目次

乳幼児健康診査報告書で用いる用語 ······················································ 1＜

乳児一般健康診査の部＞

Ⅰ 一般健診の部
1

実施状況 ········································································· 3

2

受診状況 ········································································· 3

3

出生直後の状況
3-1 在胎週数と出生時体重（１回目前期受診時）·································· 6
3-2 お産のとき（１回目受診時） ··············································· 6
3-3 生まれたとき（１回目受診時） ············································· 64

乳児の栄養法4-1 月齢別栄養法と離乳食の実施状況（２回目受診時） ···························· 7
4-2 月齢別離乳食回数（２回目受診時）·········································· 7
4-3 離乳食の状況（２回目受診時） ············································· 85発達 ············································································· 9

6

乳児の生活リズム ································································ 10

7

診察・検査結果 ·································································· 11
7-1 診察有所見の内訳 ························································ 12
7-2 検査結果の内訳
貧血検査 ······························································ 20

8

総合判定 ········································································ 21
8-1 要相談について ·························································· 23
8-2 要経過観察について ······················································ 23
8-3 要精密検査について ······················································ 24
8-4 要治療について ·························································· 24
8-5 現在治療中について ······················································ 25
8-6 現在観察中について ······················································ 25

9

問診・保健相談等の対応
9-1 保健師等による問診からの区分 ············································ 26
9-2 保健師等による保健相談状況 ·············································· 26
9-3 保健師等による相談内容 ·················································· 26

10

栄養相談の対応
10-1 栄養士による相談有無と出生順位··········································· 27
10-2 栄養士による相談有無と貧血の指導区分····································· 27＜

１歳６か月児健康診査の部 ＞

Ⅰ 一般健診の部
1

実施状況 ········································································ 29

2

受診状況 ········································································ 29

3発達 ············································································ 31

4

生活習慣
4-1 食習慣等 ································································ 32
4-2 睡眠 ···································································· 34

5

診察・検査結果 ·································································· 40
5-1 診察有所見の内訳 ························································ 41

5-2 検査結果の内訳
貧血検査 ······························································ 44
6

総合判定 ········································································ 45
6-1 要相談について ·························································· 46
6-2 要経過観察について ······················································ 46
6-3 要精密検査について ······················································ 47
6-4 要治療について ·························································· 47
6-5 現在治療中について ······················································ 48
6-6 現在観察中について ······················································ 48

7

問診・保健相談等の対応
7-1 保健師等による問診からの区分 ············································ 49
7-2 保健師等による保健相談状況 ·············································· 49
7-3 保健師等による相談内容 ·················································· 49

8

栄養相談の対応
8-1 栄養士による相談有無と出生順位··········································· 50
8-2 栄養士による相談有無と貧血の指導区分····································· 50

Ⅱ 歯科健診の部
受診状況 ············································································· 51＜

1う蝕有病者率とう蝕の型別分類 ···················································· 52

2歯の状況 ········································································ 52

3

歯の汚れ ········································································ 53

4

軟組織の疾患 ···································································· 53

5不正咬合 ········································································ 53

6口腔習癖 ········································································ 547

その他の異常 ···································································· 548歯科医師判定 ···································································· 55

9

１歳６か月児う蝕有病者率 ························································ 56

３歳児健康診査の部＞

Ⅰ 一般健診の部
1

実施状況 ········································································ 57

2

受診状況 ········································································ 57

3

発育（やせと肥満） ······························································ 59

4発達 ············································································ 60

5

生活習慣
5-1 食習慣 ·································································· 61
5-2 その他の習慣 ···························································· 62
5-3 睡眠 ···································································· 63

6

診察・検査結果 ·································································· 69
6-1 診察有所見の内訳 ························································ 70
6-2 視力・聴覚検査 ·························································· 74
6-3 尿検査 ·································································· 74

7

総合判定 ········································································ 75
7-1 要相談について ·························································· 76
7-2 要経過観察について ······················································ 76
7-3 要精密検査について ······················································ 77
7-4 要治療について ·························································· 77
7-5 現在治療中について ······················································ 78
7-6 現在観察中について ······················································ 78

