Conference presentation
Improving understanding of SUDI in Aboriginal and Torres Strait Islander Families in Queensland
ISA-ISPID Digital Conference, 2021 (Online, 11-Nov-2021 - 13-Nov-2021)
2021
Abstract
Background: Indigenous Australians experience disparities in health outcomes, prompting a government commitment to halving the gap in infant mortality to achieve health equity. Designing initiatives to redress these inequities requires detailed understanding of Indigenous populations. However, the recording of Indigenous status is poor in most datasets. Knowledge gaps exist as to the prevalence of risk factors in SUDI cases and factors associated with the disparity between Indigenous and non-Indigenous SUDI.
Aim: To remedy under-identification of Indigenous infants and examine differences in the prevalence of SUDI risk factors for Indigenous and non-Indigenous infants.
Methods: Queensland SUDI data (2010-2014) were linked to birth and death registrations, and health, child protection and coronial records. A multistage algorithm was applied to linked data to determine Indigenous status. Factors accounting for higher Indigenous SUDI mortality were examined.
Results: Linking Indigenous status data resulted in a 64.9% increase in infants identified as Indigenous. The disparity between Indigenous and non-Indigenous SUDI was explained by surface-sharing (OR=2.93 95% CI=1.41, 6.07), smoking (OR=2.49, 95% CI=1.13, 5.52), and a combination of background antenatal and sociodemographic factors (inadequate antenatal care [OR=6.93, 95% CI=2.20, 21.86], young maternal age at first birth [OR=4.02, 95% CI=1.49, 10.80] and outer regional [OR=3.03, 95% CI=1.37, 6.72] and remote locations [OR=11.31, 95% CI=3.47,36.83]).
Conclusion: Applying an algorithm resulted in more accurate rates of Indigenous SUDI. Culturally responsive prevention efforts, including wrap-around maternity care and strategies that reduce maternal smoking and promote safer ways of surface sharing, may reduce Indigenous SUDI mortality.
Details
- Title
- Improving understanding of SUDI in Aboriginal and Torres Strait Islander Families in Queensland
- Authors
- Rebecca Shipstone (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyJohn Thompson (Author) - University of AucklandJeanine Young (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyLauren Kearney (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
- Conference details
- ISA-ISPID Digital Conference, 2021 (Online, 11-Nov-2021 - 13-Nov-2021)
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Nursing
- Language
- English
- Record Identifier
- 99603882502621
- Output Type
- Conference presentation
Metrics
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