Journal article

A large proportion of poor birth outcomes among Aboriginal Western Australians are attributable to smoking, alcohol and substance misuse, and assault

Alison J Gibberd, Judy M Simpson, Jocelyn Jones, Robyn Williams, Fiona Stanley, Sandra J Eades



BACKGROUND: Aboriginal infants have poorer birth outcomes than non-Aboriginal infants. Harmful use of tobacco, alcohol, and other substances is higher among Aboriginal women, as is violence, due to factors such as intergenerational trauma and poverty. We estimated the proportion of small for gestational age (SGA) births, preterm births, and perinatal deaths that could be attributed to these risks. METHODS: Birth, hospital, mental health, and death records for Aboriginal singleton infants born in Western Australia from 1998 to 2010 and their parents were linked. Using logistic regression with a generalized estimating equation approach, associations with birth outcomes and population attributa..

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Awarded by National Health and Medical Research Council (NHMRC)

Funding Acknowledgements

This work was supported by the National Health and Medical Research Council (NHMRC) [grant number 1007878] as part of the Western Australian Aboriginal Intergenerational Fetal Growth Study (WAAIFS); and Bellberry Limited [postgraduate scholarship in Indigenous health and biostatistics to AG]. These bodies had no role in the design of the study or the collection, analysis, and interpretation of data or in the writing the manuscript.