對未就學適齡兒童之流行病學的研究：第一報　台北市初步調查所見

An Epidemiological Study of 6 Year-old Children Not Attending School： Ⅰ. First Report: Preliminary Findings form Taipei City

徐澄清(Chen-Chin Hsu) ； 葉英堃(Eng-Kung Yeh) ； 陳烱霖(Chiung-Lin Chen) ； 王啓祥(Chi-Shang Wang) ； 林燦煌(Tsann-Huang Lin) ； 陳拱北(Kung-Pei Chen)

《Acta Paediatrica Sinica》 7卷1期 (1966/03) Pp. 23-30

並列摘要

The present paper reports the preliminary findings of a survey on 6 year-old children not attending school, In the academic year of 1964, in the City of Taipei, altogether 31,250 children reached the age of 6 and were to attend the first grade to start their 6-year compulsory elementary education, Six hundred and thirty-one of them, comprising 2.02% of the school age population, however, did not register to the schools or failed to continue their schooling after attending the class for a month, In this preliminary survey it was to locate, in cooperation with the educational authorities, those non-attendants and to collect relevant information which would enable the authors to classify each of the children into a specific clinical diagnostic category. The findings which deserve special mention are summarized as follows:
1. One month after the beginning of the school year, 23 of the 631 non-attendants had already moved out of the town and the sample loss amounted to as high as 20% by the end of the school year.
2. The survey team succeeded in locating and examining 494 out of the 631 children not attending school.
3. The parents of those children who suffered from severer physical or mental handicaps were found to be more cooperative to the survey than the parents of those non-attendants with family problems or minor medical problems.
4. More than one third of the 494 children did not attend school not because of suffering from medical handicaps but had been kept out of the school because of ”the poor financial condition of the family”.
5. Parents with ”financial difficulty” tended to keep their daughters from attending school, although they did manage to send their sons to the school.
6. Classifying the 494 non-attendants according to a single diagnostic system, i.e. labeling a child with only one diagnosis for his main handicap, it was found that the sequelae of poliomyelitis appeared most frequently at the rate of 70 cases out of the 494, i. e., 14.17%, with the other diagnostic categories following it in the order as listed below: mental subnormality, 51 cases, 10.32%; speech and hearing disorder, 45 cases, 9.11%; chronic brain syndrome, 33 cases, 6.68%; mongoloid children, 23 cases, 4.66%; cerebral palsy, 16 cases, 3.04%; and others.