No official identity: a data linkage study of birth registration of Aboriginal children in Western Australia

Abstract Objective: Evidence of identity, particularly a birth certificate, is essential to access many rights. However, the births of many Aboriginal Australians are not registered when they are infants. We examined factors related to birth registration among Western Australian children born to Abo...

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Main Authors: Alison J. Gibberd, Judy M. Simpson, Sandra J. Eades
Format: Article
Language:English
Published: Elsevier 2016-08-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12548
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author Alison J. Gibberd
Judy M. Simpson
Sandra J. Eades
author_facet Alison J. Gibberd
Judy M. Simpson
Sandra J. Eades
author_sort Alison J. Gibberd
collection DOAJ
description Abstract Objective: Evidence of identity, particularly a birth certificate, is essential to access many rights. However, the births of many Aboriginal Australians are not registered when they are infants. We examined factors related to birth registration among Western Australian children born to Aboriginal mothers. Methods: All births to Aboriginal mothers in the Midwives Notification System in Western Australia (WA) from 1980 to 2010 were linked to birth registrations. Associations between registration and maternal and child characteristics were examined for children aged under 16 years in 2012. Results: Among 49,694 births between 1980 and 2010, 18% of those aged under 16 years had unregistered births, compared to 3% of those aged 16–32 years. Unregistered births were most strongly associated with young maternal age at first birth (adjusted odds ratio [AOR] 5.22; 95%CI 3.07–8.86; for 16 years or younger vs 30 years or older, among non‐smokers), remoteness (AOR 2.17; 95%CI 1.87–2.52; very remote vs major cities), mothers whose own birth was unregistered (AOR 3.00; 95%CI 1.78–5.07) and no private hospital insurance (AOR 0.19; 95%CI 0.11–0.31; insured vs uninsured). Conclusions: Unregistered births are common among WA Aboriginal children, particularly in disadvantaged families. Implications: Assistance before discharge from hospital may increase birth registrations.
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spelling doaj.art-6450d31a53ab49e096779c8cc68deb622023-09-02T21:42:56ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052016-08-0140438839410.1111/1753-6405.12548No official identity: a data linkage study of birth registration of Aboriginal children in Western AustraliaAlison J. Gibberd0Judy M. Simpson1Sandra J. Eades2School of Public Health University of Sydney New South WalesSchool of Public Health University of Sydney New South WalesBaker IDI Heart and Diabetes Institute VictoriaAbstract Objective: Evidence of identity, particularly a birth certificate, is essential to access many rights. However, the births of many Aboriginal Australians are not registered when they are infants. We examined factors related to birth registration among Western Australian children born to Aboriginal mothers. Methods: All births to Aboriginal mothers in the Midwives Notification System in Western Australia (WA) from 1980 to 2010 were linked to birth registrations. Associations between registration and maternal and child characteristics were examined for children aged under 16 years in 2012. Results: Among 49,694 births between 1980 and 2010, 18% of those aged under 16 years had unregistered births, compared to 3% of those aged 16–32 years. Unregistered births were most strongly associated with young maternal age at first birth (adjusted odds ratio [AOR] 5.22; 95%CI 3.07–8.86; for 16 years or younger vs 30 years or older, among non‐smokers), remoteness (AOR 2.17; 95%CI 1.87–2.52; very remote vs major cities), mothers whose own birth was unregistered (AOR 3.00; 95%CI 1.78–5.07) and no private hospital insurance (AOR 0.19; 95%CI 0.11–0.31; insured vs uninsured). Conclusions: Unregistered births are common among WA Aboriginal children, particularly in disadvantaged families. Implications: Assistance before discharge from hospital may increase birth registrations.https://doi.org/10.1111/1753-6405.12548birth registrationIndigenouslinked data
spellingShingle Alison J. Gibberd
Judy M. Simpson
Sandra J. Eades
No official identity: a data linkage study of birth registration of Aboriginal children in Western Australia
Australian and New Zealand Journal of Public Health
birth registration
Indigenous
linked data
title No official identity: a data linkage study of birth registration of Aboriginal children in Western Australia
title_full No official identity: a data linkage study of birth registration of Aboriginal children in Western Australia
title_fullStr No official identity: a data linkage study of birth registration of Aboriginal children in Western Australia
title_full_unstemmed No official identity: a data linkage study of birth registration of Aboriginal children in Western Australia
title_short No official identity: a data linkage study of birth registration of Aboriginal children in Western Australia
title_sort no official identity a data linkage study of birth registration of aboriginal children in western australia
topic birth registration
Indigenous
linked data
url https://doi.org/10.1111/1753-6405.12548
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