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Care Under Strain: Caregiver Mental Health and Early Childhood Development in Rural China

JCC pp. 1-18 2026-07-26

Original

Care Under Strain: Caregiver Mental Health and Early Childhood Development in Rural China

Lei Wang, Chuhan Tang, Kaiwen Guo, Victoria Tang, Tiffany Zhu, Vivian Zhang, Sophia Li, Amelie Ibel, Anabelle Lin, Scott Rozelle

Abstract

Drawing on quantitative and qualitative data collected in 2024 and 2025 in a relatively well-off rural area of China, this study examines the mental health of primary caregivers of young children and its correlates. The quantitative data show high prevalence of cognitive (40%), language (42%), and motor (20%) developmental delays among the children. Caregiver mental health problems may be one possible contributing factor given that approximately 17% of caregivers exhibit at least one mental health issue (i.e. stress, anxiety, or depression). The qualitative analysis identifies several risk factors of caregiver mental health problems: limited awareness of mental health concepts; heavy burden of caregiving; insufficient public services; and a lack of awareness of caregiver mental health’s impact on child development.

中文

压力下的照护:中国农村照护者心理健康与儿童早期发展

Lei Wang, Chuhan Tang, Kaiwen Guo, Victoria Tang, Tiffany Zhu, Vivian Zhang, Sophia Li, Amelie Ibel, Anabelle Lin, Scott Rozelle

摘要

本研究基于2024年和2025年在中国一个相对富裕的农村地区收集的定量和定性数据,考察幼儿主要照护者的心理健康及其相关因素。定量数据显示,儿童中认知(40%)、语言(42%)和运动(20%)发育迟缓的发生率较高。鉴于约17%的照护者至少存在一种心理健康问题(即压力、焦虑或抑郁),照护者心理健康问题可能是一个潜在促成因素。定性分析识别出照护者心理健康问题的若干风险因素:对心理健康概念的认识有限;照护负担沉重;公共服务不足;以及对照护者心理健康影响儿童发展的认识缺乏。

关键词

照护者心理健康、儿童早期发展、中国农村、发育迟缓、照护负担、公共服务、风险因素