Predictors of specialist referral for developmental and behavioural problems in a Queensland urban Aboriginal and Torres Strait Islander community: A cross-sectional study

Background: The prevalence of developmental and/or behavioural problems is greater among Aboriginal and Torres Strait Islander children, compared with their non-Indigenous counterparts. We aimed to identify predictors of specialist paediatric referral for these problems that could enable primary hea...

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Main Authors: Liddle, K., Askew, D., Betts, K., Hayman, N., Alati, Rosa
Format: Journal Article
Published: The Royal Australian College of General Practitioners 2014
Online Access:http://hdl.handle.net/20.500.11937/72732
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author Liddle, K.
Askew, D.
Betts, K.
Hayman, N.
Alati, Rosa
author_facet Liddle, K.
Askew, D.
Betts, K.
Hayman, N.
Alati, Rosa
author_sort Liddle, K.
building Curtin Institutional Repository
collection Online Access
description Background: The prevalence of developmental and/or behavioural problems is greater among Aboriginal and Torres Strait Islander children, compared with their non-Indigenous counterparts. We aimed to identify predictors of specialist paediatric referral for these problems that could enable primary health professionals to identify at-risk children and implement early interventions. Methods: A cross-sectional study of urban Aboriginal and Torres Strait Islander children aged 0-14 years having annual child health checks from September 2010 to February 2012 was undertaken. Predictors of paediatric referral were identified using univariable and multivariable analyses. Results: Of the 183 eligible children, 30% were referred to a paediatrician. Parental/carer mental illness was self-reported in 36% of cases and these children were more likely to be referred (OR = 3.07; 95% CI: 1.44, 6.57). Discussion: The strong association between paediatric referral for behavioural and/or developmental problems and self-reported parental/carer mental illness highlights the intergenerational nature of health and social disadvantage.
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spelling curtin-20.500.11937-727322018-12-13T09:14:16Z Predictors of specialist referral for developmental and behavioural problems in a Queensland urban Aboriginal and Torres Strait Islander community: A cross-sectional study Liddle, K. Askew, D. Betts, K. Hayman, N. Alati, Rosa Background: The prevalence of developmental and/or behavioural problems is greater among Aboriginal and Torres Strait Islander children, compared with their non-Indigenous counterparts. We aimed to identify predictors of specialist paediatric referral for these problems that could enable primary health professionals to identify at-risk children and implement early interventions. Methods: A cross-sectional study of urban Aboriginal and Torres Strait Islander children aged 0-14 years having annual child health checks from September 2010 to February 2012 was undertaken. Predictors of paediatric referral were identified using univariable and multivariable analyses. Results: Of the 183 eligible children, 30% were referred to a paediatrician. Parental/carer mental illness was self-reported in 36% of cases and these children were more likely to be referred (OR = 3.07; 95% CI: 1.44, 6.57). Discussion: The strong association between paediatric referral for behavioural and/or developmental problems and self-reported parental/carer mental illness highlights the intergenerational nature of health and social disadvantage. 2014 Journal Article http://hdl.handle.net/20.500.11937/72732 The Royal Australian College of General Practitioners restricted
spellingShingle Liddle, K.
Askew, D.
Betts, K.
Hayman, N.
Alati, Rosa
Predictors of specialist referral for developmental and behavioural problems in a Queensland urban Aboriginal and Torres Strait Islander community: A cross-sectional study
title Predictors of specialist referral for developmental and behavioural problems in a Queensland urban Aboriginal and Torres Strait Islander community: A cross-sectional study
title_full Predictors of specialist referral for developmental and behavioural problems in a Queensland urban Aboriginal and Torres Strait Islander community: A cross-sectional study
title_fullStr Predictors of specialist referral for developmental and behavioural problems in a Queensland urban Aboriginal and Torres Strait Islander community: A cross-sectional study
title_full_unstemmed Predictors of specialist referral for developmental and behavioural problems in a Queensland urban Aboriginal and Torres Strait Islander community: A cross-sectional study
title_short Predictors of specialist referral for developmental and behavioural problems in a Queensland urban Aboriginal and Torres Strait Islander community: A cross-sectional study
title_sort predictors of specialist referral for developmental and behavioural problems in a queensland urban aboriginal and torres strait islander community: a cross-sectional study
url http://hdl.handle.net/20.500.11937/72732