Abstract:

〔Abstract〕 Objective： To explore the timeliness and influencing factors of left-behind children's medical treatment in Nanchong area. Methods：From October 2020 to April 2021， 497 left-behind children and their guardians were selected in Nanchong City for investigation. The effects of various factors on the medical timeliness of left-behind children were evaluated by multivariate analysis. Results：A total of 497 questionnaires were issued in this survey， of which 490 valid questionnaires were retrieved， with an effective rate of 98.59%. A total of 19 people did not see a doctor within 2 weeks of illness， and the non-seeing rate was 3.88%. The results of multivariate Logistic regression analysis showed that the left-behind girls （OR=1.465， 95% CI：1.069~2.009）， the increase in the age of the main caregivers（OR=1.449， 95% CI：1.032~2.034）， and the distance from the nearest medical institution to home ≥3 km（OR=1.404，95% CI：1.099~1.793） were risk factors for the left-behind children in Nanchong area who did not seek medical treatment for illness within 2 weeks. The only child （OR=0.687，95% CI：0.497~0.950）， the increase in family monthly income （OR=0.662， 95% CI：0.460~0.951）， and participation in the new rural cooperative medical system（OR=0.707， 95% CI：0.562~0.889） were protective factors. Conclusion： In Nanchong area， the rate of the left-behind children who fell ill within 2 weeks without seeing a doctor was 3.88%， which is mainly affected by the gender of left-behind children， the age of main caregivers and the distance from the nearest medical institution to home. Relevant departments can intervene against the above factors to improve the medical immediacy of left-behind children in Nanchong Area.

Key words:

"> ">〔Key words">〕 Nanchong area">, left-behind children">, timeliness of medical treatment">, influencing factors