8

問診・保健相談等の対応
8-1 保健師等による問診からの区分 ············································ 79

8-2 保健師等による保健相談状況 ·············································· 79
8-3 保健師等による相談内容 ·················································· 79
9

栄養相談の対応 ·································································· 80

Ⅱ 歯科健診の部
受診状況 ············································································· 81＜

1う蝕有病者率とう蝕の型別分類 ···················································· 82

2歯の状況 ········································································ 82

3

歯の汚れ ········································································ 83

4

軟組織の疾患 ···································································· 83

5不正咬合 ········································································ 83

6口腔習癖 ········································································ 84

7

その他の異常 ···································································· 848歯科医師判定 ···································································· 85

9３歳児う蝕有病者率 ······························································ 86

10フッ素塗布経験率 ································································ 87

11

３歳児の出生順位とむし歯 ························································ 88

子育ての姿勢・環境＞

1

健診同伴者 ······································································ 89

2

家族状況 ········································································ 93

3

保育状況
3-1 主な保育者 ······························································ 94
3-2 日中の主な過ごし方 ······················································ 95

4喫煙4-1 両親の喫煙 ······························································ 96
4-2 現在の妊娠と両親及び同居家族の喫煙······································· 99

5

その他の育児姿勢 ······························································· 100

6

子育てについて ································································· 1027

生活習慣7-1 幼児の食習慣 ··························································· 104
7-2 幼児の睡眠 ····························································· 105

8

お子さんの健康
8-1 乳児 ··································································· 107
8-2 幼児 ··································································· 108＜9

予防接種の状況 ································································· 109

10

保護者の主訴 ··································································· 112

経年比較

＞

1

お産のとき ························································ №1～ 2 ····· 1132

生まれたとき2-1 出生時体重 ··················································· № 3 ····· 114
2-2 在胎週数 ····················································· № 4 ····· 114
2-3 仮死 ························································· № 5 ····· 115
2-4 光線療法 ····················································· № 6 ····· 115
2-5 生まれた場所 ················································· № 7 ····· 115

3

乳幼児の食
3-1 乳児の栄養法 ················································· № 8 ····· 116
3-2 乳児の離乳食の開始月齢 ······································· № 9 ····· 116
3-3 母乳を飲ませている ··········································· №10 ····· 116
3-4 哺乳びんを使用している ······································· №11 ····· 116
3-5 朝食は毎日食べている ········································· №12 ····· 117

3-6 食事やおやつ（間食）の時間は決まっている······················ №13 ····· 117
3-7 外食（ファーストフードなど）をする···························· №14 ····· 117
3-8 外食の回数 月（ ）回（３歳児）······························ №15 ····· 117
4

生活習慣
4-1 歯みがきは仕上げ磨きをしている································ №16 ····· 118
4-2 起床時間 ····················································· №17 ····· 118
4-3 就寝時間 ····················································· №18 ····· 119
4-4 テレビ・ビデオ・スマホ・タブレット等を見る時間 ················ №19 ····· 120

5

主な保育者 ··························································· №20 ····· 121

6

健診同伴者
6-1 乳幼児健診における健診同伴者年次推移·························· №21 ····· 122
6-2 乳幼児健診における両親同伴の年次推移·························· №22 ····· 122

7

喫煙 ································································· №23 ····· 123

8

健康診査受診率・判定等
乳幼児健康診査の医師総合判定の年次推移····························· №24 ····· 124
乳児一般健康診査市町村別受診率推移································· №25 ····· 125
１歳６か月児健康診査市町村別受診率推移····························· №26 ····· 126
３歳児健康診査市町村別受診率推移 ·································· №27 ····· 127
１歳６か月児健康診査市町村別受診率推移（歯科） ····················· №28 ····· 128
３歳児健康診査市町村別受診率推移（歯科）··························· №29 ····· 129
１歳６か月児健康診査市町村別う蝕有病者率の推移 ····················· №30 ····· 130
３歳児健康診査市町村別う蝕有病者率の推移··························· №31 ····· 132

