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Factors of Having Difficulties Raising 3-Year-Old Children in Japan

Usefulness of Maternal and Child Health Information Accumulated by the Local Government

Bibliographic Data

ID15715465
AuthorsKimiko Tagawa (0000-0003-2230-0832, Hiroshima University, corresponding author), Miwako Tsunematsu (0000-0003-3864-3207, Hiroshima University), Masayuki Kakehashi (0000-0002-9675-9761, Hiroshima University)
Year2021
Volume8
Issue12
Pages1084-1084
Publication date2021-11-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children8121084
PMID34943280
OpenAlexW3216138253
LanguageEN
Citations received1
References cited26

Background: Difficulties raising children may be associated with depressive tendencies and abuse by parents, for which maternal and child health information may be useful. We clarified factors related to difficulties in raising children at the time of the 3-year-old child health checkup. Method: This was a retrospective cohort study. We used maternal and child health information collected from the time of pregnancy notification until the 3-year-old child health checkup. The subjects were the parents of 507 children who were born and eligible for the 3-year-old child health checkup between September 2013 and October 2017. Logistic regression and ROC analyses were performed. The dependent variable was "having difficulties raising children at the 3-year-old health checkup". Result: Eleven factors were clarified as risk factors. Three major factors among them were having difficulties raising children at the 18-month-old checkup (adOR, 6.3; 95%CI, 3.0-13.9), actions are at the child's own pace and adult instructions are difficult to follow at the 18-month-old health checkup (adOR, 5.0; 95%CI, 1.3-25.4), and EPDS score ≥ 2 (adOR, 3.4; 95%CI, 1.5-8.1). The AUC of this predictive model was 0.86. At a cutoff value of 0.387, the sensitivity was 79.7% and the specificity was 77.6%. Conclusion: Having difficulties raising children at the 3-year-old health checkup has factors from the time of pregnancy and requires continued support. It was possible and useful to use maternal and child health information when screening high-risk parents

Child health · Cohort · Logistic regression · Raising (metalworking · Breastfeeding Practices and Influences · Child and Adolescent Health · Demography · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Pediatrics

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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