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Role of maternal age at birth in child development among Indigenous and non-Indigenous Australian children in their first school year: a population-based cohort study
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Hanly, M.; Falster, K.; Banks, E.; Lynch, J.; Chambers, G.M.; Brownell, M.; Dillon, A.; Eades, S.; Jorm, L.. - : Elsevier, 2020
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Abstract:
Background: Indigenous Australian children are twice as likely to score poorly on developmental outcomes at age 5 years than their non-Indigenous peers. Indigenous children are also more likely to be born to younger mothers. We aimed to quantify the relationship between maternal age at childbirth and early childhood development outcomes in Indigenous and non-Indigenous children. Methods: In this population-based, retrospective cohort study, we used data from the Australian Early Development Census (AEDC) that were probabilistically linked by the New South Wales (NSW) Centre for Health Record Linkage to several NSW administrative datasets, including the Perinatal Data Collection, the Register of Births, Deaths and Marriages (for birth registrations), the Admitted Patient Data Collection, and public school enrolment records, as part of the Seeding Success study. The resulting data resource comprises a cohort of 166 278 children born in NSW whose first year of school was reported in a 2009 or 2012 AEDC record (which were the years of AEDC data available at the time of data linkage). The primary outcome was the aggregate outcome of developmental vulnerability (scores in the bottom decile, according to the 2009 benchmark, on one or more of the five AEDC domains, which include physical, social, emotional, language and cognitive, and communication development). This outcome was measured in singleton children without special needs recorded on the AEDC, in those with available developmental data. As a secondary outcome analysis, we also repeated the main analyses on the outcome of developmental vulnerability on the individual domains. We estimated the absolute risk of developmental vulnerability by maternal age in Indigenous and non-Indigenous populations, and we also estimated the risk difference and relative risk between Indigenous and non-Indigenous children by use of modified Poisson regression. Findings: Of 166 278 children in the cohort, 107 666 (64·8%) children were enrolled in a public school in NSW in 2009 or 2012, of whom 7994 (7·4%) children were Indigenous (ie, they, or either parent, were recorded as Aboriginal or Torres Strait Islander on one or more birth records) and 99 672 (92·6%) children were not Indigenous. After exclusions, the final study population included 99 530 children (7206 [7·2%] Indigenous and 92 324 [92·8%] non-Indigenous). Of those for whom developmental outcome data were available, 2581 (35·9%) of 7180 Indigenous children and 18 071 (19·7%) of 91 835 non-Indigenous children were developmentally vulnerable on one domain or more. The risk of developmental vulnerability decreased with maternal ages between 15 and 39 years, but the decrease in risk with maternal age was significantly steeper in non-Indigenous than Indigenous children. Interpretation: Developmental vulnerability is most common in Indigenous and non-Indigenous children born to young mothers; however, Indigenous children have an increased risk of this outcome across most of the maternal age range. Policies that improve the socioeconomic circumstances of Indigenous children and families could promote better developmental outcomes among Indigenous children. Culturally appropriate support for Indigenous children, including those born to young mothers and disadvantaged families, could also reduce early childhood developmental inequalities ; Mark Hanly, Kathleen Falster, Emily Banks, John Lynch, Georgina M Chambers, Marni Brownell, Anthony Dillon, Sandra Eades, Louisa Jorm
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Keyword:
Adolescent; Adult; Australia; Child; Child Development; Female; Humans; Indigenous Peoples; Male; Maternal Age; Population Surveillance; Retrospective Studies; Risk Assessment; Socioeconomic Factors; Vulnerable Populations; Young Adult
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URL: http://hdl.handle.net/2440/124548
https://doi.org/10.1016/s2352-4642(19)30334-7
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| 2 |
Prospective cohort study on the predictors of fall risk in 119 patients with bilateral vestibulopathy
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In: ISSN: 1932-6203 ; PLOS ONE, Vol. 15, No 3 (2020) P. e0228768 (2020)
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Predictive Factors of Swallowing Disorders and Bronchopneumonia in Acute Ischemic Stroke.
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In: Journal of stroke and cerebrovascular diseases, vol. 28, no. 8, pp. 2148-2154 (2019)
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Carbon trading, co-pollutants, and environmental equity: Evidence from California's cap-and-trade program (2011-2015).
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In: PLoS medicine, vol 15, iss 7 (2018)
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Child effects and child care: Implications for risk and adjustment.
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In: Development and psychopathology, vol 27, iss 4 Pt 1 (2015)
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Efficient and sparse feature selection for biomedical text classification via the elastic net: Application to ICU risk stratification from nursing notes.
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A collaborative national model to assess competencies for medical students, residents, and other healthcare practitioners in gait and falls risk evaluation.
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In: Journal of the American Geriatrics Society, vol 62, iss 6 (2014)
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Investigation of dyslexia and SLI risk variants in reading- and language-impaired subjects.
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In: Symplectic Elements at Oxford ; Europe PubMed Central ; PubMed (http://www.ncbi.nlm.nih.gov/pubmed/) ; Web of Science (Lite) (http://apps.webofknowledge.com/summary.do) ; Scopus (http://www.scopus.com/home.url) ; CrossRef (2011)
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| 9 |
Analysis and Classification of Mammography Reports Using Maximum Variation Sampling
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| 10 |
Congenital profound hearing loss: management of hypoplastic and aplastic vestibulocochlear nerves.
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In: Cochlear Implants Int , 11 Sup pp. 213-216. (2010) (2010)
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| 11 |
Linguistic evaluation of terrorist scenarios: example application.
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| 12 |
High heritability of speech and language impairments in 6-year-old twins demonstrated using parent and teacher report.
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In: Symplectic Elements at Oxford ; Europe PubMed Central ; PubMed (http://www.ncbi.nlm.nih.gov/pubmed/) ; Web of Science (Lite) (http://apps.webofknowledge.com/summary.do) ; Scopus (http://www.scopus.com/home.url) ; CrossRef (2006)
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High heritability of speech and language impairments in 6-year-old twins demonstrated using parent and teacher report.
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In: Behav Genet , 36 (2) pp. 173-184. (2006) (2006)
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| 14 |
Evaluation of risk from acts of terrorism :the adversary/defender model using belief and fuzzy sets.
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| 15 |
Can fuzzy logic bring complex problems into focus? Modeling imprecise factors in environmental policy
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In: Other Information: PBD: 14 Jun 2004 (2004)
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Resource allocation using risk analysis
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In: Submitted to: Annual Reliability and Maintainability Symposium, Los Angeles, CA, January 26-29, 2004 (2003)
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Dialectical Argumentation for Reasoning About Chemical . . .
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In: http://www3.oup.co.uk/igpl/Volume_09/Issue_02/ps/McBurney.ps.gz (2001)
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Dialectical Argumentation for Reasoning about Chemical Carcinogenicity
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In: http://www3.oup.co.uk/igpl/Volume_09/Issue_02/pdf/McBurney.pdf (2001)
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| 19 |
Fuzzy risk analysis for nuclear safeguards
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In: 5. international Fuzzy Systems Association World Congress, Seoul (Korea, Republic of), 4-9 Jul 1993 (1993)
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Fuzzy Risk Analysis for Nuclear Safeguards
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In: 5. international Fuzzy Systems Association World Congress,Seoul (Korea, Republic of),4-9 Jul 1993 (1993)
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