Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/113863
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Gestational age and child development at age five in a population-based cohort of Australian Aboriginal and non-Aboriginal children |
Author: | Hanly, M. Falster, K. Chambers, G. Lynch, J. Banks, E. Homaira, N. Brownell, M. Eades, S. Jorm, L. |
Citation: | Paediatric and Perinatal Epidemiology, 2018; 32(1):114-125 |
Publisher: | Wiley |
Issue Date: | 2018 |
ISSN: | 0269-5022 1365-3016 |
Statement of Responsibility: | Mark Hanly, Kathleen Falster, Georgina Chambers, John Lynch, Emily Banks, Nusrat Homaira, Marni Brownell, Sandra Eades, Louisa Jorm |
Abstract: | Background: Preterm birth and developmental vulnerability are more common in Australian Aboriginal compared with non-Aboriginal children. We quantified how gestational age relates to developmental vulnerability in both populations. Methods: Perinatal datasets were linked to the Australian Early Development Census (AEDC), which collects data on five domains, including physical, social, emotional, language/cognitive, and general knowledge/ communication development. We quantified the risk of developmental vulnerability on ≥1 domains at age 5, according to gestational age and Aboriginality, for 97 989 children born in New South Wales, Australia, who started school in 2009 or 2012. Results: Seven thousand and seventy-nine children (7%) were Aboriginal. Compared with non-Aboriginal children, Aboriginal children were more likely to be preterm (5% vs. 9%), and developmentally vulnerable on ≥1 domains (20% vs. 36%). Overall, the proportion of developmentally vulnerable children decreased with increasing gestational age, from 44% at ≤27 weeks to 20% at 40 weeks. Aboriginal children had higher risks than non- Aboriginal children across the gestational age range, peaking among early term children (risk difference [RD] 19.0, 95% confidence interval [CI] 16.3, 21.7; relative risk [RR] 1.91, 95% CI 1.77, 2.06). The relation of gestational age to developmental outcomes was the same in Aboriginal and non-Aboriginal children, and adjustment for socioeconomic disadvantage attenuated the risk differences and risk ratios across the gestational age range. Conclusions: Although the relation of gestational age to developmental vulnerability was similar in Aboriginal and non-Aboriginal children, Aboriginal children had a higher risk of developmental vulnerability at all gestational ages, which was largely accounted for by socio-economic disadvantage. |
Keywords: | gestational age preterm birth early childhood development indigenous population linked administrative data |
Rights: | © 2017 John Wiley & Sons Ltd |
DOI: | 10.1111/ppe.12426 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1061713 http://purl.org/au-research/grants/nhmrc/1016475 http://purl.org/au-research/grants/nhmrc/573122 http://purl.org/au-research/grants/nhmrc/1042717 http://purl.org/au-research/grants/nhmrc/1056888 http://purl.org/au-research/grants/nhmrc/1099422 http://purl.org/au-research/grants/nhmrc/1013418 |
Published version: | http://dx.doi.org/10.1111/ppe.12426 |
Appears in Collections: | Aurora harvest 8 Public Health publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.