具有家庭外护理经验的土著儿童可能可预防的住院：一项数据联系研究

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health Pub Date : 2025-05-30 DOI:10.1016/j.anzjph.2025.100249

Benjamin Harrap , Alison Gibberd , Melissa O’Donnell , Koen Simons , Sandra Eades

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引用次数: 0

摘要

目的比较原住民儿童暴露于户外护理（OOHC）的潜在可预防住院率（PPH）和条件类型，并估计首次OOHC安置对PPH率的影响。方法对2000年至2013年在西澳大利亚出生的一组匹配的土著儿童的相关住院和儿童保护数据进行回顾性纵向研究，使用观察到的和预测的比率。结果住院儿童PPH住院日发生率是未住院儿童的2.3倍。在所有年龄段，被诊断出的疾病在曾经和从未被安置的儿童之间没有区别。平均而言，在首次OOHC安置后，PPH的住院天数减少了11%(95%置信区间：3%至18%)，但从未达到与从未安置的儿童相同的水平。对于牙齿和中耳炎相关的PPHs，首次放置后发生率增加。结论有OOHC经历的儿童PPH住院天数的比例更高，尽管首次OOHC安置后PPH住院天数减少，但PPH住院天数仍然存在。对公共卫生的影响医疗系统的能力，文化安全和获取，以及有CPS干预风险的家庭的物质条件，都需要改善，如果pph率要降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Potentially preventable hospitalisations for Aboriginal children with experience of out-of-home care: a data linkage study

Objective

To compare potentially preventable hospitalisation (PPH) rates and types of conditions for Aboriginal children by exposure to out-of-home care (OOHC) and estimate the effect of first OOHC placement on PPH rates.

Methods

A retrospective longitudinal study of linked hospitalisation and child protection data for a matched cohort of Aboriginal children born in Western Australia between 2000 and 2013 using observed and predicted rates.

Results

Incidence rate of PPH bed days was 2.3 times higher for children ever-placed in OOHC than never-placed children. Diagnosed conditions showed no difference between ever and never-placed children across all ages. On average, PPH bed days reduced by 11% (95% confidence interval: 3% to 18%) following the first OOHC placement but never reached parity with never-placed children. For dental and otitis media-related PPHs, rates increased following first placement.

Conclusions

Children with experience of OOHC had greater rates of PPH bed days which persisted despite reductions following first OOHC placement.

Implications for Public Health

Healthcare system capacity, cultural safety, and access, as well as the material conditions of families at risk of CPS intervention, all need to be improved if rates of PPHs are to be reduced.

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.