Yuanyuan Xiao1, Liping He2, Wei Chang2, Shinan Zhang3, Rui Wang2, Xiaowen Chen4, Xiaojing Li2, Zongyan Wang2, Harvey A Risch5. 1. School of Public Health, Kunming Medical University, Kunming, Yunnan, China; Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT. 2. School of Public Health, Kunming Medical University, Kunming, Yunnan, China. 3. Affiliated Stomatological Hospital of Kunming Medical University, Kunming, Yunnan, China. 4. Honghe Health Vocational College, Mengzi, Yunnan, China. 5. Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT. Electronic address: harvey.risch@yale.edu.
Abstract
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.
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.
Authors: Yuanyuan Xiao; Fang Liu; Hailiang Ran; Wenhang Deng; Yusan Che; Die Fang; Ahouanse Roland Donald Journal: BMC Public Health Date: 2021-11-09 Impact factor: 3.295