Identifying child abuse and neglect risk among postpartum women in Japan using the Japanese version of the Kempe Family Stress Checklist.
Identifying child abuse and neglect risk among postpartum women in Japan using the Japanese version of the Kempe Family Stress Checklist.
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使用日本版 Kempe 家庭压力清单来识别日本产后妇女遭受虐待和忽视的儿童风险。
DOI：
10.1016/j.chiabu.2014.08.012
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Yaeko Kataoka
中科院分区：
文献类型：
--
作者：
Kaori Baba;Yaeko Kataoka
本研究的目的是确定日本围产期单位中儿童虐待和忽视的高风险妇女的比率，并确定与风险水平相关的因素。为了评估虐待和忽视儿童的潜在风险，使用了日本版的Kempe家庭压力检查表（FSC-J）来指导产后妇女的访谈。FSC-J使用三点量表对10个类别进行评分，将响应分类为“无风险= 0”，“风险= 5”和“高风险= 10”。FSC-J的范围为0-100。使用确定的临界点25，受试者被分为高风险组和低风险组。对于两组，分析因素之间的关系。在同意参加的174例受试者中，12例（6.9%）评分为高风险，162例（93.1%）评分为低风险。调整后的比值比确定了三个相关因素作为重要的预测风险水平：过去的精神疾病（OR = 341.1），以前的亲密伴侣暴力的经验（OR = 68.0），并有一个合作伙伴谁是失业（OR = 14.5）。虽然这项研究是对日本一家医院的一小部分妇女进行的，而且更大的人群会使这项研究更加有力，但这些结果表明，日本约6.9%的产后妇女可能面临虐待和忽视儿童的高风险。因此，至关重要的是要建立一个系统，为这些妇女及其子女进行筛查、干预和转诊。
The aims of this study were to determine the rate of women who are high-risk for child abuse and neglect in a perinatal unit in Japan, and to identify the factors associated with risk level. To assess the potential risk for child abuse and neglect the Japanese version of the Kempe Family Stress Checklist (FSC-J) was used to guide interviews with postpartum women. FSC-J uses a three-point scale to score 10 categories, categorizing responses as “no risk = 0”, “risk = 5”, and “high risk = 10”. The range of FSC-J is 0–100. Using an established cutoff point of 25, subjects were divided into high and low risk groups. For both groups, relationships between factors were analyzed. Of the 174 subjects who agreed to participate, 12 (6.9%) scored high-risk, and 162 (93.1%) scored low-risk. Adjusted odds ratio identified three associated factors as important for predicting risk level: past mental illness (OR = 341.1), previous experience of intimate partner violence (OR = 68.0), and having a partner who was unemployed (OR = 14.5). Although this study was on a small sample of women in one hospital in Japan and a larger population would make this study much stronger, these results suggest that some 6.9% of postpartum women in Japan may be at high-risk for child abuse and neglect. It is critical, therefore, to develop a system for screening, intervention, and referral for such women and their children.
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