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  1. Article ; Online: Comparing primary caregivers' reported injury data with routinely recorded injury data to assess predictors of childhood injury.

    Ghebreab, Luam / Kool, Bridget / Lee, Arier / Morton, Susan

    BMC medical research methodology

    2023  Volume 23, Issue 1, Page(s) 91

    Abstract: Background: Linking self-reported data collected from longitudinal studies with administrative health records is timely and cost-effective, provides the opportunity to augment information contained in each and can offset some of the limitations of both ... ...

    Abstract Background: Linking self-reported data collected from longitudinal studies with administrative health records is timely and cost-effective, provides the opportunity to augment information contained in each and can offset some of the limitations of both data sources. The aim of this study was to compare maternal-reported child injury data with administrative injury records and assess the level of agreement.
    Methods: A deterministic linkage was undertaken to link injury-related data from the Growing up in New Zealand (GUiNZ) study to routinely collected injury records from New Zealand's Accident Compensation Corporation (ACC) for preschool children. The analyses compared: (i) the characteristics of mothers with linked data vs. those without, (ii) injury incidences from maternal recall with those recorded in ACC injury claims, and (iii) the demographic characteristics of concordant and discordant injury reports, including the validity and reliability of injury records from both data sources.
    Results: Of all mothers who responded to the injury questions in the GUiNZ study (n = 5836), more than 95% (n = 5637) agreed to have their child's record linked to routine administrative health records. The overall discordance in injury reports showed an increasing trend as children grew older (9% at 9 M to 29% at 54 M). The mothers of children with discordance between maternal injury reports and ACC records were more likely to be younger, of Pacific ethnicity, with lower educational attainment, and live in areas of high deprivation (p < 0.001). The level of agreement between maternal injury recall and ACC injury record decreased (κ = 0.83 to κ = 0.42) as the cohort moved through their preschool years.
    Conclusions: In general, the findings of this study identified that there was underreporting and discordance of the maternal injury recall, which varied by the demographic characteristics of mothers and their child's age. Therefore, linking the routinely gathered injury data with maternal self-report child injury data has the potential to augment longitudinal birth cohort study data to investigate risk or protective factors associated with childhood injury.
    MeSH term(s) Female ; Humans ; Child, Preschool ; Cohort Studies ; Reproducibility of Results ; Caregivers ; Mothers ; Longitudinal Studies
    Language English
    Publishing date 2023-04-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041362-2
    ISSN 1471-2288 ; 1471-2288
    ISSN (online) 1471-2288
    ISSN 1471-2288
    DOI 10.1186/s12874-023-01900-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Antenatal and early childhood exposures associated with non-fatal infant injury: evidence from a longitudinal birth cohort in New Zealand.

    Ghebreab, Luam / Kool, Bridget / Lee, Arier / Morton, Susan

    Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

    2023  Volume 29, Issue 6, Page(s) 532–536

    Abstract: Objective: To identify antenatal and early childhood exposures of unintentional injury among infants in New Zealand (NZ).: Method: The theoretical life-course framework of child injury prevention domains was utilised to analyse data from a ... ...

    Abstract Objective: To identify antenatal and early childhood exposures of unintentional injury among infants in New Zealand (NZ).
    Method: The theoretical life-course framework of child injury prevention domains was utilised to analyse data from a prospective longitudinal NZ birth cohort (Growing Up in NZ). Risk and protective factors for injury were identified using Robust Poisson regression models.
    Result: Among children included for the analysis(n=6304), 52% were male, 55% were born to European mothers, and 37% lived in a household with high levels of deprivation. Mothers reported that 6% of infants (n=406) had sustained at least one injury by 9 months. Multivariate analysis showed injury risk among single mothers with antenatal depression were more than twice that (IRR=2.20) of children of mothers with partners and without depression.
    Conclusion: Understanding antenatal risk and protective factors for infant injury will assist in implementing injury prevention programmes or modifying the existing policies that affect these vulnerable age groups.
    MeSH term(s) Child ; Infant ; Humans ; Male ; Child, Preschool ; Female ; Pregnancy ; New Zealand/epidemiology ; Birth Cohort ; Prospective Studies ; Mothers ; Family Characteristics
    Language English
    Publishing date 2023-11-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1433667-4
    ISSN 1475-5785 ; 1353-8047
    ISSN (online) 1475-5785
    ISSN 1353-8047
    DOI 10.1136/ip-2023-044845
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Professional footballers have a limited understanding of the precompetition medical assessment and the possible outcomes including disqualification: a cross-sectional survey.

