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dc.contributor.authorDouglas, T.
dc.contributor.authorGreen, Jemma
dc.contributor.authorPark, J.
dc.contributor.authorTurkovic, L.
dc.contributor.authorMassie, J.
dc.contributor.authorShields, L.
dc.date.accessioned2017-01-30T12:02:21Z
dc.date.available2017-01-30T12:02:21Z
dc.date.created2016-04-12T19:30:14Z
dc.date.issued2016
dc.identifier.citationDouglas, T. and Green, J. and Park, J. and Turkovic, L. and Massie, J. and Shields, L. 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): pp. 34-39.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/17518
dc.identifier.doi10.1111/jpc.13011
dc.description.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.

dc.publisherBlackwell Scientific Publications
dc.titlePsychosocial characteristics and predictors of health-care use in families of young children with cystic fibrosis in Western Australia
dc.typeJournal Article
dcterms.source.volume52
dcterms.source.number1
dcterms.source.startPage34
dcterms.source.endPage39
dcterms.source.issn1034-4810
dcterms.source.titleJournal of Paediatrics and Child Health
curtin.departmentSustainability Policy Institute
curtin.accessStatusFulltext not available


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