Identifying child abuse and neglect risk among postpartum women in Japan using the Japanese version of the Kempe Family Stress Checklist |
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| Institution: | 1. Royal Devon and Exeter NHS Foundation Trust, UK;2. Healthcare Infection Society, UK;1. Psychiatry Research and Teaching Unit, University of New South Wales, Academic Mental Health Unit, Level 2, Mental Health Centre, Liverpool Hospital, Sydney, New South Wales 2170, Australia;2. Alola Women''s Foundation, Timor-Leste;3. Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA;1. School of Public Health, The University of Queensland, Herston, Australia;2. School of Social Science, The University of Queensland, Herston, Australia;3. Centre for Youth Substance Abuse Research, The University of Queensland, Herston, Australia;1. Department of Sociology, University of Utah, 380 S 1530 E, Salt Lake City, UT 84112, USA;2. School of Medicine, University of Utah, Salt Lake City, UT, USA;3. Health Society and Policy Program, University of Utah, Salt Lake City, UT, USA;4. Department of Pediatrics, University of Utah, Salt Lake City, UT, USA |
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| Abstract: | The aims of this study were to determine the rate of women who are high-risk for child abuse and neglect in a perinatal unit in Japan, and to identify the factors associated with risk level. To assess the potential risk for child abuse and neglect the Japanese version of the Kempe Family Stress Checklist (FSC-J) was used to guide interviews with postpartum women. FSC-J uses a three-point scale to score 10 categories, categorizing responses as “no risk = 0”, “risk = 5”, and “high risk = 10”. The range of FSC-J is 0–100. Using an established cutoff point of 25, subjects were divided into high and low risk groups. For both groups, relationships between factors were analyzed. Of the 174 subjects who agreed to participate, 12 (6.9%) scored high-risk, and 162 (93.1%) scored low-risk. Adjusted odds ratio identified three associated factors as important for predicting risk level: past mental illness (OR = 341.1), previous experience of intimate partner violence (OR = 68.0), and having a partner who was unemployed (OR = 14.5). Although this study was on a small sample of women in one hospital in Japan and a larger population would make this study much stronger, these results suggest that some 6.9% of postpartum women in Japan may be at high-risk for child abuse and neglect. It is critical, therefore, to develop a system for screening, intervention, and referral for such women and their children. |
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| Keywords: | Child abuse Neglect Child maltreatment Risk Perinatal unit Postpartum women |
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