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<<   作成日時 : 2008/11/07 00:00   >>

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画像 最新の研究で、祖父母が世話をすると、子供の外傷が少ないとわかった。
 1996-1997年に15の米国の都市で生まれた5,500人の新生児を3年間追跡したところ、祖父母が世話をすると外傷のリスクが半分であった。
 外傷は米国の子どもの主要な死因であり、4人に1人が毎年治療が必要な外傷になる。子どもと暮らす祖父母の数は1970年以来増大しており、2000年現在で580万人となっている。そのうち約1/3が養育に関わっている。
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November 4, 2008, 4:14 pm
Kids Safest Under Grandparents’ Care
http://well.blogs.nytimes.com/2008/11/04/kids-safest-under-grandparents-care/

If you think you’re doing a better job than your parents at child rearing, think again. A new study shows children are less likely to be injured when they are in the care of grandparents.

The study is important because grandparents are a growing source of child care for working and single parents. Some health researchers speculated that grandparents may be out of touch with modern safety practices, and as a result, they worried that children being cared for by grandparents might be at higher risk for injury.

But the opposite appears to be true. Researchers from the Johns Hopkins Bloomberg School of Public Health analyzed caregiving and injury data from the National Evaluation of the Healthy Steps for Young Children Program. The program includes information about 5,500 newborns in 15 United States cities during 1996 and 1997, with follow-up over the next three years.

The analysis showed that having grandparents as caregivers cut the risk of childhood injury by about half. Compared to organized day care, care by other relatives, or even care by a mother who doesn’t work outside the home, children who were cared for by a grandmother were less likely to be injured. The findings were published in this month’s issue of Pediatrics.

Injuries are the leading cause of death for children in the United States, and about one in four children every year sustains an injury that requires medical attention. The number of grandparents who reside with children has been increasing since the 1970s. The U.S. Census Bureau estimates that as of 2000, there were 5.8 million grandparents living with grandchildren, and that about one in three of them were involved in caregiving.

“Recent growth in the number of grandparents providing child care has some observers concerned they don’t adhere to modern safety practices,” said lead study author Dr. David Bishai, a professor with the school’s department of population, family and reproductive health, in a press release. “To the contrary, this research tells us not only is there no evidence to support this assumption, but families that choose grandparents to care for their children experience fewer child injuries.”

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PEDIATRICS Vol. 122 No. 5 November 2008, pp. e980-e987 (doi:10.1542/peds.2007-2995)
ARTICLE

Risk Factors for Unintentional Injuries in Children: Are Grandparents Protective?
David Bishai, MD, PhD, MPHa, Jamie L. Trevitt, MPPa, Yiduo Zhang, PhDa, Lara B. McKenzie, PhDb, Tama Leventhal, PhDc, Andrea Carlson Gielen, ScD, ScMd and Bernard Guyer, MD, MPHa

a Department of Population Family and Reproductive Health
d Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
b Research Institute at Nationwide Children's Hospital, Columbus, Ohio
c Department of Child Development, Tufts University, Boston, Massachusetts

ABSTRACT

OBJECTIVE. We sought to identify sociodemographic and familial correlates of injury in children aged 2 to 3 years.

METHODS. The Healthy Steps data set describes 5565 infants who were enrolled at birth in 15 US cities in 1996--1997 and had follow-up until they were 30 to 33 months of age. Data were linked to medical claims reporting children's medically attended office visits by age 30 to 33 months. Each claim was accompanied by a reason for the visit. An analytical sample of 3449 was derived from the children who could be effectively followed up and linked to medical charts. Missing data were imputed by using multiple imputation with chained equations. The analytical sample showed no systematic evidence of sample selection bias. Multivariate logistic regression was used to determine the odds ratios of injury events.


RESULTS. Odds of medically attended injuries were decreased for children who received care from grandparents. Odds were increased for children who lived where fathers did not co-reside or in households where the parents never married. Statistical results were robust to the addition of a variety of covariates such as income, education, age, gender, and race.

CONCLUSIONS. Children are at higher risk for medically attended injury when their parents are unmarried. Having grandparents as caregivers seems to be protective. Household composition seems to play a key role in placing children at risk for medically attended injuries.

Key Words: child care . family issues . injury . safety

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