Predictors of Child Health in Northern Ontario CPHA Annual Conference Halifax, Nova Scotia June 4,...
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![Page 1: Predictors of Child Health in Northern Ontario CPHA Annual Conference Halifax, Nova Scotia June 4, 2008 Darshaka Malaviarachchi, Epidemiologist, SDHU Derek.](https://reader036.fdocuments.net/reader036/viewer/2022062423/5697c02a1a28abf838cd83f9/html5/thumbnails/1.jpg)
Predictors of Child Health in Northern Ontario
CPHA Annual Conference
Halifax, Nova Scotia
June 4, 2008
Darshaka Malaviarachchi, Epidemiologist, SDHUDerek Wilkinson, Associate Professor, Laurentian University
Julie Vaillancourt, Health Promoter, SDHU
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Outline
• Review of Northern Ontario Perinatal and Child Health Survey (NOPCHS) Consortium
• Literature review: Predictors of child health
• Results: Analyses of NOPCHS data
• Limitations
• Conclusions
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The Consortium is coordinated by thePublic Health Research, Education and Development (PHRED) Program
Sudbury & District Health Unit
• Algoma Health Unit
• Muskoka-Parry Sound Health Unit
• North Bay & District Health Unit
• Northwestern Health Unit
• Porcupine Health Unit
• Sudbury & District Health Unit
• Thunder Bay District Health Unit
NOPCHS Consortium Partners
• Timiskaming Health Unit
• Northern Health Information Partnership
• Lakehead University
• Laurentian University
• Nipissing University
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NOPCHS Consortium Partners
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• Perinatal and Child Health Survey Strategies Initiative funded by Ontario Ministry of Health and Long-Term Careo Northern Health Units pooled funds in
2002 and 2003
• Louise Picard Public Health Research Grant
Funding
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2002 Consortium Reports
• Northern Ontario Baseline Child Health Information: Analysis of Secondary Data
• Northern Ontario Perinatal & Child Health Survey Highlights Report: A First Look
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2003 Focused Reports
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Objective
• Comprehensive literature review to explore the predictors of child health
• Further explore predictors and outcomes using NOPCHS data
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Literature Review
• PubMed 1996-2006
Outcome
Child health
Asthma
Injuries
BMI
Overweight
Obesity
Predictor
Breastfeeding
Smoking
Income or socioeconomic status
Partner or single/sole support parent
AND
OR
OR
OR
OR
OR
OR
OR
OR
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Literature: Breastfeeding
• Asthma
• Overweight and obesity
• Confounderso SES, ageo Country of birtho Low birth weighto Prenatal classeso Partner status
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Literature: Smoking
• Asthma
• Overweight and obesity
• Confounderso Ageo Ethnicityo Educationo Other smoker(s) in
household
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Literature: Socioeconomic Status
• Child health
• Overweight and obesity
• Injuries
• Confounderso Maternal age, educationo Marital statuso Ethnicity
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Literature: Partner Status
• Child health
• Injuries
• Asthma
• Confounderso SES, maternal deprivation
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• Overweight/obesity
• General health status
• Injury
• Asthma
NOPCHS: Outcomes
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• Sex
• Francophone status
• Breastfeeding
• Partner status
NOPCHS: Predictors
• Family income (LICO)
• Maternal education
• Prenatal class
• Smoking
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NOPCHS: Overweight/Obesity
• Influenced by: o Not breastfeeding [OR = 1.30, 95% CI (1.02,1.67)]*o Other smoker(s) [OR = 1.40, 95% CI (1.09, 1.80)]
* remained significant after adjusting for potential confounders
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• Influenced by: o Sex of child [OR = 1.36, 95% CI (1.02, 1.81)]*o Partner status [OR = 1.80, 95% CI (1.23, 2.65)]o LICO [OR = 1.72, 95% CI (1.19, 2.49)]o Education [OR = 1.42, 95% CI (1.07, 1.88)]o No prenatal class [OR = 1.82, 95% CI (1.33, 2.48)]*o Smoking
- Maternal [OR = 1.92, 95% CI (1.42, 2.59)]
- Other smoker(s) [OR = 2.30, 95% CI (1.72, 3.08)]*
NOPCHS: General Health Status
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NOPCHS: Injury
• Influenced by: o Not breastfeeding [OR =1.38, 95% CI (1.07, 1.79)]o Partner status [OR = 1.96, 95% CI (1.44, 2.68)]*o Education [OR = 1.36, 95% CI (1.07, 1.71)]o Smoking
- Maternal [OR = 1.43, 95% CI (1.11, 1.85)]- Other smoker(s) [OR = 1.63, 95% CI (1.28, 2.09)]
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NOPCHS: Asthma
• Influenced by: o Sex of child [OR = 1.53, 95% CI (1.25, 1.88)]*o Partner status [OR = 1.92, 95% CI (1.45, 2.53)]*o LICO [OR = 1.69, 95% CI (1.30, 2.19)]*o Education [OR = 1.30, 95% CI (1.06, 1.59)]o Smoking
- Maternal [OR = 1.39, 95% CI (1.11, 1.74)]
- Other smoker(s) [OR = 1.68, 95% CI (1.36, 2.09)]*
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Limitations
• Mother-reported
• Phone Survey
• Non-response
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Conclusions
• Literature vs. Northern Ontario
• Social determinants of health
• Continued need for focus on second-hand smoke
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Thank you!
• Questions?
• NOPCHS Reports available at:o www.sdhu.com
• Contact Info:o Dar Malaviarachchi: [email protected]
• Acknowledgements:– NOPCHS Consortium– Jacqueline Elliott, student researcher
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This presentation was prepared by staff at the Sudbury & District Health Unit.
This resource may be reproduced, for educational purposes, on the condition that full credit is given to the Sudbury & District Health Unit.
This resource may not be reproduced or used for revenue generation purposes.
© Sudbury & District Health Unit, 2008