Table 4 Associations between key characteristics and abnormal findings in families of Indigenous children aged 3–59 months
Problems with domestic environment | Problems with family and financial support | Problems with housing condition and food security | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
Number of client records | Number with problems n (%) | OR (95% CI) | aORa (95% CI) | Number with problems n (%) | OR (95% CI) | aOR (95% CI) | Number with problems n (%) | OR (95% CI) | aOR (95% CI) | |
Total | 2466 | 111 (4.5%) | 63 (2.6%) | 80 (3.2%) | ||||||
Child characteristics | ||||||||||
Age of child | ||||||||||
3-11 m | 609 | 25 (4.1%) | 0.88 (0.52,1.49) | 0.88 (0.53,1.47) | 13 (2.1%) | 0.77 (0.36,1.62) | 0.77 (0.38,1.58) | 18 (3.0%) | 0.96 (0.52,1.78) | 0.97 (0.53,1.78) |
12-23 m | 532 | 30 (5.6%) | 1.28 (0.80,2.03) | 1.29 (0.80,2.07) | 21 (3.9%) | 1.66 (0.95,2.88) | 1.64 (0.95,2.83) | 22 (4.1%) | 1.34 (0.84,2.13) | 1.34 (0.84,2.13) |
24-59 m | 1325 | 56 (4.2%) | 1.00 | 1.00 | 29 (2.2%) | 1.00 | 1.00 | 40 (3.0%) | 1.00 | 1.00 |
Sex of child | ||||||||||
Male | 1249 | 58 (4.6%) | 1.00 | 1.00 | 28 (2.2%) | 1.00 | 1.00 | 42 (3.4%) | 1.00 | 1.00 |
Female | 1217 | 53 (4.4%) | 0.94 (0.67,1.32) | 0.94 (0.67,1.32) | 35 (2.9%) | 1.28 (0.72,2.27) | 1.27 (0.73,2.21) | 38 (3.1%) | 0.97 (0.52,1.80) | 0.96 (0.52,1.79) |
Type of child health check completed in the last 12 months | ||||||||||
MBS 715 | 999 | 55 (5.5%) | 1.00 | 1.00 | 30 (3.0%) | 1.00 | 1.00 | 38 (3.8%) | 1.00 | 1.00 |
Other child health check | 648 | 32 (4.9%) | 0.94 (0.52,1.70) | 1.00 (0.57,1.76) | 18 (2.8%) | 0.84 (0.42,1.69) | 0.83 (0.41,1.66) | 23 (3.5%) | 0.79 (0.38,1.63) | 0.81 (0.41,1.59) |
Not known / not recorded | 819 | 24 (2.9%) | 0.56 (0.33,0.97) | 0.58 (0.34,0.98) | 15 (1.8%) | 0.63 (0.32,1.24) | 0.58 (0.32,1.06) | 19 (2.3%) | 0.72 (0.42,1.22) | 0.70 (0.42,1.16) |
Reason for last clinic attendance | ||||||||||
Acute care | 1200 | 60 (5.0%) | 1.26 (0.76,2.08) | 1.26 (0.77,2.07) | 29 (2.4%) | 1.44 (0.73,2.81) | 1.44 (0.76,2.74) | 38 (3.2%) | 1.50 (0.80,2.80) | 1.49 (0.80,2.77) |
Vaccination | 366 | 12 (3.3%) | 0.82 (0.42,1.63) | 0.81 (0.42,1.56) | 11 (3.0%) | 1.63 (0.61,4.40) | 1.54 (0.59,4.00) | 11 (3.0%) | 1.69 (0.71,4.03) | 1.71 (0.72,4.03) |
Child health check | 577 | 21 (3.6%) | 1.00 | 1.00 | 9 (1.6%) | 1.00 | 1.00 | 11 (1.9%) | 1.00 | 1.00 |
Other | 323 | 18 (5.6%) | 1.25 (0.62,2.51) | 1.34 (0.66,2.73) | 14 (4.3%) | 2.01 (0.89,4.54) | 2.01 (0.91,4.45) | 20 (6.2%) | 2.53 (1.13,5.70) | 2.43 (1.08,5.48) |
Health service characteristics | ||||||||||
Geographic location | ||||||||||
