The real divide: the use of algorithm‐derived Indigenous status to measure disparities in sudden unexpected deaths in infancy in Queensland

Rebecca A Shipstone; Jeanine Young; John Thompson

doi:10.1111/1753-6405.12951

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The real divide: the use of algorithm‐derived Indigenous status to measure disparities in sudden unexpected deaths in infancy in Queensland

Journal article

Open access

Peer reviewed

The real divide: the use of algorithm‐derived Indigenous status to measure disparities in sudden unexpected deaths in infancy in Queensland

Rebecca A Shipstone, Jeanine Young and John Thompson

Australian and New Zealand Journal of Public Health, Vol.43(6), pp.570-576

2019

DOI: https://doi.org/10.1111/1753-6405.12951

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Abstract

Mortality

Aboriginal

data linkage

Indigenous

sudden infant death syndrome (SIDS)

UniSC Diversity Area - Aboriginal and Torres Strait Islander Engagement

Objective: To investigate the under-identification of Indigenousâˆ— infants in death records and examine the impact of a multi-stage algorithm on disparities in sudden unexpected deaths in infancy (SUDI). Methods: Data on SUDI in Queensland between 2010 and 2014 were linked to birth and death registrations, health data, and child protection and coronial records. An algorithm was applied to cases of SUDI and population data to derive Indigenous status. Numbers, proportions and rates of SUDI were compared. Results: Using multiple sources of Indigenous status resulted in a 64.9% increase in the number of infants identified as Indigenous. The Indigenous SUDI rate increased by 54.3%, from 1.38 to 2.13 per 1,000 live births after applying the algorithm to SUDI and live births data. Conclusions: Applying an algorithm to both numerator and denominator data reduced numerator-denominator incompatibility, to more accurately report rates of Indigenous SUDI and measure the gap in Indigenous infant mortality.

Details

Title: The real divide: the use of algorithm‐derived Indigenous status to measure disparities in sudden unexpected deaths in infancy in Queensland
Authors: Rebecca A Shipstone (Corresponding Author) - University of the Sunshine Coast - School of Nursing, Midwifery & Paramedicine
Jeanine Young (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & Paramedicine
John Thompson (Author) - University of the Sunshine Coast - School of Nursing, Midwifery & Paramedicine
Publication details: Australian and New Zealand Journal of Public Health, Vol.43(6), pp.570-576
Publisher: Wiley-Blackwell Publishing Asia
Date published: 2019
DOI: 10.1111/1753-6405.12951
ISSN: 1326-0200
Copyright note: Copyright © 2019 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99451477402621
Output Type: Journal article

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