1.Child Maltreatment among singletons and multiple births in Japan: A population-based study
1.Child Maltreatment among singletons and multiple births in Japan: A population-based study
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1.日本单胎和多胞胎中的虐待儿童：一项基于人群的研究
DOI：
10.1017/thg.2015.67
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发表时间：
2015
影响因子：
0.9
通讯作者：
and Mizukami K
中科院分区：
文献类型：
--
作者：
Yokoyama Y;Oda T;Nagai N;Sugimoto M;and Mizukami K
研究背景多胞胎的发生是儿童遭受虐待的一个危险因素。然而，很少有基于人口的研究探讨了多胞胎和虐待儿童之间的关系。本研究旨在评估在日本的单胎和多胎之间的儿童虐待的风险程度，并确定与风险增加的相关因素。MethodsUsing人口为基础的数据，我们分析了数据库的儿童虐待和医疗检查的记录，年龄为1.5岁的婴儿提交在西宫市公共卫生中心2007年4月至2011年3月。为了保护个人信息，数据被转移到匿名的电子文件进行analysis.ResultsAfter调整后的Logistic回归每个相关因素和妊娠数，倍数本身并不与儿童虐待的风险。然而，与单胎相比，多胎有更高的儿童虐待的危险因素，包括低出生体重和神经异常。此外，与独生子女的母亲相比，双胞胎的母亲有一个显着更高的比例，健康状况不佳，这是一个危险因素的儿童虐待。但与独生子女相比，多胞胎及其母亲的儿童虐待危险因素发生率显著增高。
BackgroundThe occurrence of multiple births has been recognized as a risk factor for child maltreatment. However, few population-based studies have examined the relationship between multiple births and child maltreatment. This study aimed to evaluate the degree of risk of child maltreatment among singletons and multiple births in Japan and to identify factors associated with increased risk.MethodsUsing population-based data, we analyzed the database of records on child maltreatment and medical checkups for infants aged 1.5 years filed at Nishinomiya City Public Health Center between April 2007 and March 2011. To protect personal information, the data were transferred to anonymized electronic files for analysis.ResultsAfter adjusting by logistic regression for each associated factor and gestation number, multiples themselves were not associated with the risk of child maltreatment. However, compared with singletons, multiples had a significantly higher rate of risk factors for child maltreatment, including low birth weight and neural abnormality. Moreover, compared with mothers of singleton, mothers of twins had a significantly higher rate of poor health, which is a risk factor of child maltreatment.ConclusionMultiples were not associated with the risk of child maltreatment. However, compared with singletons, multiples and their mothers had a significantly higher rate of risk factors of child maltreatment.