云南某县艾滋病及其他脆弱家庭中儿童身心健康现况调查

Physical and mental health of children affected with AIDS and other children living in vulnerable families in a county of Yunnan province

目的了解中国政府/联合国儿童基金会艾滋病预防关怀项目县艾滋病及其他脆弱家庭中心儿童的身心健康现况,为项目提供基线资料。方法通过随机抽样,在云南省某项目县选取250名0-17岁来自受艾滋病、吸毒和贫困影响家庭的儿童,测量身高,并对其中154名6岁以上儿童进行心理问卷调查。结果来自三种家庭的儿童的身高没有显著性差异,心理状况有显著性差异。近68%的受艾滋病影响儿童不能处理生活中的困难,对生活中的事也不能决定怎么办;58%的受艾滋病影响的儿童害怕别人不和他(她)玩;67%的受艾滋病影响的儿童比较自信,但仍低于受吸毒影响的儿童(89%)。结论受艾滋病影响家庭的儿童与其他脆弱家庭儿童的心理状况不同,社区关怀项目应考虑之间的区别。

Objective To understand physical and mental health status of children affected with AIDS and other children living in vulnerable families in a pilot county of the China / UNICEF AIDS Prevention and Care Project. Methods By random sampling , 250 children of 0--17 years of age in a project county in Yunnan province were se- lected from 3 types of family： with family members affected with AIDS, with family members using illicit drugs, and poor family . Height were measured to all 250 children. Psychological questionnaire was used to interview 154 children over 6 years . Results There was no significant difference in height , but significant differences in psycho- logical status among children from the 3 types of families. Among the children affected with AIDS ,near 68% had difficulty or were indecisive in coping with problems in their daily life ; 58% were worried about peer interaction; 67% were relatively self--confident , which was lower than children affected by drug abuse, and the latter was 89%. Conclusion The mental status of children from the 3 types of family is different , and community care should be provided by considering the difference between them.