Evidence map›Paper›PMID 31931753›Full record

ArticleBMC pediatrics2020

Developmental risk among Aboriginal children living in urban areas in Australia: the Study of Environment on Aboriginal Resilience and Child Health (SEARCH).

Shingisai Chando, Jonathan C Craig, Leonie Burgess, Simone Sherriff, Alison Purcell, Hasantha Gunasekera, Sandra Banks, Natalie Smith, Emily Banks, Sue Woolfenden

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Developmental Screening Tools Used with First Nations Populations: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Shingisai ChandoUniversity of Sydney, Sydney, Australia.
Jonathan C CraigUniversity of Sydney, Sydney, Australia.
Leonie BurgessSax Institute, Sydney, Australia.
Simone SherriffUniversity of Sydney, Sydney, Australia.
Alison PurcellUniversity of Sydney, Sydney, Australia.
Hasantha GunasekeraUniversity of Sydney, Sydney, Australia.
Sandra BanksTharawal Aboriginal Medical Service, Campbelltown, Australia.
Natalie SmithRiverina Medical and Dental Corporation, Wagga Wagga, Australia.
Emily BanksAustralian National University, Canberra, Australia.
Sue WoolfendenSydney Children's Hospitals Network, Sydney, Australia. susan.woolfenden@health.nsw.gov.au.ORCID 0000-0002-6954-5071
The University of Sydney · AUAustralian National University · AUCalvary Riverina Hospital · AUTharawal Aboriginal · AUWomen's & Children's Health Research Institute · AU

Funding

National Health and Medical Research Council 1558954National Health and Medical Research Council of Australia 512685
6 · The paper itself

Abstract

backgroundMost Australian Aboriginal children are on track with their development, however, the prevalence of children at risk of or with a developmental or behavioural problem is higher than in other children. Aboriginal child development data mostly comes from remote communities, whereas most Aboriginal children live in urban settings. We quantified the proportion of participating children at moderate and high developmental risk as identified by caregivers' concerns, and determined the factors associated with developmental risk among urban Aboriginal communities.

methodsStudy methods were co-designed and implemented with four participating urban Aboriginal Community Controlled Health Services in New South Wales, Australia, between 2008 and 2012. Caregiver-reported data on children < 8 years old enrolled in a longitudinal cohort study (Study of Environment on Aboriginal Resilience and Child Health: SEARCH) were collected by interview. The Parents' Evaluation of Developmental Status (PEDS) was used to assess developmental risk through report of caregiver concerns. Odds ratios (OR) were calculated using multinomial logistic regression to investigate risk factors and develop a risk prediction model.

resultsOf 725 children in SEARCH with PEDS data (69% of eligible), 405 (56%) were male, and 336 (46%) were aged between 4.5 and 8 years. Using PEDS, 32% were at high, 28% moderate, and 40% low/no developmental risk. Compared with low/no risk, factors associated with high developmental risk in a mutually-adjusted model, with additional adjustment for study site, were male sex (OR 2.42, 95% confidence intervals 1.62-3.61), being older (4.5 to < 8 years versus < 3 years old, 3.80, 2.21-6.54), prior history of ear infection (1.95, 1.21-3.15), having lived in 4 or more houses versus one house (4.13, 2.04-8.35), foster care versus living with a parent (5.45, 2.32-12.78), and having a caregiver with psychological distress (2.40, 1.37-4.20).

conclusionIn SEARCH, 40% of urban Aboriginal children younger than 8 years were at no or low developmental risk. Several factors associated with higher developmental risk were modifiable. Aboriginal community-driven programs to improve detection of developmental problems and facilitate early intervention are needed.

Indexed as

Child HealthAustraliaChildChild, PreschoolFemaleHumansLongitudinal StudiesMaleNew South WalesAustralian aboriginalCaregiver concernsChild developmentParents' Evaluation of Developmental StatusPediatrics

Identifiers

PMID31931753
PMCPMC6956483
OpenAlexW2999292644

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.