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Association of Child Mental Health with Child and Family Characteristics in Rural China: A Cross-Sectional Analysis

Author

Listed:
  • Huan Wang

    (Stanford Center on China’s Economy and Institutions, Stanford University, Stanford, CA 94305, USA)

  • Cody Abbey

    (Stanford Center on China’s Economy and Institutions, Stanford University, Stanford, CA 94305, USA)

  • Xinshu She

    (Stanford School of Medicine, Stanford University, Stanford, CA 94305, USA)

  • Scott Rozelle

    (Stanford Center on China’s Economy and Institutions, Stanford University, Stanford, CA 94305, USA)

  • Xiaochen Ma

    (China Center for Health Development Studies, Peking University, Beijing 100871, China)

Abstract

Assessing the mental health problems encountered by school children and understanding the contributing factors are crucial to inform strategies aimed at improving mental health in low-resource contexts. However, few studies have investigated the mental health problems among disadvantaged children in poorer countries. This study examines the prevalence of mental health problems in rural China and their association with child and family characteristics. The study uses survey data from 9696 children in 120 rural primary schools and measures child mental health using the Strengths and Difficulties Questionnaire (SDQ). Overall, 17.9% of the sample children were found to be in the abnormal range of the SDQ total difficulties scores. The mean score was 12.93 (SD = 4.94). Abnormal scores were associated with child and family characteristics, including older child age (Odds Ratio, OR = 0.704, 95% CI: 0.611, 0.810; p < 0.001), gender (OR = 1.235, 95% CI: 1.112, 1.371; p < 0.001), and academic performance (OR = 0.421, 95% CI: 0.369, 0.480; p < 0.001). Reading time was found to be protective for mental health. Risk factors include excessive screen time (OR = 1.685, 95% CI: 1.409, 2.016; p < 0.001) and being bullied (OR = 3.695, 95% CI: 3.301, 4.136; p < 0.001). Our study suggests that future mental health illness prevention programs in rural China should consider targeting different aspects of children’s social contexts.

Suggested Citation

  • Huan Wang & Cody Abbey & Xinshu She & Scott Rozelle & Xiaochen Ma, 2021. "Association of Child Mental Health with Child and Family Characteristics in Rural China: A Cross-Sectional Analysis," IJERPH, MDPI, vol. 18(10), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5107-:d:552712
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    References listed on IDEAS

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    1. Minmin Jiang & Lu Li & Wei Xing Zhu & Therese Hesketh, 2020. "Community-Based Intervention to Improve the Well-Being of Children Left Behind by Migrant Parents in Rural China," IJERPH, MDPI, vol. 17(19), pages 1-11, October.
    2. Aiqin Wang & Alexis Medina & Renfu Luo & Yaojiang Shi & Ai Yue, 2016. "To Board or Not to Board: Evidence from Nutrition, Health and Education Outcomes of Students in Rural China," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 24(3), pages 52-66, May.
    3. Lian Tong & Qiong Yan & Ichiro Kawachi, 2019. "The factors associated with being left-behind children in China: Multilevel analysis with nationally representative data," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-18, November.
    4. Wang, Huan & Yang, Chu & He, Fei & Shi, Yaojiang & Qu, Qinghe & Rozelle, Scott & Chu, James, 2015. "Mental health and dropout behavior: A cross-sectional study of junior high students in northwest rural China," International Journal of Educational Development, Elsevier, vol. 41(C), pages 1-12.
    5. Viet Nguyen, Cuong, 2016. "Does parental migration really benefit left-behind children? Comparative evidence from Ethiopia, India, Peru and Vietnam," Social Science & Medicine, Elsevier, vol. 153(C), pages 230-239.
    6. Yujuan Gao & Derek Hu & Evan Peng & Cody Abbey & Yue Ma & Chyi-In Wu & Chia-Yuan Chang & Wei-Ting Hung & Scott Rozelle, 2020. "Depressive Symptoms and the Link with Academic Performance among Rural Taiwanese Children," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    7. Yaojiang Shi & Yu Bai & Yanni Shen & Kaleigh Kenny & Scott Rozelle, 2016. "Effects of Parental Migration on Mental Health of Left-behind Children: Evidence from Northwestern China," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 24(3), pages 105-122, May.
    8. Hu, Hongwei & Lu, Shuang & Huang, Chien-Chung, 2014. "The psychological and behavioral outcomes of migrant and left-behind children in China," Children and Youth Services Review, Elsevier, vol. 46(C), pages 1-10.
    9. Hongyu Guan & Huan Wang & Kang Du & Jin Zhao & Matthew Boswell & Yaojiang Shi & Yiwei Qian, 2018. "The Effect of Providing Free Eyeglasses on Children’s Mental Health Outcomes in China: A Cluster-Randomized Controlled Trial," IJERPH, MDPI, vol. 15(12), pages 1-15, December.
    10. Feng Wang & Leesa Lin & Mingming Xu & Leah Li & Jingjing Lu & Xudong Zhou, 2019. "Mental Health among Left-Behind Children in Rural China in Relation to Parent-Child Communication," IJERPH, MDPI, vol. 16(10), pages 1-10, May.
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