Developmental risk among Aboriginal children living in urban areas in Australia: the Study of Environment on Aboriginal Resilience and Child Health (SEARCH)

被引：11

作者：

Chando, Shingisai ^{[1
]}

Craig, Jonathan C. ^{[1
,2
]}

Burgess, Leonie ^{[3
,4
]}

Sherriff, Simone ^{[1
,3
]}

Purcell, Alison ^{[1
]}

Gunasekera, Hasantha ^{[1
,5
]}

Banks, Sandra ^{[6
]}

Smith, Natalie ^{[7
]}

Banks, Emily ^{[4
]}

Woolfenden, Sue ^{[5
,8
]}

机构：

[1] Univ Sydney, Sydney, NSW, Australia

[2] Flinders Univ S Australia, Adelaide, SA, Australia

[3] Sax Inst, Sydney, NSW, Australia

[4] Australian Natl Univ, Canberra, ACT, Australia

[5] Sydney Childrens Hosp Network, Sydney, NSW, Australia

[6] Tharawal Aboriginal Med Serv, Campbelltown, NSW, Australia

[7] Riverina Med & Dent Corp, Wagga Wagga, NSW, Australia

[8] Univ New South Wales, Sch Women & Childrens Hlth, Sydney, NSW, Australia

来源：

BMC PEDIATRICS | 2020年 / 20卷 / 01期

基金：

英国医学研究理事会;

关键词：

Child development; Pediatrics; Australian aboriginal; Caregiver concerns; Parents' Evaluation of Developmental Status; PSYCHOLOGICAL DISTRESS; PARENTS EVALUATION; OTITIS-MEDIA; CARE; PERSPECTIVE; OUTCOMES; HEARING; WELL;

D O I：

10.1186/s12887-019-1902-z

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

BackgroundMost Australian Aboriginal children are on track with their development, however, the prevalence of children at risk of or with a developmental or behavioural problem is higher than in other children. Aboriginal child development data mostly comes from remote communities, whereas most Aboriginal children live in urban settings. We quantified the proportion of participating children at moderate and high developmental risk as identified by caregivers' concerns, and determined the factors associated with developmental risk among urban Aboriginal communities.MethodsStudy methods were co-designed and implemented with four participating urban Aboriginal Community Controlled Health Services in New South Wales, Australia, between 2008 and 2012. Caregiver-reported data on children <8years old enrolled in a longitudinal cohort study (Study of Environment on Aboriginal Resilience and Child Health: SEARCH) were collected by interview. The Parents' Evaluation of Developmental Status (PEDS) was used to assess developmental risk through report of caregiver concerns. Odds ratios (OR) were calculated using multinomial logistic regression to investigate risk factors and develop a risk prediction model.ResultsOf 725 children in SEARCH with PEDS data (69% of eligible), 405 (56%) were male, and 336 (46%) were aged between 4.5 and 8years. Using PEDS, 32% were at high, 28% moderate, and 40% low/no developmental risk. Compared with low/no risk, factors associated with high developmental risk in a mutually-adjusted model, with additional adjustment for study site, were male sex (OR 2.42, 95% confidence intervals 1.62-3.61), being older (4.5 to <8years versus <3years old, 3.80, 2.21-6.54), prior history of ear infection (1.95, 1.21-3.15), having lived in 4 or more houses versus one house (4.13, 2.04-8.35), foster care versus living with a parent (5.45, 2.32-12.78), and having a caregiver with psychological distress (2.40, 1.37-4.20).ConclusionIn SEARCH, 40% of urban Aboriginal children younger than 8years were at no or low developmental risk. Several factors associated with higher developmental risk were modifiable. Aboriginal community-driven programs to improve detection of developmental problems and facilitate early intervention are needed.

引用

页数：13

共 48 条

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