dc.contributor.author |
Hobbs, Mark |
en |
dc.contributor.author |
Hofman, Paul |
en |
dc.contributor.author |
Atatoa-Carr, Polly |
en |
dc.contributor.author |
Ritchie, Stephen |
en |
dc.contributor.author |
Thomas, Mark |
en |
dc.contributor.author |
Saraf, Rajneeta |
en |
dc.contributor.author |
Chelimo, Caroline |
en |
dc.contributor.author |
Harnden, Anthony |
en |
dc.contributor.author |
Camargo, Carlos |
en |
dc.contributor.author |
Grant, Cameron |
en |
dc.date.accessioned |
2018-11-21T20:50:54Z |
en |
dc.date.issued |
2017-03 |
en |
dc.identifier.citation |
Journal of Paediatrics and Child Health 53(3):223-231 Mar 2017 |
en |
dc.identifier.issn |
1440-1754 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/44517 |
en |
dc.description.abstract |
Infectious disease (ID) hospitalisation rates are increasing in New Zealand (NZ), especially in pre-school children, and Māori and Pacific people. We aimed to identify risk factors for ID hospitalisation in infancy within a birth cohort of NZ children, and to identify differences in risk factors between ethnic groups.We investigated an established cohort of 6846 NZ children, born in 2009-2010, with linkage to a national data set of hospitalisations. We used multivariable logistic regression to obtain odds ratios (OR) for factors associated with ID hospitalisation in the first year of life, firstly for all children, and then separately for Māori or Pacific children.In the whole cohort, factors associated with ID hospitalisation were Māori (OR: 1.49, 95% CI: 1.17-1.89) or Pacific (2.51; 2.00-3.15) versus European maternal ethnicity, male gender (1.32; 1.13-1.55), low birthweight (1.94, 1.39-2.66), exclusive breastfeeding for <4 months (1.22, 1.04-1.43), maternal experience of health-care racism (1.60, 1.19-2.12), household deprivation (most vs. least deprived quintile of households (1.50, 1.12-2.02)), day-care attendance (1.43, 1.12-1.81) and maternal smoking (1.55, 1.26-1.91). Factors associated with ID hospitalisation for Māori infants were high household deprivation (2.16, 1.06-5.02) and maternal smoking (1.48, 1.02-2.14); and for Pacific infants were delayed immunisation (1.72, 1.23-2.38), maternal experience of health-care racism (2.20, 1.29-3.70) and maternal smoking (1.59, 1.10-2.29).Māori and Pacific children in NZ experience a high burden of ID hospitalisation. Some risk factors, for example maternal smoking, are shared, while others are ethnic-specific. Interventions aimed at preventing ID hospitalisations should address both shared and ethnic-specific factors. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Journal of paediatrics and child health |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
https://authorservices.wiley.com/author-resources/Journal-Authors/licensing/self-archiving.html |
en |
dc.subject |
Humans |
en |
dc.subject |
Communicable Diseases |
en |
dc.subject |
Hospitalization |
en |
dc.subject |
Risk Factors |
en |
dc.subject |
Databases, Factual |
en |
dc.subject |
Infant |
en |
dc.subject |
European Continental Ancestry Group |
en |
dc.subject |
Oceanic Ancestry Group |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Health Status Disparities |
en |
dc.title |
Ethnic disparities in infectious disease hospitalisations in the first year of life in New Zealand. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1111/jpc.13377 |
en |
pubs.issue |
3 |
en |
pubs.begin-page |
223 |
en |
pubs.volume |
53 |
en |
dc.rights.holder |
Copyright: Paediatrics and Child Health Division (The Royal Australasian College of Physicians) |
en |
dc.identifier.pmid |
27714893 |
en |
pubs.end-page |
231 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
542828 |
en |
pubs.org-id |
Liggins Institute |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Medical Sciences |
en |
pubs.org-id |
Molecular Medicine |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Social & Community Health |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Paediatrics Child & Youth Hlth |
en |
dc.identifier.eissn |
1440-1754 |
en |
pubs.record-created-at-source-date |
2016-10-07 |
en |
pubs.dimensions-id |
27714893 |
en |