Fatal child maltreatment associated with multiple births in Japan: nationwide data between July 2003 and March 2011

Ooki, Syuichi

doi:10.1007/s12199-013-0335-9

Cited by 12 publications

(11 citation statements)

References 12 publications

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“…Further, analysis of the mediating effect of low birth weight was not possible because low-birth-weight infants were excluded. To the extent that our findings reflect infant death due to intentional injury, our results are consistent with previous studies which found that twins (or twin families) were at 2–20 times’ higher risk of abuse than singletons in the United States and in Japan (7–10).…”

Section: Discussionsupporting

confidence: 92%

“…It is unknown whether twins and higher-order multiples are at greater risk of infant mortality from external causes. However, caring for multiple infants might lead to decreased parental attention per child (2); having multiples can increase parental anxiety, stress, and depression (3, 4), particularly during the first year of life (3, 5, 6); and multiples have been found to be at higher risk of child maltreatment than singletons (7–10).…”

mentioning

confidence: 99%

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Plurality of Birth and Infant Mortality Due to External Causes in the United States, 2000–2010

Ahrens¹,

Thoma²,

Rossen³

et al. 2017

American Journal of Epidemiology

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Risk of death during the first year of life due to external causes, such as unintentional injury and homicide, may be higher among twins and higher-order multiples than among singletons in the United States. We used national birth cohort linked birth-infant death data (2000-2010) to evaluate the risk of infant mortality due to external causes in multiples versus singletons in the United States. Risk of death from external causes during the study period was 3.6 per 10,000 live births in singletons and 5.1 per 10,000 live births in multiples. Using log-binomial regression, the corresponding unadjusted risk ratio was 1.40 (95% confidence interval (CI): 1.30, 1.50). After adjustment for maternal age, marital status, race/ethnicity, and education, the risk ratio was 1.68 (95% CI: 1.56, 1.81). Infant deaths due to external causes were most likely to occur between 2 and 7 months of age. Applying inverse probability weighting and assuming a hypothetical intervention where no infants were low birth weight, the adjusted controlled direct effect of plurality on infant mortality due to external causes was 1.64 (95% CI: 1.39, 1.97). Twins and higher-order multiples were at greater risk of infant mortality due to external causes, particularly between 2 and 7 months of age, and this risk appeared to be mediated largely by factors other than low-birth-weight status.

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Section: Discussionsupporting

confidence: 92%

mentioning

confidence: 99%

Plurality of Birth and Infant Mortality Due to External Causes in the United States, 2000–2010

Ahrens¹,

Thoma²,

Rossen³

et al. 2017

American Journal of Epidemiology

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“…The annual reports by the Ministry of Health, Labor and Welfare of Japan also pointed out that having more than one child, including multiples, is one of the risk factors for child maltreatment, although no evidence has been shown by the Ministry. The present results and the higher prevalence of fatal child maltreatment observed in the same dataset (Ooki, 2013) support this point.…”

Section: Discussionsupporting

confidence: 86%

Characteristics of Fatal Child Maltreatment Associated with Multiple Births in Japan

Ooki

2013

Twin Res Hum Genet

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. There were 437 cases of fatal maltreatment of children aged 0-17 years during this period, including 14 involving multiple-birth children. A keyword search was performed to create a full profile for each multiple-birth case. The 14 multiple-birth victims were twins from 13 families. No significant difference between twins and singletons with fatal maltreatment was observed for most characteristics. However, in the case of twins, 0-month victims were rare, and the number of children per family was larger. One twin died from shaken baby syndrome. The victim's siblings were also maltreated in six out of 12 relevant cases, including all six co-twins. Premature birth, having a disabled co-twin, delay of growth or development, and parental disfavor tended to be factors of maltreatment when only one twin was maltreated. Four families were given suspended sentences in total, including three mothers who acted as solitary murderers (43% = 3/7). In conclusion, recent Japanese nationwide data suggests that the non-specific overburden of child rearing might be one possible reason for higher frequency of child maltreatment for multiples compared with singletons, and parental comparisons between two twins might be another. The penal sentences for fatal child maltreatment might be more lenient for perpetrators of this crime against twins than against singletons.

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“…Multiple births are noted as one of the risk factors for child maltreatment, and having several siblings in the family is another risk factor . Although sibling age difference has not been reported as a risk factor, a 1 year difference between siblings was noted in three cases in the present study.…”

Section: Discussioncontrasting

confidence: 55%

Child deaths with persistent neglected experiences from medico‐legal documents in Japan

Yamaoka

Tamiya

Fujiwara

et al. 2015

Pediatrics International

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Background: Few studies have examined the actual conditions of fatal neglect in Japan. The aims of this study were to investigate persistent neglect among child fatalities using medico-legal documents, and to describe the characteristics of the socio-familial background and biological data. Methods:The current study analyzed the documents of all postmortem external examinations and autopsies in children <2 years old carried out in one prefecture in Japan from 2006 to 2011. After examining 59 autopsy cases using modified the Maltreatment Classification System, we identified six children who experienced persistent neglect as study samples.Results: Three children were found in unsanitary rooms and one was left alone inside a car. In two cases, age of mother at delivery was <21 years old. Three victims had 1 year older sibling. With regard to history of use of health services, three mothers missed some prenatal care visits, and two refused to receive neonatal home visits. With regard to biological data the average weight Z score of six children was −2.22 after being adjusted to average weight for age (in months) and sex. Three children had acute or chronic undernutrition. Three victims had thymic involution considered as being due to chronic child maltreatment. Conclusions:The present collaboration between public health and legal medicine has enabled investigation of the background and biological impact of experiences of persistent neglect. A multidisciplinary system of evaluating child death is needed to identify preventable factors in order to intervene in the case of neglected children in a timely manner.

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Fatal child maltreatment associated with multiple births in Japan: nationwide data between July 2003 and March 2011

Cited by 12 publications

References 12 publications

Plurality of Birth and Infant Mortality Due to External Causes in the United States, 2000–2010

Plurality of Birth and Infant Mortality Due to External Causes in the United States, 2000–2010

Characteristics of Fatal Child Maltreatment Associated with Multiple Births in Japan

Child deaths with persistent neglected experiences from medico‐legal documents in Japan

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