title: [A study to establish screening standards for determining cases for follow-up on health check-ups at 4 months, 18 months and 3 years of age from the viewpoint of child-rearing support].
abstract: OBJECTIVE
  For maternal and child health, in addition to assistance to children, support to guardians is needed with the change in the social environment due to child-rearing. In Kobe city, from 2002/ 04/01, interview sheets for health check-ups at 4 months, 18 months and 3 years of age were revised and questions about child-rearing were added. The purpose of the present study was to clarify revisions to interview sheets regarding childcare support.
  
  
  METHODS
  A total of 3,308 cases of mothers and children who underwent their health check-ups between 2002/04/01 and 2002/12/31 were surveyed, and the replies in the interview sheets were analyzed using the chi-square test for independence and the Pearson's correlation coefficient.
  
  
  RESULTS
  In addition to children's development, factors for child-rearing in the home, including cooperation from the father, are of great importance. Moreover, subjectivity about mother's child-rearing is influenced by the support of child-rearing friends.
  
  
  CONCLUSIONS
  Public health nurses should use not only the replies in interview sheets but also the appearance of guardians at health check-ups as important factors for screening. Further consideration of the influence of each question for evaluation is necessary to establish screening standards.
authors.affiliation: Nagata Ward Office Kobe-City Public Health and Welfare Division.
authors.forename: Yayoi
authors.initials: Y
authors.lastname: Hada
authors.forename: Hatsumi
authors.initials: H
authors.lastname: Yamasaki
authors.forename: Naomi
authors.initials: N
authors.lastname: Sugimoto
authors.forename: Midori
authors.initials: M
authors.lastname: Kimura
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Mouri
mesh_terms: D002668:Child Rearing; D002675:Child, Preschool; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D007223:Infant; D011637:Public Health Nursing; D012944:Social Support