9＜

かかりつけ医 ························································· №32 ····· 134

令和 2 年度統計資料＞

乳児一般健康診査
乳児一般健康診査市町村別受診月齢（１） ·································· № 1 ····· 135
乳児一般健康診査市町村別受診月齢（２） ·································· № 2 ····· 137
乳児一般健康診査月齢別統計（診察有所見分類）····························· № 3 ····· 141
乳児一般健康診査市町村別統計（診察有所見分類）··························· № 4 ····· 142
乳児一般健康診査月齢別統計（ＩＣＤ－１０分類）··························· № 5 ····· 146
乳児一般健康診査市町村別統計（ＩＣＤ－１０分類）························· № 6 ····· 147
乳児一般健康診査（乳児後期）における血色素値分類（月齢別統計） ··········· № 7 ····· 151
乳児一般健康診査（乳児後期）における血色素値分類（市町村別統計） ········· № 8 ····· 152
乳児一般健康診査における股関節開排制限の所見・総合判定分類（乳児前期） ··· № 9 ····· 157
乳児一般健康診査における股関節開排制限の所見・総合判定分類（乳児後期） ··· №10 ····· 159
受診児の出生順位（乳児/１回目受診時） ··································· №11 ····· 163
保健相談
保護者の主訴への保健師等対応（乳児の集団健診） ······················· №12 ····· 164
保健師等による問診からの区分（乳児の集団健診）······················· №13 ····· 166
保健師等による保健相談と医師による総合判定（乳児） ··················· №14 ····· 168
保健師等による保健相談内訳（乳児の集団健診）························· №15 ····· 173
栄養士による相談有無と出生順位（乳児後期の集団健診） ················· №16 ····· 175
栄養士による相談有無と貧血の指導区分（乳児後期の集団健診） ··········· №17 ····· 177
妊娠・出産時の状態
妊娠中の経過 ························································ №18 ····· 179
お産のとき ·························································· №18 ····· 179
生まれたとき ························································ №19 ····· 180
育児環境
主な保育者 ·························································· №20 ····· 181
両親の喫煙（１）～（２） ········································ №21～22 ····· 182

家族の喫煙 ·························································· №23 ····· 184
子育てについて ······················································ №24 ····· 185
子育ての姿勢（１）～（２） ······································ №25～26 ····· 188
お子さんの健康状態
児の発達・既往歴 ···················································· №27 ····· 192
通院中の病気・歯に関すること・前回の乳児健診の結果 ··················· №28 ····· 195
予防接種
実施状況 ···························································· №29 ····· 198
１歳６か月児健康診査
１歳６か月児健康診査市町村別受診月齢 ··································· №30 ····· 201
１歳６か月児健康診査市町村別統計（診察有所見分類） ······················· №31 ····· 202
１歳６か月児健康診査市町村別統計（ＩＣＤ－１０分類） ····················· №32 ····· 205
１歳６か月児健康診査における血色素値分類（月齢別統計） ··················· №33 ····· 208
１歳６か月児健康診査における血色素値分類（市町村別統計） ················· №34 ····· 209
１歳６か月児健康診査市町村別統計（歯科） ···························· №35～36 ····· 214
保健相談
保護者の主訴への保健師等対応 ········································ №37 ····· 220
保健師等による問診からの区分 ········································ №38 ····· 222
保健師等による保健相談と医師による総合判定··························· №39 ····· 224
保健師等による保健相談内訳 ·········································· №40 ····· 228
栄養士による相談有無と出生順位 ······································ №41 ····· 230
栄養士による相談有無と貧血の指導区分································· №42 ····· 232
育児環境
主な保育者 ·························································· №43 ····· 234
両親の喫煙 ·························································· №44 ····· 235
家族の喫煙 ·························································· №45 ····· 236
子育てについて ······················································ №46 ····· 237
子育ての姿勢 ························································ №47 ····· 240
お子さんの健康状態
既往歴 ······························································ №48 ····· 241
児の発達発達（１）～（９） ·············································· №49～58 ····· 244
児の生活習慣生活習慣（１）～（４） ·········································· №59～62 ····· 256
予防接種実施状況（１）～（２） ·········································· №63～64 ····· 268
３歳児健康診査
３歳児健康診査市町村別受診月齢 ·········································· №65 ····· 274
３歳児健康診査市町村別統計（診察有所見分類）····························· №66 ····· 275
３歳児健康診査市町村別統計（ＩＣＤ－１０分類）··························· №67 ····· 278
３歳児健康診査市町村別統計（歯科） ·································· №68～70 ····· 281
検査結果 ································································ №71 ····· 290
発育
３歳児の市町村別肥満度並びにＢＭＩ ·································· №72 ····· 293
保健相談
保護者の主訴への保健師等対応 ········································ №73 ····· 296
保健師等による問診からの区分 ········································ №74 ····· 298
保健師等による保健相談と医師による総合判定··························· №75 ····· 300
保健師等による保健相談内訳 ·········································· №76 ····· 304
栄養士による相談有無と出生順位 ······································ №77 ····· 306

