Articlebronze2019

Modelling factors for Aboriginal and Torres Strait Islander child neurodevelopment outcomes: A latent class analysis

Natalie Strobel · Alice Richardson · Carrington Shepherd · Kimberley McAuley · Rhonda Marriott · Karen Margaret Edmond +1 more

14 citations0/0 files storedPaediatric and Perinatal Epidemiology

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Indigenous Health, Education, and Rights Infant Development and Preterm Care Child and Adolescent Health

Abstract

BACKGROUND: The Australian Early Development Census (AEDC) provides a measure of early child development upon school entry. Understanding which combination of factors influences Aboriginal child neurodevelopment is important to inform policy and practice. OBJECTIVE: The primary objective was to use latent class analysis (LCA) to model AEDC profiles and identify the highest need profiles. The secondary objective was to determine the associations of these high need profiles on the likelihood of a child becoming developmentally vulnerable. METHODS: We designed a prospective population-based birth cohort study (n = 2715) using linked data sets with information on Aboriginal cohort children, and their mothers and siblings in Western Australia. Specific developmental indicators in the 2009 and 2012 AEDC were used to assess developmental vulnerability. LCA methods were used to determine need profiles and their association with developmental vulnerability. RESULTS: 49.3% of Aboriginal children were vulnerable on at least one developmental domain, and 37.5% were vulnerable on two or more domains. LCA found six unique profiles. High needs family, High needs young mother, and Preterm infant comprised 42% of the cohort and were considered to have high need configurations. These groups were at least 1.7 times as likely to have children who had at least one or two developmental vulnerabilities compared with the Healthy family group. CONCLUSION: Many Aboriginal children in Western Australia enter school with at least one developmental vulnerability. This study highlights a range of unique profiles that can be used to empower Aboriginal families for change and develop targeted programmes for improving the early development of young Aboriginal children.

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2007Deciding on the Number of Classes in Latent Class Analysis and Growth Mixture Modeling: A Monte Carlo Simulation Study 2009Latent Class and Latent Transition Analysis: With Applications in the Social, Behavioral, and Health Sciences 2014Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice 2012Childhood Poverty, Chronic Stress, Self-Regulation, and Coping 2003Latent Class and Latent Transition Analysis 2016Colonisation, racism and indigenous health 2008A decade of data linkage in Western Australia: strategic design, applications and benefits of the WA data linkage system 2010Demographic and familial predictors of early executive function development: Contribution of a person-centered perspective

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