. 2001;18:82–93. doi: 10.1046/j.1525-1446.2001.00082.x.
    1. Benton D. Role of parents in the determination of the food preferences of children and the development of obesity. Int J Obes. 2004;28:858–69. doi: 10.1038/sj.ijo.0802532.
    1. Capron C, Therond C, Duyme M. Brief report: effect of menarcheal status and family structure on depressive symptoms and emotional/behavioural problems in young adolescent girls. J Adolesc. 2007;30:175–9. doi: 10.1016/j.adolescence.2006.11.004.
    1. Piko BF, Fitzpatrick KM. Socioeconomic status, psychosocial health and health behaviours among Hungarian adolescents. Eur J Public Health. 2007;17:353–60. doi: 10.1093/eurpub/ckl257.
    1. Griesbach D, Amos A, Currie C. Adolescent smoking and family structure in Europe. Soc Sci Med. 2003;56:41–52. doi: 10.1016/S0277-9536(02)00014-X.
    1. Wang J, Hughes J, Murphy GT, Rigby JA, Langille DB. Suicidal behaviours among adolescents in northern Nova Scotia. Can J Public Health. 2003;94:207–11.
    1. McKay L, Macintyre S, Ellaway A. Migration and health: a review of the international literature. MRC Social and Public Health Sciences Unit, Occasional Paper no. 12. Glasgow: MRC Social and Public Health Unit; 2003.
    1. D'Emilio AL, Cordero B, Bainvel B, Skoog C, Comini D, Gough J. The Impact of International Migration: Children left behind in selected countries of Latin America and the Caribbean. United Nations Children's Fund (UNICEF), New York; 2007.
    1. Abbasi N, Irfan M. In: Asian Labor Migration: Pipeline to the Middle East. Arnold F, Shah N, editor. Boulder, Colorado: Westview Press; 1986. "Socioeconomic Effects of International Migration on Pakistani Families Left Behind".
    1. Battistella G, Conaco MCG. The Impact of Labour Migration on the Children Left Behind: A Study of Elementary School Children in the Philippines. SOJOURN: Journal of Social Issues in Southeast Asia. 1998;13:220–41. (19 Jan, 2009)
    1. Stevens GWJM, Vollebergh WAM. Mental health in migrant children. Journal of Child Psychology & Psychiatry. 2008;49(3):276–94. doi: 10.1111/j.1469-7610.2007.01848.x.
    1. Scalabrini Migration Center. Hearts Apart: Migration in the Eyes of Filipino Children. Episcopal Commission for the Pastoral Care of Migrants and Itinerant People-CBCP/Apostleship of the Sea-Manila, 2005. 2009.
    1. Lu DP. Issues and challenges of the left-behind children: based on results of the specific investigation undertaken by China Youth University of Political Sciences [in Chinese] US-China Education Review. 2006;3:1–9.
    1. Zhou FL, Duan CR. Literature review on studies on left behind children [in Chinese] Population Research. 2006;3:60–65.
    1. Gao WB, Wang T, Liu ZK, Wang XL. A study on depression characteristics and its influencing factors in children left in rural areas [in Chinese] Chin J of Behavioral Med Sci. 2007;16:238–240.
    1. Huang XN, Wu J, Peng AN, Li Z, Qi XB, Shi SH. Left behind children, a group of vulnerable population [in Chinese] Medicine and Society. 2005;18(2):5–6.
    1. Wang LF, Zhang S, Sun YH, Zhang XJ. The current situation of loneliness of left behind children in countryside [in Chinese] Chin J of Behavioral Med Sci. 2006;15:639–640.
    1. Zhang S, Wang LF, Sun YH, Chen XF, Zhang XJ, Gao R, Xing XY. Epidemiological survey on the current situation of social anxiety of left-behind children in primary school [in Chinese] Modern Preventive Medicine. 2007;34:441–443.
    1. Zhu KR, Li CJ, Zhou SQ. Analysis and Suggestions to the Learning of the Children who Stay at Home when their Parents are out [in Chinese] Education Science. 2002;4:21.
    1. Agriculture Department of Chaoan County, Chaozhou City, Guangdong Province, China. Statistics of Local Rural Working 2009 [in Chinese]
    1. National Bureau of Statistics of China. China statistical yearbook 2008. China Statistics Press; 2008.
    1. Ji CY. Chinese Youth Risk Behavior Survey report 2005 [in Chinese] Peking University Medical Press, Beijing; 2007.
    1. Youth Risk Behavior Surveillance of US. 2007 Middle School Youth Risk Behavior Survey Questionnaire.
    1. WHO. WHO Global School-based Student Health Survey questionnaire.
    1. Young KS. Caught in the Net: how to recognize the signs of internet addiction and a winning strategy for recovery. New York, US: John Wiley & Sons; 1998.
    1. Cooperative Meta-analysis Group of China Obesity Task Force. Predictive values of body mass index and waist circumference to risk factors of related diseases in Chinese adult population [in Chinese] Chinese Journal of Epidemiology. 2002;23(1):5–10.
    1. WHO. Growth reference data for 5-19 years.
    1. Katz MH. Multivariable analysis: a practical guide for clinicians. Cambridge, UK: Cambridge University Press; 1999.
    1. Glantz SA. Primer of biostatistics. New York, US: McGraw-Hill, Medical Pub. Division; 2002.
    1. Tao FB, Gao M, Wei G, Li YY, Zhang JX, Su PY. Demographic Characteristics of Health2risk Behaviors Among Middle School Students in Hefei [in Chinese] Chin J School Health. 2003;24(6):571–573.
    1. Jiang TT, Lu R, Zhang JX. Survey of risk behavior relevant to health and influential factors in children of two cities in Sichuan Province [in Chinese] China Tropical Medicin. 2006;143(14):164–165.
    1. Ji CY, Sun JL, Chen TQ. Dynamic analysis on the prevalence of obesity and overweight school-age children and adolescents in recent 15 years in China [in Chinese] Chinese Journal of Epidemiology. 2004;25:103–8.
    1. Sun YH, Yu TS, Tong SL, Zhang Y, Shi XM, Li W. A cross-sectional study of health-related behaviors in rural eastern China. Biomed Environ Sci. 2002;15:347–54.
    1. Mao Z, Wu B. Urban-rural, age and gender differences in health behaviours in the Chinese population: findings from a survey in Hubei, China. Public Health. 2007;121:761–4. doi: 10.1016/j.puhe.2007.02.015.
    1. WHO. Tobacco-free Youth. 2009.
    1. Han MY, Chen WP. Meta-analysis on the risk factors of adolescent smoking in China. J Adolesc Health Chinese Journal of Disease Control & prevention. 2004;8:227–30.
    1. Brener ND, Billy JOG, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. Journal of Adolescent Health. 2003;33:436–457. doi: 10.1016/S1054-139X(03)00052-1.
    1. Brener ND, Kann L, McManus TL, Kinchen S, Sundberg EC, Ross JG. Reliability of the 1999 Youth Risk Behavior Survey Questionnaire. Journal of Adolescent Health. 2002;31:336–342. doi: 10.1016/S1054-139X(02)00339-7.

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