Health services utilisation disparities between English speaking and non-English speaking background Australian infants

Lixin Ou; Jack Chen; Ken Hillman
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p182
Academic Journal
Background: To examine the differences in health services utilisation and the associated risk factors between infants from non-English speaking background (NESB) and English speaking background (ESB) within Australia. Methods: We analysed data from a national representative longitudinal study, the Longitudinal Study of Australian Children (LSAC) which started in 2004. We used survey logistic regression coupled with survey multiple linear regression to examine the factors associated with health services utilisation. Results: Similar health status was observed between the two groups. In comparison to ESB infants, NESB infants were significantly less likely to use the following health services: maternal and child health centres or help lines (odds ratio [OR] 0.56; 95% confidence intervals [CI], 0.40-0.79); maternal and child health nurse visits (OR 0.68; 95% CI, 0.49-0.95); general practitioners (GPs) (OR 0.58; 95% CI, 0.40-0.83); and hospital outpatient clinics (OR 0.54; 95% CI, 0.31-0.93). Multivariate analysis results showed that the disparities could not be fully explained by the socioeconomic status and language barriers. The association between English proficiency and the service utilised was absent once the NESB was taken into account. Maternal characteristics, family size and income, private health insurance and region of residence were the key factors associated with health services utilisation. Conclusions: NESB infants accessed significantly less of the four most frequently used health services compared with ESB infants. Maternal characteristics and family socioeconomic status were linked to health services utilisation. The gaps in health services utilisation between NESB and ESB infants with regard to the use of maternal and child health centres or phone help, maternal and child health nurse visits, GPs and paediatricians require appropriate policy attentions and interventions.


Related Articles

  • Perinatal risk factors for suicide in young adults in Taiwan. Chen, Ying-Yeh; Gunnell, David; Lu, Chin-Li; Chang, Shu-Sen; Lu, Tsung-Hsueh; Li, Chung-Yi // International Journal of Epidemiology;Oct2013, Vol. 42 Issue 5, p1381 

    Background We investigated the association of early life social factors—maternal age, single motherhood, socioeconomic position, birth order and family size—with future risk of suicide in Taiwan.Methods Using a nested case-control design, we used linked data from Taiwan’s...

  • Absence of Association between Cord Specific Antibody Levels and Severe Respiratory Syncytial Virus (RSV) Disease in Early Infants: A Case Control Study from Coastal Kenya. Nyiro, Joyce Uchi; Sande, Charles Jumba; Mutunga, Martin; Kiyuka, Patience Kerubo; Munywoki, Patrick Kioo; Scott, John Anthony G.; Nokes, David James // PLoS ONE;11/16/2016, Vol. 11 Issue 11, p1 

    Background: The target group for severe respiratory syncytial virus (RSV) disease prevention is infants under 6 months of age. Vaccine boosting of antibody titres in pregnant mothers could protect these young infants from severe respiratory syncytial virus (RSV) associated disease. Quantifying...

  • Risk factors and determinants of neurodevelopmental outcome in cystic periventricular leucomalacia. Resch, Bernhard; Vollaard, Esther; Maurer, Ute; Haas, Josef; Rosegger, Helfried; Müller, Wilhelm // European Journal of Pediatrics;2000, Vol. 159 Issue 9, p663 

    Abstract The aim of the study was to determine risk factors for the development of cystic periventricular leucomalacia (PVL) and to correlate ultrasound findings with neuro-developmental outcome. By means of a retrospective case-control study (matched for gesrational age, birth weight, sex, and...

  • Risk factors for neonatal encephalopathy in Kathmandu, Nepal, a developing country: unmatched case-control study. Ellis, Matthew // BMJ: British Medical Journal (International Edition);05/06/2000, Vol. 320 Issue 7244, p1229 

    Objective: To determine the risk factors for neonatal encephalopathy among term infants in a developing country.

  • Permanent insulin-dependent diabetes mellitus after congenital temporary diabetes mellitus. Campbell, I.W.; Fraser, D.M.; Duncan, L.J.P.; Keay, A.J. // British Medical Journal;7/15/1978, Vol. 2 Issue 6131, p174 

    Focuses on the development of permanent insulin-dependent diabetes mellitus in a young woman who had congenital temporary diabetes mellitus as an infant. Diagnosis of insulin-dependent diabetes mellitus; Cause and prevalence of congenital temporary diabetes mellitus in infants; Factors...

  • Effect of prepregnancy body mass index and gestational weight gain on obstetric and neonatal outcomes - A pilot study. Nazlima, N.; Fatema, B. // Bangladesh Journal of Medical Science;Jul2011, Vol. 10 Issue 3, p195 

    Objectives: The study was undertaken to explore the effects of prepregnancy body mass index (BMI) and excess weight gain on maternal and neonatal outcomes different maternal and neonatal outcomes. Methods: Obstetrics records of 496 singleton pregnant women delivered between 2007 and 2009 in IBN...

  • Factores de riesgo de test de Apgar bajo en recién nacidos. F., Hugo Salvo; A., Jorge Flores; R., Jaime Alarcón; H., Raúl Nachar; V., Axel Paredes // Revista Chilena de Pediatría;may/jun2007, Vol. 78 Issue 3, p253 

    Background: Neonatal asphyxia is an important cause of mortality and neurological sequelaes. Objective: Identify maternal, perinatal and neonatal risk factors associated with low Apgar Score (AS). Method: A multivariate analysis using logistic regression model was performed to identify risk...

  • Risk determinants in early intervention use during the first postnatal year in children born very preterm. Pritchard, Margo A.; Colditz, Paul B.; Cartwright, David; Gray, Peter H.; Tudehope, David; Beller, Elaine // BMC Pediatrics;2013, Vol. 13 Issue 1, p1 

    Background Early interventions (EI) are recognised for their potential risk-reduction capacity. Although developmental delay is common in children born very preterm reports continue to suggest poor uptake of EI services. This study examined the risk determinants of EI in Australian children born...

  • Preliminary Efficacy of Adapted Responsive Teaching for Infants at Risk of Autism Spectrum Disorder in a Community Sample. Baranek, Grace T.; Watson, Linda R.; Turner-Brown, Lauren; Field, Samuel H.; Crais, Elizabeth R.; Wakeford, Linn; Little, Lauren M.; Reznick, J. Steven // Autism Research & Treatment;1/11/2015, Vol. 2015, p1 

    This study examined the (a) feasibility of enrolling 12-month-olds at risk of ASD from a community sample into a randomized controlled trial, (b) subsequent utilization of community services, and (c) potential of a novel parent-mediated intervention to improve outcomes. The First Year Inventory...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics