Anemia in disadvantaged children aged under five years; Quality of care in primary practice

Research output: Contribution to journalArticle

Abstract

Background: Anemia rates are over 60% in disadvantaged children yet there is little information about the quality of anemia care for disadvantaged children. Methods: Our primary objective was to assess the burden and quality of anemia care for disadvantaged children and to determine how this varied by age and geographic location. We implemented a cross-sectional study using clinical audit data from 2287 Indigenous children aged 6-59 months attending 109 primary health care centers between 2012 and 2014. Data were analysed using multivariable regression models. Results: Children aged 6-11 months (164, 41.9%) were less likely to receive anemia care than children aged 12-59 months (963, 56.5%) (adjusted odds ratio [aOR] 0.48, CI 0.35, 0.65). Proportion of children receiving anemia care ranged from 10.2% (92) (advice about 'food security') to 72.8% (728) (nutrition advice). 70.2% of children had a hemoglobin measurement in the last 12 months. Non-remote area families (115, 38.2) were less likely to receive anemia care compared to remote families (1012, 56.4%) (aOR 0.34, CI 0.15, 0.74). 57% (111) aged 6-11 months were diagnosed with anemia compared to 42.8% (163) aged 12-23 months and 22.4% (201) aged 24-59 months. 49% (48.5%, 219) of children with anemia received follow up. Conclusions: The burden of anemia and quality of care for disadvantaged Indigenous children was concerning across all remote and urban locations assessed in this study. Improved services are needed for children aged 6-11 months, who are particularly at risk.

Original languageEnglish
Article number178
JournalBMC Pediatrics
Volume19
Issue number1
DOIs
Publication statusPublished - 4 Jun 2019

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Quality of Health Care
Vulnerable Populations
Anemia
Odds Ratio
Clinical Audit
Geographic Locations
Food Supply
Child Care
Primary Health Care
Hemoglobins
Cross-Sectional Studies

Cite this

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title = "Anemia in disadvantaged children aged under five years; Quality of care in primary practice",
abstract = "Background: Anemia rates are over 60{\%} in disadvantaged children yet there is little information about the quality of anemia care for disadvantaged children. Methods: Our primary objective was to assess the burden and quality of anemia care for disadvantaged children and to determine how this varied by age and geographic location. We implemented a cross-sectional study using clinical audit data from 2287 Indigenous children aged 6-59 months attending 109 primary health care centers between 2012 and 2014. Data were analysed using multivariable regression models. Results: Children aged 6-11 months (164, 41.9{\%}) were less likely to receive anemia care than children aged 12-59 months (963, 56.5{\%}) (adjusted odds ratio [aOR] 0.48, CI 0.35, 0.65). Proportion of children receiving anemia care ranged from 10.2{\%} (92) (advice about 'food security') to 72.8{\%} (728) (nutrition advice). 70.2{\%} of children had a hemoglobin measurement in the last 12 months. Non-remote area families (115, 38.2) were less likely to receive anemia care compared to remote families (1012, 56.4{\%}) (aOR 0.34, CI 0.15, 0.74). 57{\%} (111) aged 6-11 months were diagnosed with anemia compared to 42.8{\%} (163) aged 12-23 months and 22.4{\%} (201) aged 24-59 months. 49{\%} (48.5{\%}, 219) of children with anemia received follow up. Conclusions: The burden of anemia and quality of care for disadvantaged Indigenous children was concerning across all remote and urban locations assessed in this study. Improved services are needed for children aged 6-11 months, who are particularly at risk.",
keywords = "Anemia, Child, Primary care",
author = "Casey Mitchinson and Natalie Strobel and Daniel McAullay and Kimberley McAuley and Ross Bailie and Edmond, {Karen M.}",
year = "2019",
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journal = "BMC Paediatrics",
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Anemia in disadvantaged children aged under five years; Quality of care in primary practice. / Mitchinson, Casey; Strobel, Natalie; McAullay, Daniel; McAuley, Kimberley; Bailie, Ross; Edmond, Karen M.

In: BMC Pediatrics, Vol. 19, No. 1, 178, 04.06.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Anemia in disadvantaged children aged under five years; Quality of care in primary practice

AU - Mitchinson, Casey

AU - Strobel, Natalie

AU - McAullay, Daniel

AU - McAuley, Kimberley

AU - Bailie, Ross

AU - Edmond, Karen M.

PY - 2019/6/4

Y1 - 2019/6/4

N2 - Background: Anemia rates are over 60% in disadvantaged children yet there is little information about the quality of anemia care for disadvantaged children. Methods: Our primary objective was to assess the burden and quality of anemia care for disadvantaged children and to determine how this varied by age and geographic location. We implemented a cross-sectional study using clinical audit data from 2287 Indigenous children aged 6-59 months attending 109 primary health care centers between 2012 and 2014. Data were analysed using multivariable regression models. Results: Children aged 6-11 months (164, 41.9%) were less likely to receive anemia care than children aged 12-59 months (963, 56.5%) (adjusted odds ratio [aOR] 0.48, CI 0.35, 0.65). Proportion of children receiving anemia care ranged from 10.2% (92) (advice about 'food security') to 72.8% (728) (nutrition advice). 70.2% of children had a hemoglobin measurement in the last 12 months. Non-remote area families (115, 38.2) were less likely to receive anemia care compared to remote families (1012, 56.4%) (aOR 0.34, CI 0.15, 0.74). 57% (111) aged 6-11 months were diagnosed with anemia compared to 42.8% (163) aged 12-23 months and 22.4% (201) aged 24-59 months. 49% (48.5%, 219) of children with anemia received follow up. Conclusions: The burden of anemia and quality of care for disadvantaged Indigenous children was concerning across all remote and urban locations assessed in this study. Improved services are needed for children aged 6-11 months, who are particularly at risk.

AB - Background: Anemia rates are over 60% in disadvantaged children yet there is little information about the quality of anemia care for disadvantaged children. Methods: Our primary objective was to assess the burden and quality of anemia care for disadvantaged children and to determine how this varied by age and geographic location. We implemented a cross-sectional study using clinical audit data from 2287 Indigenous children aged 6-59 months attending 109 primary health care centers between 2012 and 2014. Data were analysed using multivariable regression models. Results: Children aged 6-11 months (164, 41.9%) were less likely to receive anemia care than children aged 12-59 months (963, 56.5%) (adjusted odds ratio [aOR] 0.48, CI 0.35, 0.65). Proportion of children receiving anemia care ranged from 10.2% (92) (advice about 'food security') to 72.8% (728) (nutrition advice). 70.2% of children had a hemoglobin measurement in the last 12 months. Non-remote area families (115, 38.2) were less likely to receive anemia care compared to remote families (1012, 56.4%) (aOR 0.34, CI 0.15, 0.74). 57% (111) aged 6-11 months were diagnosed with anemia compared to 42.8% (163) aged 12-23 months and 22.4% (201) aged 24-59 months. 49% (48.5%, 219) of children with anemia received follow up. Conclusions: The burden of anemia and quality of care for disadvantaged Indigenous children was concerning across all remote and urban locations assessed in this study. Improved services are needed for children aged 6-11 months, who are particularly at risk.

KW - Anemia

KW - Child

KW - Primary care

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U2 - 10.1186/s12887-019-1543-2

DO - 10.1186/s12887-019-1543-2

M3 - Article

VL - 19

JO - BMC Paediatrics

JF - BMC Paediatrics

SN - 1471-2431

IS - 1

M1 - 178

ER -