@article{ref1,
title="Association between maternal working status and unintentional injuries among 3 to 4-month-old infants in Japan",
journal="Maternal and child health journal",
year="2021",
author="Nawa, Nobutoshi and Kizuki, Masashi and Fujiwara, Takeo and Kawachi, Ichiro and Takizawa, Masaaki and Kino, Shiho",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: Globally, unintentional injuries are one of the leading causes of infant death. Established risk factors for injuries during infancy include single parent  households, socioeconomic disadvantage and maternal postpartum depression. We sought  to examine whether maternal working status is associated with unintentional injury  among infants in Japan. <br><br>METHODS: We used data from an original questionnaire  targeting mothers who participated in a 3 or 4-month health check-up program in  Aichi prefecture, Japan. Experience of any type of unintentional injury was used as  the primary outcome, and we also examined the experience of &quot;falls&quot; and  &quot;near-drowning&quot; as secondary outcomes. We conducted multivariable logistic  regression analysis, adjusting for covariates. We also performed propensity score  matching in order to balance covariates between paid employment and unpaid  employment groups. <br><br>RESULTS: Among 6,465 valid responses (response rate, 67%), 9.8%  of infants experienced unintentional injuries. After matching on propensity for  maternal employment (based on 26 covariates), we found that infants of mothers in  paid employment were 1.35 times (95% CI: 1.04-1.74) more likely to experience  injures, including 1.60 times higher likelihood of falls (95% CI: 1.14-2.24). Near-drowning was not significantly associated with maternal employment. We also  found that father's employment status was positively associated with risk of falls. <br><br>CONCLUSION: Both multivariable logistic analysis and propensity score matching  analysis revealed that maternal paid employment status was associated with  unintentional injuries among Japanese infants. To prevent infant injuries,  comprehensive support for working families should be considered.<p /> <p>Language: en</p>",
language="en",
issn="1092-7875",
doi="10.1007/s10995-020-03083-2",
url="http://dx.doi.org/10.1007/s10995-020-03083-2"
}