Abstract：
BACKGROUND:Although Torres Strait Islanders (TSIs) are often combined with Aborigines, they are a distinct group and would prefer to be considered separately. The Queensland Perinatal Data Collection (QPDC) has been the only population-based, perinatal collection in Australia that has distinguished between Aboriginal and TSI mothers. It provided a unique opportunity to compare outcome measures based on birthweight in the TSI, Aboriginal and white populations. TSIs were of particular interest because recent research from overseas suggests that in groups with high rates of obesity and diabetes, birthweight is not a valid outcome measure. This is of concern because outcome measures based on birthweight have been proposed as a way of monitoring the neonatal health of Indigenous Australians. METHODS:Retrospective analysis of 10 years of routine data from the QPDC. RESULTS:TSIs had a birthweight distribution similar to that of whites, but mortality rates similar to those of Aborigines. For birthweights between 2500 g and 4000 g, TSIs had mortality rates that were 2.5 times higher than those for whites (95% CI: 1.3 to 4.2). CONCLUSIONS:Although birthweight is widely used, it is not necessarily a valid outcome measure in all populations. For TSIs, maternal conditions such as obesity and diabetes might cause changes in the uterine environment that produce heavier, but not healthier babies.
journal_name
Aust N Z J Public Healthjournal_title
Australian and New Zealand journal of public healthauthors
Coory Mdoi
10.1111/j.1467-842x.2000.tb00724.xsubject
Has Abstractpub_date
2000-02-01 00:00:00pages
60-3issue
1eissn
1326-0200issn
1753-6405journal_volume
24pub_type
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更新日期：2010-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2004-08-01 00:00:00
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更新日期：2003-01-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.1998.tb01476.x
更新日期：1998-10-01 00:00:00
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更新日期：1997-12-01 00:00:00
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更新日期：1999-02-01 00:00:00
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更新日期：2017-10-01 00:00:00
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更新日期：2004-10-01 00:00:00
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更新日期：2010-12-01 00:00:00
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更新日期：2008-06-01 00:00:00
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doi：10.1111/j.1467-842x.1998.tb01421.x
更新日期：1998-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1467-842x.2002.tb00189.x
更新日期：2002-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1467-842x.2000.tb01594.x
更新日期：2000-08-01 00:00:00
