Risk factors for non-participation in a universal developmental surveillance program in a population in Australia.
Objectives: This study examined the risk factors for non-participation in a developmental surveillance program in a population in south-west Sydney with a high proportion of culturally diverse and socioeconomically disadvantaged people. Methods: Data from 850 and 625 12- and 18-month-old children re...
| Published in: | Australian Health Review Vol. 44; no. 4; pp. 512 - 521 |
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| Main Authors: | , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
CSIRO Publishing
2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144948115&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144948115 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01565788 HDW jtl: Australian Health Review issn: 01565788 maglogo: N pubinfo: dt: 2020 vid: 44 iid: 4 pid: 1568 pub: CSIRO Publishing place: Canberra ACT, <Blank> artinfo: ui: 144948115 144948115 144948115 10.1071/AH18236 144948115 ppf: 512 ppct: 9 formats: tig: atl: Risk factors for non-participation in a universal developmental surveillance program in a population in Australia. aug: au: Ayer, Chandra Eapen, Valsamma Overs, Bronwyn Descallar, Joseph Jalaludin, Bin Eastwood, John Graeme Dissanayake, Cheryl Williams, Katrina Murphy, Elisabeth Woolfenden, Susan affil: Royal Far West, PO Box 52, Manly, NSW 1655, Australia. sug: subj: Risk Assessment Patient Compliance Infant Development Disorders Risk Factors Universal Health Care Disease Surveillance New South Wales Socioeconomic Factors Cultural Diversity Human New South Wales Infant Preventive Health Care Questionnaires Medical Records, Personal Sex Factors Odds Ratio Confidence Intervals Economic Status Prospective Studies Parents Self Report Multiple Logistic Regression Models, Statistical Data Analysis Software Mothers Fathers Male Female Residence Characteristics Funding Source Infant: 1-23 months Male Female ab: Objectives: This study examined the risk factors for non-participation in a developmental surveillance program in a population in south-west Sydney with a high proportion of culturally diverse and socioeconomically disadvantaged people. Methods: Data from 850 and 625 12- and 18-month-old children respectively from the Watch Me Grow (WMG) birth cohort were used for this study. Logistic regression models were used to assess risk factors for 12- and 18-month non-attendance at Well Child Visits, as well as non-completion of the developmental surveillance questionnaire Parents' Evaluation of Developmental Status (PEDS) in the child's personal health record (PHR). Results: Independent risk factors for non-attendance at Well Child Visits were female sex of the child (odds ratio (OR) 12 months 1.5; 95% confidence interval (CI) 1.0–2.3), mother's country of birth Australia (OR 18 months 1.8; 95% CI 1.2–2.7), annual household income less than A$25 001 (OR 12 months 1.8; 95% CI 1.0–3.2) and residing in a socioeconomically disadvantaged neighbourhood (OR 12 months 1.7; 95% CI 1.1–2.5). Independent risk factors for non-completion of PEDS in those who did not attend the Well Child Visit compared with those who did attend and did complete PEDS were household annual income at birth less than A$25 001 (OR 12 months 3.9; 95% CI 1.9–8.1) and residing in a socioeconomically disadvantaged neighbourhood (OR 12 months 2.1 (95% CI 1.2–3.7) and OR 18 months 2.0 (95% CI 1.2–3.6)). Conclusions: In this population, children exposed to socioeconomic disadvantage are less likely to have attended a Well Child Visit and to have a completed PEDS in their PHR at 12 and/or 18 months of age. What is known about the topic?: Developmental problems are common in early childhood, and children from socioeconomically disadvantaged households are at higher risk. Universal developmental surveillance programs may be effective at early identification of children at risk of developmental problems. Early childhood interventions, when accessed, can lessen the effects of developmental problems in later years. What does this paper add?: This paper highlights that children exposed to socioeconomic disadvantage in early childhood who are at higher risk of having developmental problems are also at higher risk of missing out on early identification by non-participation in universal developmental surveillance. What are the implications for practitioners?: A more equitable model of developmental surveillance should include a framework of proportionate universalism to ensure optimal engagement of high-risk population groups. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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