PURPOSE: Psychological well-beings of left-behind children (LBC) in rural areas of China remain under-studied. In this cross-sectional study, we aimed to explore the subjective well-being (SWB) in LBC and its associated factors in a rural area in eastern China. METHODS: Stratified random cluster sampling was used to select middle school and high school students in Qingyuan County of Zhejiang Province. Relevant information including sociodemographic characteristics was collected from each participant using an organized questionnaire. SWB was measured using the modified scale developed for Chinese adolescents. Univariable and multivariable regression analyses were performed using R version 3.3.0. RESULTS: A total of 1086 children were recruited and examined in the current analysis, with 365 (33.61%) being left-behind. Compared with non-left-behind children (NLBC), LBC had significantly lower scores in family satisfaction (= 0.003) and environment satisfaction (= 0.020). Multivariable regression analysis uncovered that frequent parent-child communication was associated with high positive affect (= 0.003) and life satisfaction (< 0.001), and the type of caregivers was associated with negative affect among LBC (= 0.037). CONCLUSIONS: Our results suggest SWB was lower in LBC, and targeted interventions including strengthening parental-child communication should be developed and implemented to improve LBC's SWB in rural areas of China.
