Journal article
Prevalence of risk factors for sudden infant death among Indigenous and non‐Indigenous people in Australia
Acta Paediatrica, Vol.109(12), pp.2614-2626
2020
Abstract
Aim: To examine differences in the prevalence of risk factors for sudden unexpected death in infancy (SUDI) between Aboriginal and Torres Strait Islander and non-Indigenous infants. Methods: A retrospective cohort study of SUDI in Queensland during 2010-2014 examined exposure to SUDI risk factors, to identify factors accounting for higher SUDI mortality among Indigenous infants. A multistage algorithm was applied to linked data to determine Indigenous status. Results: There were 228 SUDI, of which Indigenous infants comprised 26.8%. The Indigenous SUDI rate was 2.13/1000 live births compared to 0.72/1000 for non-Indigenous. The disparity between Indigenous and non-Indigenous SUDI was accounted for 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: Culturally responsive prevention efforts, including wrap-around maternity care and strategies that reduce maternal smoking and promote safer yet culturally acceptable ways of surface sharing, may reduce Indigenous SUDI mortality.
Details
- Title
- Prevalence of risk factors for sudden infant death among Indigenous and non‐Indigenous people in Australia
- Authors
- Rebecca A Shipstone (Corresponding Author) - University of the Sunshine Coast - School of Nursing, Midwifery and ParamedicineJeanine Young (Author) - University of the Sunshine Coast - School of Nursing, Midwifery and ParamedicineLauren Kearney (Author) - University of the Sunshine Coast - School of Nursing, Midwifery and ParamedicineJohn Thompson (Author) - University of the Sunshine Coast - School of Nursing, Midwifery and Paramedicine
- Publication details
- Acta Paediatrica, Vol.109(12), pp.2614-2626
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2020
- DOI
- 10.1111/apa.15274
- ISSN
- 0803-5253
- Copyright note
- Copyright (c) 2020. This is the peer reviewed version of the following article: Shipstone, RA, Young, J, Kearney, L, Thompson, JMD. Prevalence of risk factors for sudden infant death among Indigenous and non‐Indigenous people in Australia. Acta Paediatr. 2020; 109: 2614– 2626. https://doi.org/10.1111/apa.15274, which has been published in final form at https://doi.org/10.1111/apa.15274. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99450961302621
- Output Type
- Journal article
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