Indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers: a record linkage study of children born in England in 2011

Background Early identification of child adversity (comprising abuse, neglect, social or material adversity) is essential to target early interventions to safeguard children, and support vulnerable families. We determined the prevalence of indicators of adversity recorded in diagnostic codes in chil...

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Main Authors: Toqir Mukhtar, Linda Wijlaars, Louise McGrath-Lone, Ruth Gilbert
Format: Article
Language:English
Published: Swansea University 2018-06-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/553
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author Toqir Mukhtar
Linda Wijlaars
Louise McGrath-Lone
Ruth Gilbert
author_facet Toqir Mukhtar
Linda Wijlaars
Louise McGrath-Lone
Ruth Gilbert
author_sort Toqir Mukhtar
collection DOAJ
description Background Early identification of child adversity (comprising abuse, neglect, social or material adversity) is essential to target early interventions to safeguard children, and support vulnerable families. We determined the prevalence of indicators of adversity recorded in diagnostic codes in child and/or maternal hospital admissions in England. Data Source All birth admissions recorded in the NHS in England in 2011, and subsequent admissions up to 5 years old, linked to maternal records from 1 year before to up to 5 years after delivery. Methods Prevalence of adversity indicators in child and/or maternal admission records that reflect adversity-related injury (ARI), or social or material adversity (SMA). Results Among 646,956 live born children, 2.6% (95% CI: 2.6 to 2.7) had at least one adversity indicator by <5 years (0.8% ARI, 2.6% SMA). Cumulative prevalence was 1.1% in children aged <6 months, 1.2% in children aged <1 year, 2.1% by <=2 years, and 2.6% up to 5 years old. Combined prevalence in maternal and/or child records will be presented. Conclusion To inform health policy, clinical and prognostic significance of adversity indicators requires evaluation through linkage to health and welfare outcomes.
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spelling doaj.art-bc825bb6b8004030afdce8e57ca095a12023-12-03T02:14:23ZengSwansea UniversityInternational Journal of Population Data Science2399-49082018-06-013210.23889/ijpds.v3i2.553553Indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers: a record linkage study of children born in England in 2011Toqir Mukhtar0Linda Wijlaars1Louise McGrath-Lone2Ruth Gilbert3University College LondonUniversity College LondonUniversity of OxfordUniversity College LondonBackground Early identification of child adversity (comprising abuse, neglect, social or material adversity) is essential to target early interventions to safeguard children, and support vulnerable families. We determined the prevalence of indicators of adversity recorded in diagnostic codes in child and/or maternal hospital admissions in England. Data Source All birth admissions recorded in the NHS in England in 2011, and subsequent admissions up to 5 years old, linked to maternal records from 1 year before to up to 5 years after delivery. Methods Prevalence of adversity indicators in child and/or maternal admission records that reflect adversity-related injury (ARI), or social or material adversity (SMA). Results Among 646,956 live born children, 2.6% (95% CI: 2.6 to 2.7) had at least one adversity indicator by <5 years (0.8% ARI, 2.6% SMA). Cumulative prevalence was 1.1% in children aged <6 months, 1.2% in children aged <1 year, 2.1% by <=2 years, and 2.6% up to 5 years old. Combined prevalence in maternal and/or child records will be presented. Conclusion To inform health policy, clinical and prognostic significance of adversity indicators requires evaluation through linkage to health and welfare outcomes.https://ijpds.org/article/view/553
spellingShingle Toqir Mukhtar
Linda Wijlaars
Louise McGrath-Lone
Ruth Gilbert
Indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers: a record linkage study of children born in England in 2011
International Journal of Population Data Science
title Indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers: a record linkage study of children born in England in 2011
title_full Indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers: a record linkage study of children born in England in 2011
title_fullStr Indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers: a record linkage study of children born in England in 2011
title_full_unstemmed Indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers: a record linkage study of children born in England in 2011
title_short Indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers: a record linkage study of children born in England in 2011
title_sort indicators of adversity recorded in hospitalisation records of children aged less than 5 years or their mothers a record linkage study of children born in england in 2011
url https://ijpds.org/article/view/553
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