ArticleBMC pregnancy and childbirth2019
A large proportion of poor birth outcomes among Aboriginal Western Australians are attributable to smoking, alcohol and substance misuse, and assault.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Perinatal Mental Health of Indigenous Women: A Systematic Review and Meta-Analysis.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020Pooled it
- Fertility treatment and risk of cerebral palsy: has the association changed in Australia?Human reproduction (Oxford, England) · 2026Article
- Trends in prenatal alcohol use from 2001 to 2017 in the Northern Territory, Australia: a joinpoint regression analysis.BMC pregnancy and childbirth · 2026Article
- Prenatal alcohol use effects on birth, development, and educational outcomes in the Aboriginal and non-Aboriginal populations in the Northern Territory of Australia: a study protocol.BMC pregnancy and childbirth · 2025Article
- Prevalence of maternal substance use problems during pregnancy and the first 2 years of life: a whole-population birth cohort of 970 470 Australian children born 2008-2017.Journal of epidemiology and community health · 2025Article
- 'It gives me purpose': stories shared by Aboriginal mothers and their perspectives on nurturing resilience.Australian journal of psychology · 2025Article
- Thriving Beyond Adversity: A Prospective Longitudinal Cohort Study Using a Strength-Based Approach Depicts Indigenous Adolescents with Less Adverse Childhood Experiences (ACEs) Had Fewer Neurodevelopmental Disorders (NDDs).Behavioral sciences (Basel, Switzerland) · 2024Article
- Perinatal mortality among term births: Informing decisions about singleton early term births in Western Australia.Paediatric and perinatal epidemiology · 2024Article
- Perinatal outcomes of Aboriginal women with mental health disorders.The Australian and New Zealand journal of psychiatry · 2023Article
- Reviewing Publicly Available Reports on Child Health Disparities in Indigenous and Remote Communities of Australia.International journal of environmental research and public health · 2023Review
- Maternal asthma in Australian indigenous women and perinatal outcomes: A whole population-linked study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- Early mortality among aboriginal and non-aboriginal women who had a preterm birth in Western Australia: A population-based cohort study.Paediatric and perinatal epidemiology · 2023Article
- Parental alcohol and drug abuse and offspring mortality by age 10: a population-based register study.European journal of public health · 2022Article
- Article
- Factors Associated with Increased Risk of Early Severe Neonatal Morbidity in Late Preterm and Early Term Infants.Journal of clinical medicine · 2021Article
- Identifying young Aboriginal and Torres Strait Islander children in linked administrative data: A comparison of methods.International journal of population data science · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAboriginal 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.
methodsBirth, 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 attributable fractions were estimated after adjusting for demographic factors and maternal health during pregnancy.
resultsOf 28,119 births, 16% of infants were SGA, 13% were preterm, and 2% died perinatally. 51% of infants were exposed in utero to at least one of the risk factors and the fractions attributable to them were 37% (SGA), 16% (preterm) and 20% (perinatal death).
conclusionsA large proportion of adverse outcomes were attributable to the modifiable risk factors of substance use and assault. Significant improvements in Aboriginal perinatal health are likely to follow reductions in these risk factors. These results highlight the importance of identifying and implementing risk reduction measures which are effective in, and supported by, Aboriginal women, families, and communities.
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