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Health outcomes for Australian Aboriginal and Torres Strait Islander children born preterm, low birthweight or small for gestational age: A nationwide cohort study.
- Source :
-
PloS one [PLoS One] 2019 Feb 20; Vol. 14 (2), pp. e0212130. Date of Electronic Publication: 2019 Feb 20 (Print Publication: 2019). - Publication Year :
- 2019
-
Abstract
- Objective: To examine health outcomes in Australian Aboriginal and Torres Strait Islander children experiencing perinatal risk and identify protective factors in the antenatal period.<br />Methods: Baby/Child cohorts of the Longitudinal Study of Indigenous Children, born 2001-2008, across four annual surveys (aged 0-8 years, N = 1483). Children with 'mild' and 'moderate-to-high' perinatal risk were compared to children born normal weight at term for maternal-rated global health and disability, and body-mass-index measured by the interviewer.<br />Results: Almost one third of children had experienced mild (22%) or moderate-to-high perinatal risk (8%). Perinatal risk was associated with lower body-mass-index z-scores (regression coefficients adjusted for pregnancy and environment factors: mild = -0.21, 95% CI = -0.34, -0.07; moderate-to-high = -0.42, 95% CI = -0.63, -0.21). Moderate-to-high perinatal risk was associated with poorer global health, with associations becoming less evident in models adjusted for pregnancy and environment factors; but not evident for disability. A range of protective factors, including cultural-based resilience and smoking cessation, were associated with lower risk of adverse outcomes.<br />Conclusions: Perinatal risks are associated with Australian Aboriginal and Torres Strait children experiencing adverse health particularly lower body weight. Cultural-based resilience and smoking cessation may be two modifiable pathways to ameliorating health problems associated with perinatal risk.<br />Competing Interests: The authors have declared that no competing interests exist.
- Subjects :
- Australia epidemiology
Australia ethnology
Body Mass Index
Child
Child, Preschool
Cohort Studies
Female
Health Services Accessibility statistics & numerical data
Health Services, Indigenous
Humans
Infant
Infant, Newborn
Longitudinal Studies
Male
Risk
Health Surveys
Infant, Low Birth Weight
Infant, Small for Gestational Age
Native Hawaiian or Other Pacific Islander statistics & numerical data
Premature Birth epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1932-6203
- Volume :
- 14
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- PloS one
- Publication Type :
- Academic Journal
- Accession number :
- 30785929
- Full Text :
- https://doi.org/10.1371/journal.pone.0212130