2023-09-28 14:46:10 +00:00
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abstract: 'Objectives Globally, unintentional injuries are one of the leading
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causes of infant death. Established risk factors for injuries during
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infancy include single parent households, socioeconomic disadvantage and
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maternal postpartum depression. We sought to examine whether maternal
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working status is associated with unintentional injury among infants in
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Japan.
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Methods We used data from an original questionnaire targeting mothers
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who participated in a 3 or 4-month health check-up program in Aichi
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prefecture, Japan. Experience of any type of unintentional injury was
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used as the primary outcome, and we also examined the experience of
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``falls{''''} and ``near-drowning{''''} as secondary outcomes. We conducted
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multivariable logistic regression analysis, adjusting for covariates. We
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also performed propensity score matching in order to balance covariates
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between paid employment and unpaid employment groups.
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Results Among 6,465 valid responses (response rate, 67\%), 9.8\% of
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infants experienced unintentional injuries. After matching on propensity
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for maternal employment (based on 26 covariates), we found that infants
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of mothers in paid employment were 1.35 times (95\% CI: 1.04-1.74) more
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likely to experience injures, including 1.60 times higher likelihood of
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falls (95\% CI: 1.14-2.24). Near-drowning was not significantly
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associated with maternal employment. We also found that father''s
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employment status was positively associated with risk of falls.
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Conclusion Both multivariable logistic analysis and propensity score
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matching analysis revealed that maternal paid employment status was
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associated with unintentional injuries among Japanese infants. To
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prevent infant injuries, comprehensive support for working families
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should be considered.'
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affiliation: 'Fujiwara, T (Corresponding Author), Tokyo Med \& Dent Univ, Dept Global
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Hlth Promot, Bunkyo Ku, 1-5-45 Yushima, Tokyo 1138519, Japan.
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Takizawa, Masaaki; Fujiwara, Takeo; Kizuki, Masashi; Nawa, Nobutoshi, Tokyo Med
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\& Dent Univ, Dept Global Hlth Promot, Bunkyo Ku, 1-5-45 Yushima, Tokyo 1138519,
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Japan.
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Kawachi, Ichiro; Kino, Shiho, Harvard TH Chan Sch Publ Hlth, Dept Social \& Behav
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Sci, Boston, MA USA.'
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author: Takizawa, Masaaki and Kawachi, Ichiro and Fujiwara, Takeo and Kizuki, Masashi
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and Nawa, Nobutoshi and Kino, Shiho
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author-email: fujiwara.hlth@tmd.ac.jp
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author_list:
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- family: Takizawa
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given: Masaaki
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- family: Kawachi
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given: Ichiro
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- family: Fujiwara
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given: Takeo
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- family: Kizuki
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given: Masashi
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- family: Nawa
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given: Nobutoshi
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- family: Kino
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given: Shiho
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da: '2023-09-28'
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doi: 10.1007/s10995-020-03083-2
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earlyaccessdate: JAN 2021
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eissn: 1573-6628
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files: []
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issn: 1092-7875
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journal: MATERNAL AND CHILD HEALTH JOURNAL
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keywords: Unintentional injury; Maternal working status; Infant; Propensity score
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keywords-plus: YOUNG-CHILDREN; PARENTAL LEAVE; EMPLOYMENT; HEALTH; FAMILY; RISK
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language: English
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month: MAR
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number: '3'
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number-of-cited-references: '34'
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orcid-numbers: Nawa, Nobutoshi/0000-0001-6785-7867
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pages: 414-427
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papis_id: a96125219458fba7411e5c99a7a5d621
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ref: Takizawa2021associationmaternal
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researcherid-numbers: Nawa, Nobutoshi/AAT-5292-2020
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times-cited: '1'
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title: Association Between Maternal Working Status and Unintentional Injuries Among
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3 to 4-Month-Old Infants in Japan
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000605895000003
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '25'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2021'
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