Ethnic, socio‐economic and geographic inequities in maternal health service coverage in Australia

Fox, Haylee; Topp, Stephanie M.; Lindsay, Daniel; Callander, Emily

doi:10.1002/hpm.3277

Cited by 10 publications

(5 citation statements)

References 31 publications

(22 reference statements)

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“…This finding may also reflect the complex association between mental health literacy, social determinants of mental health, as well as affordability and accessibility of mental health care to facilitate the assessment of and diagnoses for mental health issues. Indeed, pre-existing socioeconomic status-based disparities in mental health service access existed prior to the pandemic in Australia [23,24], which were further exacerbated during the pandemic [25].…”

Section: Impact Cross Geospatial Areas and Subgroupsmentioning

confidence: 99%

Changes in rates of special considerations in higher education applications pre and during the COVID-19 pandemic in Victoria, Australia

Gao,

Clarke,

Nicholas

et al. 2023

Preprint

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Aims: Since the onset of the COVID-19 pandemic, a significant rise in mental ill-health has been observed globally in young people, particularly among those in their final years of secondary school. Students’ negative experiences coincide with a critical transitional period which can disrupt milestones in social and educational development. This study aimed to use innovative population-level data to map the impact of the pandemic on students entering higher education. Methods: Pre-pandemic (2019/2020) and pandemic (2020/2021) tertiary education application data were obtained from the Victorian Tertiary Admissions Centre. Prevalence of applications for special consideration related to mental ill-health were compared between cohorts across various geographical areas and applicant demographic subgroups. Relative risk regression models were used to understand the role of different risk factors. Results: The rate of mental health-related special consideration applications increased by 38% among all applications (pre-pandemic: 7.8%, n=56916; pandemic: 10.8%, n=58260). The highest increases were observed among students in areas with both extended and close-quarter lockdown experiences, and areas impacted by 2019/2020 black summer bushfires. The increases were higher among year 12 students and students with other special consideration needs (e.g., physical condition, learning disability). Slightly higher increases were observed in areas with higher socioeconomic status, which may potentially be related to inequality in mental health service access. Conclusion: As the consequences of mental health difficulties and academic disruption in youth can be long-lasting, it is critical to establish a mental health support framework both in and outside of higher education to facilitate young people’s recovery from the pandemic.

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Section: Impact Cross Geospatial Areas and Subgroupsmentioning

confidence: 99%

Changes in rates of special considerations in higher education applications pre and during the COVID-19 pandemic in Victoria, Australia

Gao,

Clarke,

Nicholas

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…Rumbold et al [ 9 ] highlighted the impact of inequity on stillbirth rates within select Australian populations, noting particular concern within communities experiencing isolation and socioeconomic disadvantage [ 9 ]. Numerous risk factors in disadvantaged communities contribute to the widening gap in health inequality, further hindering stillbirth prevention [ 10 ]. This research aims to identify lifestyle and sociodemographic risk factors for stillbirth in South Australia (SA) geographically and to explore these risks according to remoteness.…”

Section: Introductionmentioning

confidence: 99%

Lifestyle and sociodemographic risk factors for stillbirth by region of residence in South Australia: a retrospective cohort study

