著者

田中 佑弥 Yuya Tanaka

雑誌

臨床教育学研究 = Clinical Education (ISSN:13412434)

巻号頁・発行日

no.23, pp.13-22, 2017-03

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近年、フリースクールの制度化を目指す動きが活発化し、2016 年には「教育機会確保法」が成立したが、フリースクールの制度化をめぐってはさまざまな意見がある。本稿では、フリースクールの制度化に先行してフリースクールに言及した政府の有識者会議の報告書や、制度化に反対する障害者運動の主張を検討し、論争において何が焦点化されているかを考察した。政府の有識者会議が主に人的資本の有効活用という観点からフリースクールの制度化を捉えているのに対し、「普通学級」へのインクルージョンを主張してきた障害者運動は「分離・別学体制」の強化と捉えている。そして、さまざまな批判があるなかで、NPO 法人フリースクール全国ネットワーク代表理事の奥地圭子は、不登校の子どもの権利を保障するという観点から、フリースクールの制度化を推進していることをインタビューにより明らかにした。

著者

Yoshifumi Kasuga Miho Iida Yuya Tanaka Masumi Tamagawa Keita Hasegawa Satoru Ikenoue Yasunori Sato Mamoru Tanaka Daigo Ochiai

出版者

Japan Epidemiological Association

雑誌

Journal of Epidemiology (ISSN:09175040)

巻号頁・発行日

vol.33, no.9, pp.450-455, 2023-09-05 (Released:2023-09-05)

参考文献数

30

被引用文献数

1

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Background: Progress in reducing the global low birthweight (LBW) has been insufficient. Although the focus has been on preventing preterm birth, evidence regarding LBW in term births is limited. Despite its low preterm birth prevalence, Japan has a higher LBW proportion than other developed countries. This study aimed to examine the prevalence of LBW in term singleton births and its associated factors using a national database.Methods: We retrospectively analyzed the data of neonates registered in the Japan Society of Obstetrics and Gynecology Successive Pregnancy Birth Registry System who were born 2013–2017. Exclusion criteria included stillbirths, delivery after 42 gestational weeks, and missing data. Logistic regression analyses were performed to investigate the maternal and perinatal factors associated with LBW in term singletons using the data of 715,414 singleton neonates.Results: The overall prevalence of LBW was 18.3%, and 35.7% of LBWs originated from singleton term pregnancies. Multiple logistic regression analyses indicated that both modifiable and non-modifiable factors were independently associated with LBW in term neonates. The modifiable maternal factors included pre-pregnancy underweight, inadequate gestational weight gain, and smoking during pregnancy, while the non-modifiable factors included younger maternal age, nulliparity, hypertensive disorders of pregnancy, cesarean section delivery, female offspring, and congenital anomalies.Conclusion: Using the Japanese pregnancy birth registry data, more than one-third of LBWs were found to originate from singleton term pregnancies. Both modifiable and non-modifiable factors were independently associated with LBW in term neonates. Prevention strategies on modifiable risk factor control will be effective in reducing LBW worldwide.