    Chin, Thomas J / Lee, Arier C L / Fulcher, Mark L

    BMJ open sport & exercise medicine

    2021  Volume 7, Issue 1, Page(s) e001006

    Abstract: Objectives: To determine professional footballers' level of understanding of the purpose of the precompetition medical assessment (PCMA) and to evaluate their knowledge of potential outcomes following a PCMA, including disqualification.: Methods: ... ...

    Abstract Objectives: To determine professional footballers' level of understanding of the purpose of the precompetition medical assessment (PCMA) and to evaluate their knowledge of potential outcomes following a PCMA, including disqualification.
    Methods: Professional footballers from the Australasian A-League and Westfield W-League were asked to complete a 25-question survey. The relationship between dichotomised outcomes and explanatory variables was analysed with multivariate logistic regression; p<0.05 was considered statistically significant.
    Results: A total of 212 players participated (response rate=48.8%). Most respondents selected '
    Conclusion: Professional footballers appear to have a limited understanding of the purpose of a PCMA, emphasising the musculoskeletal system and performance. They also appear unfamiliar with the components of the PCMA and medical terms. Finally, many are unaware that disqualification can result from an abnormal PCMA. Player health knowledge must be improved; the informed consent process appears an ideal time to provide this education.
    Language English
    Publishing date 2021-03-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2817580-3
    ISSN 2055-7647
    ISSN 2055-7647
    DOI 10.1136/bmjsem-2020-001006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Prospective longitudinal study investigating predictors of childhood injuries from Growing Up in New Zealand cohort: study protocol.

    Ghebreab, Luam / Kool, Bridget / Lee, Arier / Morton, Susan

    Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

    2021  Volume 28, Issue 2, Page(s) 197–202

    Abstract: Background: Injury is one of the leading causes of mortality and morbidity worldwide and yet preventable and predictable. In New Zealand (NZ), unintentional injury is the leading cause of emergency department visits, hospitalisations and death among ... ...

    Abstract Background: Injury is one of the leading causes of mortality and morbidity worldwide and yet preventable and predictable. In New Zealand (NZ), unintentional injury is the leading cause of emergency department visits, hospitalisations and death among children, making it a significant public health concern.
    Objective: To identify the factors that place young children in NZ at an increased risk of unintentional injury.
    Methods: This study will investigate injuries among children from the prospective Growing Up in NZ birth cohort of 6853 children and their families. The primary outcome of interest is injury events where medical treatment was sought. The data sources include parental reports of child injury and Accident Compensation Corporation-NZ's no-fault injury compensation system-injury claims. The linked datasets will be utilised to examine the distribution of life course exposures and outcome data using descriptive statistics. A temporal multilevel model will then be developed to examine relationships between neighbourhood, child and family characteristics and injury from birth to 5 years of age for all children for whom parental consent to link data were obtained.
    Discussion: The findings of this research will help to identify how the multiplicity of influences between children, family and their broader societal context acting across time affect their risk of experiencing a preschool injury. This information will provide an evidence base to inform context-relevant strategies to reduce and prevent childhood injuries.
    MeSH term(s) Accidental Injuries ; Accidents ; Child ; Child, Preschool ; Humans ; Infant ; Longitudinal Studies ; New Zealand/epidemiology ; Prospective Studies ; Wounds and Injuries/epidemiology
    Language English
    Publishing date 2021-12-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1433667-4
    ISSN 1475-5785 ; 1353-8047
    ISSN (online) 1475-5785
    ISSN 1353-8047
    DOI 10.1136/injuryprev-2021-044414
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Understanding geographical variations in health system performance: a population-based study on preventable childhood hospitalisations.

    Silwal, Pushkar Raj / Exeter, Daniel / Tenbensel, Tim / Lee, Arier

    BMJ open

    2022  Volume 12, Issue 6, Page(s) e052209

    Abstract: Objective: To investigate interdistrict variations in childhood ambulatory sensitive hospitalisation (ASH) over the years.: Design: Observational population-based study over 2008-2018 using the Primary Health Organisation Enrolment Collection (PHO) ... ...