Bowman,

Sullivan,

Makrides

et al. 2024

BMC Pregnancy Childbirth

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Background Stillbirth rates remain a global priority and in Australia, progress has been slow. Risk factors of stillbirth are unique in Australia due to large areas of remoteness, and limited resource availability affecting the ability to identify areas of need and prevalence of factors associated with stillbirth. This retrospective cohort study describes lifestyle and sociodemographic factors associated with stillbirth in South Australia (SA), between 1998 and 2016. Methods All restigered births in SA between 1998 ad 2016 are included. The primary outcome was stillbirth (birth with no signs of life ≥ 20 weeks gestation or ≥ 400 g if gestational age was not reported). Associations between stillbirth and lifestyle and sociodemographic factors were evaluated using multivariable logistic regression and described using adjusted odds ratios (aORs). Results A total of 363,959 births (including 1767 stillbirths) were included. Inadequate antenatal care access (assessed against the Australian Pregnancy Care Guidelines) was associated with the highest odds of stillbirth (aOR 3.93, 95% confidence interval (CI) 3.41–4.52). Other factors with important associations with stillbirth were plant/machine operation (aOR, 1.99; 95% CI, 1.16–2.45), birthing person age ≥ 40 years (aOR, 1.92; 95% CI, 1.50–2.45), partner reported as a pensioner (aOR, 1.83; 95% CI, 1.12–2.99), Asian country of birth (aOR, 1.58; 95% CI, 1.19–2.10) and Aboriginal/Torres Strait Islander status (aOR, 1.50; 95% CI, 1.20–1.88). The odds of stillbirth were increased in regional/remote areas in association with inadequate antenatal care (aOR, 4.64; 95% CI, 2.98–7.23), birthing age 35–40 years (aOR, 1.92; 95% CI, 1.02–3.64), Aboriginal and/or Torres Strait Islander status (aOR, 1.90; 95% CI, 1.12–3.21), paternal occupations: tradesperson (aOR, 1.69; 95% CI, 1.17–6.16) and unemployment (aOR, 4.06; 95% CI, 1.41–11.73). Conclusion Factors identified as independently associated with stillbirth odds include factors that could be addressed through timely access to adequate antenatal care and are likely relevant throughout Australia. The identified factors should be the target of stillbirth prevention strategies/efforts. SThe stillbirth rate in Australia is a national concern. Reducing preventable stillbirths remains a global priority.

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“…inequality, further hindering stillbirth prevention (10). This research aims to identify lifestyle and sociodemographic risk factors for stillbirth in South Australia (SA) geographically and to explore these risks according to remoteness.…”

mentioning

confidence: 99%

Lifestyle and sociodemographic risk factors for stillbirth by region of residence in South Australia: a retrospective cohort study

Bowman,

Sullivan,

Makrides

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Stillbirth rates remain a global priority and in Australia, progress has been slow. Risk factors of stillbirth are unique in Australia due to large areas of remoteness, and limited resource availability affecting the ability to identify areas of need and prevalence of factors associated with stillbirth. This retrospective cohort study describes lifestyle and sociodemographic factors associated with stillbirth in South Australia (SA), between 1998 and 2016. Methods All restigered births in SA between 1998 ad 2016 are included. The primary outcome was stillbirth (birth with no signs of life ≥ 20 weeks gestation or ≥ 400 grams if gestational age was not reported). Associations between stillbirth and lifestyle and sociodemographic factors were evaluated using multivariable logistic regression and described using adjusted odds ratios (aORs). Results A total of 363,959 births were included. Inadequate antenatal care access (assessed against the Australian Pregnancy Care Guidelines) was associated with the highest odds of stillbirth (aOR 3.93, 95% confidence interval (CI) 3.41–4.52). Other factors with important associations with stillbirth were plant/machine operation (aOR, 1.99; 95% CI, 1.16–2.45), birthing person age ≥ 40 years (aOR, 1.92; 95% CI, 1.50–2.45), paternal pensioner status (aOR, 1.83; 95% CI, 1.12–2.99), Asian country of birth (aOR, 1.58; 95% CI, 1.19–2.10) and Aboriginal/Torres Strait Islander status (aOR, 1.50; 95% CI, 1.20–1.88). The odds of stillbirth were increased in regional/remote areas in association with inadequate antenatal care (aOR, 4.64; 95% CI, 2.98–7.23), birthing age 35–40 years (aOR, 1.92; 95% CI, 1.02–3.64), Aboriginal and/or Torres Strait Islander status (aOR, 1.90; 95% CI, 1.12–3.21), paternal occupations: tradesperson (aOR, 1.69; 95% CI, 1.17–6.16) and unemployment (aOR, 4.06; 95% CI, 1.41–11.73). Conclusion Factors identified as independently associated with stillbirth odds include factors that could be addressed through timely access to adequate antenatal care and are likely relevant throughout Australia. The identified factors should be the target of stillbirth prevention strategies/efforts. The stillbirth rate in Australia is a national concern. Reducing preventable stillbirths remains a global priority.

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Ethnic, socio‐economic and geographic inequities in maternal health service coverage in Australia

Cited by 10 publications

References 31 publications

Changes in rates of special considerations in higher education applications pre and during the COVID-19 pandemic in Victoria, Australia

Changes in rates of special considerations in higher education applications pre and during the COVID-19 pandemic in Victoria, Australia

Lifestyle and sociodemographic risk factors for stillbirth by region of residence in South Australia: a retrospective cohort study

Lifestyle and sociodemographic risk factors for stillbirth by region of residence in South Australia: a retrospective cohort study

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