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Depression among Chinese Left-Behind Children: A systematic review and meta-analysis
Lanyan Ding1, Lok-Wa Yuen2, Eric S Buhs2
1Centre for Mental Health Education, Xidian University, Xi'an, Shaanxi, China.
Child: Care, Health and Development
|January 29, 2019
Summary
Approximately 26.4% of China's left-behind children (LBC) experience depression. This systematic review highlights the need for better definitions and validated instruments to understand LBC mental health risks.
Area of Science:
- Child Psychology
- Public Health
- Mental Health Research
Background:
- China has 70 million left-behind children (LBC) due to parental migration for economic opportunities.
- LBC are raised by family members other than their parents, representing a significant portion of the child population.
Purpose of the Study:
- To systematically review and meta-analyze studies on depression among left-behind children in China.
- To quantify the prevalence and distribution of mental health issues in this vulnerable population.
Main Methods:
- A systematic literature search was conducted across five major databases (2000-2017).
- Included 21 studies (18 Chinese, 3 English) meeting specific inclusion criteria.
- Performed a meta-analysis to determine the pooled depression estimate.
Main Results:
- The pooled depression prevalence among left-behind children was 26.4%.
- Significant heterogeneity was observed, linked to unclear LBC definitions, use of unvalidated depression instruments, and geographic location.
Conclusions:
- The high prevalence of depression underscores the mental health risks faced by LBC.
- Methodological improvements, including clear definitions and validated tools, are crucial for future research on LBC mental health.
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