    Abstract Objective: To investigate interdistrict variations in childhood ambulatory sensitive hospitalisation (ASH) over the years.
    Design: Observational population-based study over 2008-2018 using the Primary Health Organisation Enrolment Collection (PHO) and the National Minimum Dataset hospital events databases.
    Setting: New Zealand primary and secondary care.
    Participants: All children aged 0-4 years enrolled in the PHO Enrolment Collection from 2008 to 2018.
    Main outcome measure: ASH.
    Results: Only 1.4% of the variability in the risk of having childhood ASH (intracluster correlation coefficient=0.014) is explained at the level of District Health Board (DHB), with the median OR of 1.23. No consistent time trend was observed for the adjusted childhood ASH at the national level, but the DHBs demonstrated different trajectories over the years. Ethnicity (being a Pacific child) followed by deprivation demonstrated stronger relationships with childhood ASH than the geography and the health system input variables.
    Conclusion: The variation in childhood ASH is explained only minimal at the DHB level. The sociodemographic variables also only partly explained the variations. Unlike the general ASH measure, the childhood ASH used in this analysis provides insights into the acute conditions sensitive to primary care services. However, further information would be required to conclude this as the DHB-level performance variations.
    MeSH term(s) Child ; Ethnicity ; Geography ; Government Programs ; Hospitalization ; Humans ; Medical Assistance
    Language English
    Publishing date 2022-06-01
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-052209
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Psychological well-being of women at high risk of spontaneous preterm birth cared for in a specialised preterm birth clinic: a prospective longitudinal cohort study.

    Dawes, Lisa / Waugh, Jason J S / Lee, Arier / Groom, Katie M

    BMJ open

    2022  Volume 12, Issue 3, Page(s) e056999

    Abstract: Objectives: To assess the psychological well-being of pregnant women at increased risk of spontaneous preterm birth, and the impact of care from a preterm birth clinic.: Design: Single-centre longitudinal cohort study over 1 year, 2018-2019.: ... ...

    Abstract Objectives: To assess the psychological well-being of pregnant women at increased risk of spontaneous preterm birth, and the impact of care from a preterm birth clinic.
    Design: Single-centre longitudinal cohort study over 1 year, 2018-2019.
    Setting: Tertiary maternity hospital in Auckland, New Zealand.
    Participants: Pregnant women at increased risk of spontaneous preterm birth receiving care in a preterm birth clinic.
    Intervention: Participants completed three sets of questionnaires (State-Trait Anxiety Inventory, Edinburgh Postnatal Depression Scale, and 36-Item Short Form Survey)-prior to their first, after their second, and after their last clinic appointments. Study-specific questionnaires explored pregnancy-related anxiety and perceptions of care.
    Primary and secondary outcome measures: The primary outcome was the mean State-Anxiety score. Secondary outcomes included depression and quality of life measures.
    Results: 73/97 (75.3%) eligible women participated; 41.1% had a previous preterm birth, 31.5% a second trimester loss and 28.8% cervical surgery; 20.6% had a prior mental health condition. 63/73 (86.3%) women completed all questionnaires. The adjusted mean state-anxiety score was 39.0 at baseline, which decreased to 36.5 after the second visit (difference -2.5, 95% CI -5.5 to 0.5, p=0.1) and to 32.6 after the last visit (difference -3.9 from second visit, 95% CI -6.4 to -1.5, p=0.002). Rates of anxiety (state-anxiety score >40) and depression (Edinburgh Postnatal Depression Scale score >12) were 38.4%, 34.8%, 19.0% and 13.7%, 8.7%, 9.5% respectively, at the same time periods. Perceptions of care were favourable; 88.9% stated the preterm birth clinic made them significantly or somewhat less anxious and 87.3% wanted to be seen again in a future pregnancy.
    Conclusions: Women at increased risk of spontaneous preterm birth have high levels of anxiety. Psychological well-being improved during the second trimester; women perceived that preterm birth clinic care reduced pregnancy-related anxiety. These findings support the ongoing use and development of preterm birth clinics.
    MeSH term(s) Cohort Studies ; Female ; Humans ; Infant, Newborn ; Longitudinal Studies ; Male ; Pregnancy ; Premature Birth/epidemiology ; Premature Birth/psychology ; Prospective Studies ; Quality of Life
    Language English
    Publishing date 2022-03-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-056999
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Risk factors of unintentional injury among children in New Zealand: a systematic review.

