Psychosocial characteristics and predictors of health-care use in families of young children with cystic fibrosis in Western Australia

Douglas, Tonia, Green, Jennifer, Park, Judy, Turkovic, Lidija, Massie, John and Shields, Linda (2016) Psychosocial characteristics and predictors of health-care use in families of young children with cystic fibrosis in Western Australia. Journal of Paediatrics and Child Health, 52 1: 34-39. doi:10.1111/jpc.13011


Author Douglas, Tonia
Green, Jennifer
Park, Judy
Turkovic, Lidija
Massie, John
Shields, Linda
Title Psychosocial characteristics and predictors of health-care use in families of young children with cystic fibrosis in Western Australia
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
ISSN 1440-1754
1034-4810
Publication date 2016-01-01
Year available 2015
Sub-type Article (original research)
DOI 10.1111/jpc.13011
Open Access Status Not Open Access
Volume 52
Issue 1
Start page 34
End page 39
Total pages 6
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Objective
Early childhood psychosocial experiences determine future health and health-care use. Identifying psychosocial predictors in cystic fibrosis may inform intervention strategies that can reduce health-care utilization.

Design
The study was designed as a prospective cohort study.

Setting
The study was set in the only cystic fibrosis clinic in Western Australia.

Patients
The patients were children up to 6 years diagnosed with cystic fibrosis in Western Australia between 2005 and 2011.

Main outcome measures
Psychosocial data collected for each year of life were compared with Australian population data and analysed as predictors of annual hospital, emergency and outpatient visits.

Results
Compared with the Australian population, cystic fibrosis families demonstrated lower socio-economic status and labour supply (P < 0.001), increased residential mobility (P < 0.001) and trends towards increased rates of parental separation (P = 0.066). Marital discord and maternal and child psychological stress significantly predicted increased hospital admissions, emergency and outpatient visits.

Conclusions
Social gradients may exist for families of young children with cystic fibrosis in Western Australia with potential implications for child health. Family psychological and relationship stress predicted increased child cystic fibrosis-related health-care use.
Keyword Child
Cystic fibrosis
Mental health
Parent
Psychosocial determinant
Social gradient
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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