育児環境
主な保育者 ·························································· №78 ····· 308
両親の喫煙 ·························································· №79 ····· 309
家族の喫煙 ·························································· №80 ····· 310
子育てについて ······················································ №81 ····· 311
子育ての姿勢 ························································ №82 ····· 314
お子さんの健康状態
既往歴 ······························································ №83 ····· 315
児の発達発達（１）～（９） ·············································· №84～92 ····· 318
児の生活習慣生活習慣（１）～（５） ·········································· №93～97 ····· 327
予防接種
実施状況（１）～（２） ·········································· №98～99 ····· 342

＜

参考資料

＞

乳幼児健康診査実績（対象外児等を含む）
乳児一般健康診査月齢別統計（診察有所見分類）···························· №1 ····· 349
乳児一般健康診査市町村別統計（診察有所見分類） ·························· №2 ····· 350
乳児一般健康診査月齢別統計（ＩＣＤ－１０分類） ·························· №3 ····· 352
乳児一般健康診査市町村別統計（ＩＣＤ－１０分類） ························ №4 ····· 353
１歳６か月児健康診査市町村別統計（診察有所見分類） ······················ №5 ····· 355
１歳６か月児健康診査市町村別統計（ＩＣＤ－１０分類） ···················· №6 ····· 356
１歳６か月児健康診査における血色素値分類（月齢別統計） ·················· №7 ····· 357
１歳６か月児健康診査市町村別統計（歯科）····························· №8～9 ····· 358
３歳児健康診査市町村別統計（診察有所見分類）··························· №10 ····· 360
３歳児健康診査市町村別統計（ＩＣＤ－１０分類） ························· №11 ····· 361
３歳児健康診査市町村別統計（歯科） ································ №12～14 ····· 362
２歳児歯科健康診査 ································································ 365
厚生労働省の乳幼児健康診査必須問診項目（厚労省の追加問診）
乳児 ············································································ 371
１歳６か月児 ···································································· 382
３歳児 ·········································································· 386
乳幼児健康診査の実施回数と職種別従事状況··········································· 390＜

令和元年度精密健康診査の部

＜

添付資料

＞

令和元年度精密健康診査情報処理結果 ················································ 395＞

乳児一般健康診査受診票 ···························································· 407
１歳６か月児健康診査受診票 ························································ 408
３歳児健康診査受診票 ······························································ 409
２歳児歯科健康診査受診票 ·························································· 410
厚生労働省の追加問診票（乳児） ···················································· 411
厚生労働省の追加問診票（１歳６か月児） ············································ 412
厚生労働省の追加問診票（３歳児） ·················································· 413
編集後記
令和２年度乳幼児健康診査報告書作成委員名簿