Objective: To understand neglect and its associated factors among migrant middle school students in Tianjin, and to help them develop physically and mentally. Methods: A survey of 3 666 middle school students in 10 middle schools located in migrant gathering regions was conducted. Neglect and associated factors were collected and compared between migrant and non-migrant students. Results: The neglect rate of migrant middle school students in Tianjin was 45.79% and that of non-migrant students was 31.37%, the difference was statistically significant (χ2=56.25, P<0.01). The total neglect of middle school students who moved with them was (52.46±8.12) points; the neglect of boys, junior high schools, non-only children, fathers and mothers with high school education and below were significantly higher than those of girls, high schools, single children, and parents with high school education (t=3.73, 10.40, -11.36, 13.81, 15.57, P<0.01). The longer the follow-up period and the lower the family income, the higher the degree of neglect among the middle school students, and the difference was statistically significant (F=89.27, 53.48, P<0.01). Regression analysis showed that the following time (OR=3.55), whether the only child (OR=4.19) showed a positive correlation with the neglect of middle school students; family income (OR=0.71), parental education (OR=0.48, 0.25) were negatively correleted with neglect (P<0.05). Conclusion The neglect of middle school students in Tianjin is serious. The time of family migration, family income and parental education are important factors affecting neglect.