Document Detail

The urban-remote divide for Indigenous perinatal outcomes.
MedLine Citation:
PMID:  17516897     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine whether remoteness category of residence of Indigenous women affects the perinatal outcomes of their newborn infants. DESIGN AND PARTICIPANTS: A population-based study of 35 240 mothers identified as Indigenous and their 35 658 babies included in the National Perinatal Data Collection in 2001-2004. MAIN OUTCOME MEASURES: Australian Standard Geographical Classification remoteness category, birthweight, Apgar score at 5 minutes, stillbirth, gestational age and a constructed measure of perinatal outcomes of babies called "healthy baby" (live birth, singleton, 37-41 completed weeks' gestation, 2500-4499 g birthweight, and an Apgar score at 5 minutes >or= 7). RESULTS: The proportion of healthy babies in remote, regional and city areas was 74.9%, 77.7% and 77.6%, respectively. After adjusting for age, parity, smoking and diabetes or hypertension, babies born to mothers in remote areas were less likely to satisfy the study criteria of being a healthy baby (adjusted odds ratio [AOR], 0.87; 95% CI, 0.81-0.93) compared with those born in cities. Babies born to mothers living in remote areas had higher odds of being of low birthweight (AOR, 1.09; 95% CI, 1.01-1.19) and being born with an Apgar score < 7 at 5 minutes (AOR, 1.63; 95% CI, 1.39-1.92). CONCLUSIONS: Only three in four babies born to Indigenous mothers fell into the "healthy baby" category, and those born in more remote areas were particularly disadvantaged. These findings demonstrate the continuing need for urgent and concerted action to address the persistent perinatal inequity in the Indigenous population.
Simon Graham; Lisa R Jackson Pulver; Yueping Alex Wang; Paul M Kelly; Paula J Laws; Narelle Grayson; Elizabeth A Sullivan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  186     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-22     Completed Date:  2007-07-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  509-12     Citation Subset:  IM    
National Centre for Epidemiology and Population Health, College of Medicine and Health Sciences, Australian National University, Canberra, ACT, Australia.
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MeSH Terms
Australia / epidemiology
Confidence Intervals
Infant Welfare / statistics & numerical data
Infant, Newborn
Infant, Newborn, Diseases / epidemiology*
Maternal Welfare / statistics & numerical data
Oceanic Ancestry Group / statistics & numerical data*
Odds Ratio
Pregnancy Outcome / ethnology*
Prenatal Care / organization & administration
Rural Population / statistics & numerical data*
Social Environment
Urban Population / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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