Self-Reported Prevalence and Risk Factors for Shaking and Smothering Among Mothers of 4-Month-Old Infants in Japan.
Self-Reported Prevalence and Risk Factors for Shaking and Smothering Among Mothers of 4-Month-Old Infants in Japan.
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DOI：
10.2188/jea.je20140216
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发表时间：
2016
影响因子：
4.7
通讯作者：
Morisaki N
中科院分区：
文献类型：
--
作者：
Fujiwara T;Yamaoka Y;Morisaki N
旨在评估日本 4 个月大婴儿母亲的人群样本中摇晃和窒息的发生率，并确定危险因素。我们对日本爱知县参加为期 4 个月健康检查项目的女性（n = 6487；有效回答率为 66.8%）进行了问卷调查，评估了过去 1 个月内摇晃和窒息的频率，以及孕产妇、婴儿和家庭特征。使用多元逻辑回归分析了摇晃、窒息以及摇晃或窒息与可能的危险因素之间的关联。自我报告的过去一个月内发生摇晃、窒息以及至少一次摇晃或窒息的发生率分别为 3.9%（95% 置信区间 [CI]，3.5%–4.4%）、2.7%（95% CI，2.3%–3.1%）和 5.4%（95% CI，4.9%–6.0%）。发现了几种不同的导致摇晃和窒息的危险因素。摇晃或窒息的危险因素包括年龄34岁或以下（尤其是24岁或以下）、40岁或以上、全职工作、晚于4个月的健康检查、初产、居住在独立屋、住在2楼或更高（尤其是10楼或更高）、经济困难、感到过度哭泣和产后抑郁。防止虐待婴儿的保护因素是住在四居室的房子里，并且有更多的人可以咨询。日本母亲自我报告的颤抖和窒息的患病率与西方国家报告的患病率相似。这些发现可能有助于识别母亲摇晃和窒息婴儿的风险增加。
To estimate the prevalence of shaking and smothering and to determine risk factors in a population-based sample of mothers with 4-month-old infants in Japan. We administered a questionnaire to women who participated in a 4-month health checkup program in Aichi Prefecture, Japan (n = 6487; valid response rate, 66.8%), and assessed frequency of shaking and smothering during the past 1 month, as well as maternal, infant, and familial characteristics. Associations of shaking, smothering, and either shaking or smothering with possible risk factors were analyzed using multiple logistic regression. Self-reported prevalence of shaking, smothering, and either shaking or smothering at least once during the past month was 3.9% (95% confidence interval [CI], 3.5%–4.4%), 2.7% (95% CI, 2.3%–3.1%), and 5.4% (95% CI, 4.9%–6.0%) respectively. Several different risk factors were found for shaking and smothering. Risk factors for either shaking or smothering were age 34 years or younger (especially 24 years or younger), age 40 years or older, full-time working, later attendance at 4-months health checkup, primiparity, living in a detached house, living on the 2nd floor or higher (especially on the 10th floor or higher), economic adversity, perceived excessive crying, and postpartum depression. Protective factors against infant abuse were living in a four-room house and having a larger number of people to consult with. Self-reported prevalences of shaking and smothering among mothers in Japan were similar to prevalences reported in western countries. These finding may be useful for identifying mothers at increased risk of shaking and smothering their infants.