Remote | 2010 | 86 (4.3%) | 1.00 | 1.00 | 45 (2.2%) | 1.00 | 1.00 | 69 (3.4%) | 1.00 | 1.00 |
Non remote | 456 | 25 (5.5%) | 1.52 (0.74,3.10) | 1.47 (0.51,4.18) | 18 (3.9%) | 2.52 (1.09,5.81) | 1.92 (0.63,5.86) | 11 (2.4%) | 0.64 (0.26,1.56) | 0.51 (0.20,1.32) |
CQI participation (number of audits) | ||||||||||
1 | 410 | 19 (4.6%) | 1.00 | 1.00 | 22 (5.4%) | 1.00 | 1.00 | 23 (5.6%) | 1.00 | 1.00 |
2 | 569 | 17 (3.0%) | 0.63 (0.26,1.52) | 0.81 (0.25,2.62) | 7 (1.2%) | 0.21 (0.09,0.50) | 0.25 (0.09,0.71) | 12 (2.1%) | 0.38 (0.13,1.10) | 0.27 (0.09,0.76) |
> = 3 | 1487 | 75 (5.0%) | 1.20 (0.54,2.65) | 1.50 (0.52,4.34) | 34 (2.3%) | 0.43 (0.20,0.95) | 0.53 (0.20,1.41) | 45 (3.0%) | 0.56 (0.25,1.26) | 0.45 (0.21,0.98) |
Governance | ||||||||||
Aboriginal community controlled health service | 573 | 36 (6.3%) | 1.65 (0.75,3.62) | 1.43 (0.58,3.50) | 21 (3.7%) | 1.77 (0.70,4.49) | 1.48 (0.54,4.11) | 21 (3.7%) | 1.29 (0.47,3.50) | 1.38 (0.49,3.84) |
Government health service | 1893 | 75 (4.0%) | 1.00 | 1.00 | 42 (2.2%) | 1.00 | 1.00 | 59 (3.1%) | 1.00 | 1.00 |
Health service provider who first saw the child | ||||||||||
Indigenous health worker | 338 | 8 (2.4%) | 0.49 (0.26,0.93) | 0.45 (0.27,0.77) | 7 (2.1%) | 0.89 (0.42,1.90) | 0.78 (0.41,1.50) | 5 (1.5%) | 0.54 (0.26,1.10) | 0.54 (0.26,1.12) |
Nurse | 1723 | 83 (4.8%) | 1.00 | 1.00 | 42 (2.4%) | 1.00 | 1.00 | 62 (3.6%) | 1.00 | 1.00 |
General practitioner | 271 | 13 (4.8%) | 0.78 (0.33,1.86) | 0.73 (0.32,1.69) | 10 (3.7%) | 1.27 (0.48,3.35) | 1.13 (0.43,3.00) | 8 (3.0%) | 0.56 (0.20,1.52) | 0.56 (0.19,1.58) |
Other | 117 | 6 (5.1%) | 1.11 (0.52,2.40) | 1.09 (0.51,2.35) | 4 (3.4%) | 1.58 (0.64,3.88) | 1.57 (0.65,3.76) | 4 (3.4%) | 0.93 (0.36,2.42) | 0.92 (0.36,2.31) |
Missing | 17 | 1 (5.9%) | 0 (0.0%) | 1 (5.9%) | ||||||
Year of data collection | ||||||||||
2012 | 488 | 36 (7.4%) | 1.00 | 1.00 | 23 (4.7%) | 1.00 | 1.00 | 17 (3.5%) | 1.00 | 1.00 |
2013 | 1334 | 44 (3.3%) | 0.46 (0.21,0.99) | 0.42 (0.19,0.93) | 23 (1.7%) | 0.33 (0.13,0.85) | 0.45 (0.15,1.36) | 37 (2.8%) | 0.75 (0.24,2.30) | 0.81 (0.24,2.81) |
2014 | 644 | 31 (4.8%) | 0.57 (0.25,1.28) | 0.51 (0.22,1.18) | 17 (2.6%) | 0.49 (0.20,1.22) | 0.57 (0.20,1.68) | 26 (4.0%) | 1.17 (0.37,3.67) | 1.26 (0.37,4.23) |
Population size | ||||||||||
< 500 | 848 | 26 (3.1%) | 1.00 | 1.00 | 18 (2.1%) | 1.00 | 1.00 | 33 (3.9%) | 1.00 | 1.00 |
500–999 | 499 | 19 (3.8%) | 1.21 (0.50,2.89) | 1.17 (0.47,2.93) | 6 (1.2%) | 0.54(0.21,1.44) | 0.42 (0.15,1.18) | 6 (1.2%) | 0.29 (0.11,0.78) | 0.28 (0.10,0.80) |
> =1000 | 1119 | 66 (5.9%) | 2.05 (0.98,4.27) | 1.88 (0.83,4.24) | 39 (3.5%) | 1.69 (0.71,4.03) | 1.15 (0.38,3.49) | 41 (3.7%) | 1.00 (0.45,2.19) | 1.03 (0.46,2.34) |