Risk and Protective Factors for Pregnancy Outcomes for Urban Aboriginal and Non-Aboriginal Mothers and Infants: The Gudaga Cohort

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作者：Elizabeth Comino (1) Jennifer Knight (1) Vana Webster (1) Lisa Jackson Pulver (2) Bin Jalaludin (3) Elizabeth Harris (1) Pippa Craig (4) Dennis McDermott (5) Richard Henry (6) Mark Harris (1)
关键词：Indigenous ; Birth outcomes ; Risk factors ; Protective factors
刊名：Maternal and Child Health Journal
出版年：2012
出版时间：April 2012
年：2012
卷：16
期：3
页码：569-578
全文大小：255KB
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作者单位：Elizabeth Comino (1) Jennifer Knight (1) Vana Webster (1) Lisa Jackson Pulver (2) Bin Jalaludin (3) Elizabeth Harris (1) Pippa Craig (4) Dennis McDermott (5) Richard Henry (6) Mark Harris (1) 1. Centre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Sydney, NSW, 2132, Australia 2. Muru Marri Indigenous Health Unit, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia 3. Centre for Research, Evidence Management and Surveillance, Clinical Support Cluster West, NSW Health, Liverpool, Australia 4. School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia 5. Flinders Prevention, Promotion and Primary Health Care, Flinders University, Bedford Park, Australia 6. Division of the Deputy Vice–Chancellor (Academic), University of New South Wales, Sydney, Australia

文摘

This paper aims to describe delivery and birth outcomes of Aboriginal infants and their mothers in an urban setting on the east coast of Australia. The paper uses a causal pathway approach to consider the role of risk and protective factors for low birthweight. All mothers who delivered at Campbelltown Hospital between October 2005 and May 2007 were eligible. The study included 1,869 non-Aboriginal infants and 178 Aboriginal infants and their mothers. Information on delivery and birthweight was extracted from electronic medical records. Risk factors for poor outcomes were explored using regression and causal pathway analysis. Mothers of Aboriginal infants were younger than mothers of non-Aboriginal infants, and were more likely to be single, less educated, unemployed prior to pregnancy, and live in a disadvantaged neighbourhood. Health and service use was similar. They were significantly more likely to have a vaginal delivery than mothers of non-Aboriginal infants (77% cf 62.5%; χ 1b> 2 ?=?14.6, P?<?0.001) and less likely to receive intervention during delivery. Aboriginal infants (3,281.1?g) weighed 137.5?g (95%CI: 54-21?g; P?=?0.001) less then non-Aboriginal infants (3,418.7?g). Gestational age, and single mother with incomplete education, prior unemployment, smoking, and living in a disadvantaged neighbourhood were associated with lower birthweight. Maternal vulnerability had a cumulative impact on birthweight. A causal pathway analysis demonstrated the associations between risk factors.

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