Ogata Yasue, Uehara Ritei, Yokoyama Yoshie
Department of Nursing, School of Health Sciences, Bukkyo University.
Department of Health Policy and Technology Assessment, National Institute of Public Health.
Nihon Koshu Eisei Zasshi. 2024 Jan 26;71(1):33-40. doi: 10.11236/jph.23-027. Epub 2023 Oct 5.
Objectives We aimed to clarify the relationship between economic insecurity and the psychological profiles of mothers raising infants by analyzing data from three-month health check-ups in relation to the birth population in order to generate basic data that can be used to consider support for families facing economic insecurity.Methods The study area was a neighborhood in a major Japanese city. The survey focused on 1013 mothers who had received health check-ups for children aged 18 months between November 2017 and October 2019. The data included in the analysis were data from the children's three-month health check-ups and survey data from 908 mothers who responded to the questionnaire and consented to the use of their health check-up data. After excluding data from potential participants who were not mothers or had multiple births, data from 847 participants were analyzed (valid response rate: 93.3%). The objective variables were mothers' mood and thoughts about life with their children at the time of the three-month check-up as the mothers' psychological profiles. The explanatory variable was the presence or absence of maternal economic insecurity, and logistic regression analysis was conducted, adjusted for the children's sex and birth order, presence or absence of maternal counselors, and the mothers' educational attainment.Results A total of 60 (7.1%) mothers were economically insecure. Of the mothers' moods, 122 (14.4%) reported feeling anxious, followed by 36 (4.3%) who reported feeling lonely. Of their thoughts on life with their children, 776 (91.6%) mothers reported that they enjoyed it, and 567 (66.9%) reported that they were happy to be parents. On the other hand, 157 (18.5%) reported feeling frustrated, and 75 (8.9%) reported that the lack of time for themselves was painful. Economically insecure mothers had an odds ratio of 5.59 (95% confidence interval, 2.49-12.55) for feeling lonely, 4.77 (2.67-8.54) for feeling anxious, and 2.70 (1.50-4.86) for feeling frustrated, all significantly higher than in mothers not facing economic insecurity.Conclusion Economic insecurity among mothers at the time of the three-month check-up was associated with the psychological states of loneliness, anxiety, and frustration about living with their children. It was suggested that to solve economically insecure mothers' problems, they need support, including connecting them with social welfare services, so that they will be able to raise their children in a more stable environment.
目的 我们旨在通过分析与出生人口相关的三个月健康检查数据，阐明经济不安全与抚养婴儿的母亲心理状况之间的关系，以生成可用于考虑为面临经济不安全的家庭提供支持的基础数据。
方法 研究区域为日本一个主要城市的街区。调查聚焦于2017年11月至2019年10月期间接受18个月大儿童健康检查的1013名母亲。纳入分析的数据包括儿童三个月健康检查的数据以及908名回复问卷并同意使用其健康检查数据的母亲的调查数据。在排除非母亲或多胞胎潜在参与者的数据后，对847名参与者的数据进行了分析（有效回复率：93.3%）。 客观变量是三个月检查时母亲对与孩子生活的情绪和想法，作为母亲的心理状况。解释变量是母亲是否存在经济不安全状况，并进行了逻辑回归分析，对孩子的性别和出生顺序、母亲是否有咨询顾问以及母亲的教育程度进行了调整。
结果 共有60名（7.1%）母亲存在经济不安全状况。在母亲的情绪方面，122名（14.4%）报告感到焦虑，其次是36名（4.3%）报告感到孤独。在她们对与孩子生活的想法方面，776名（91.6%）母亲报告享受这种生活，567名（66.9%）报告很高兴成为父母。另一方面，157名（18.5%）报告感到沮丧，75名（8.9%）报告自己缺乏时间很痛苦。经济不安全的母亲感到孤独的优势比为5.59（95%置信区间，2.49 - 12.55），感到焦虑的优势比为4.77（2.