    Ghebreab, Luam / Kool, Bridget / Lee, Arier / Morton, Susan

    Australian and New Zealand journal of public health

    2021  Volume 45, Issue 4, Page(s) 403–410

    Abstract: Objective: To identify contemporary studies investigating multifaceted and inter-linked contributory frameworks for unintentional injuries among children in New Zealand.: Methods: A literature review was performed in seven databases. Studies ... ...

    Abstract Objective: To identify contemporary studies investigating multifaceted and inter-linked contributory frameworks for unintentional injuries among children in New Zealand.
    Methods: A literature review was performed in seven databases. Studies published in English up to February 2020 reporting risk factors for child injury in New Zealand were included. Eligible study designs included: cohort, case-control and case-crossover studies. The quality of studies was assessed using the GATE frame tool. The PRISMA (Preferred Reporting Items for Systematic Reviews and MetaAnalyses) reporting guidelines were followed.
    Results: Thirteen studies fulfilled the inclusion criteria, dating from 1977 to 2008. The factors associated with child injury (0 to 14 years) included socioeconomic disadvantage, number of children, younger maternal age and sole parents. Vehicle speed and traffic volume were associated with an increased risk of driveway-related pedestrian injury.
    Conclusion: The review findings have reinforced the need for cross-agency action to address the social determinants of child injury. Implications for public health: Contemporary longitudinal studies are needed to assist in understanding how the interactions between children, family and their wider societal context affect their risk of experiencing injury over time.
    Language English
    Publishing date 2021-06-28
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1323548-5
    ISSN 1753-6405 ; 1326-0200
    ISSN (online) 1753-6405
    ISSN 1326-0200
    DOI 10.1111/1753-6405.13125
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Pre-sleep cognitive arousal exacerbates sleep disturbance in chronic pain: an exploratory daily diary and actigraphy study.

    Bean, Debbie J / Horne, Juliette / Lee, Arier C / Johnson, Malcolm H

    Scandinavian journal of pain

    2021  Volume 21, Issue 4, Page(s) 724–731

    Abstract: Objectives: Insomnia is commonly comorbid with chronic pain, and typically leads to worse outcomes. Two factors that could contribute to a cycle of pain and sleeplessness are pre-sleep cognitive arousal (repetitive thought processes) and low mood. This ... ...

    Abstract Objectives: Insomnia is commonly comorbid with chronic pain, and typically leads to worse outcomes. Two factors that could contribute to a cycle of pain and sleeplessness are pre-sleep cognitive arousal (repetitive thought processes) and low mood. This study aimed to examine how pain, sleep disturbance, mood, and pre-sleep cognitive arousal inter-relate, to determine whether low mood or pre-sleep cognitive arousal contribute to a vicious cycle of pain and insomnia.
    Methods: Forty seven chronic pain patients completed twice daily diary measures and actigraphy for one week. Analyses investigated the temporal and directional relationships between pain intensity, sleep quality, time awake after sleep onset, anhedonic and dysphoric mood, and pre-sleep cognitive arousal. Fluctuations in predictor variables were used to predict outcome variables the following morning using mixed-effects modelling.
    Results: For people with chronic pain, an evening with greater pre-sleep cognitive arousal (relative to normal) led to a night of poorer sleep (measured objectively and subjectively), lower mood in the morning, and a greater misperception of sleep (underestimating sleep). A night of poorer sleep quality led to greater pain the following morning. Fluctuations in pain intensity and depression did not have a significant influence on subsequent sleep.
    Conclusions: For people with chronic pain, cognitive arousal may be a key variable exacerbating insomnia, which in turn heightens pain. Future studies could target cognitive arousal to assess effects on sleep and pain outcomes.
    MeSH term(s) Actigraphy ; Arousal ; Chronic Pain ; Cognition ; Humans ; Sleep
    Language English
    Publishing date 2021-06-14
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2515451-5
    ISSN 1877-8879 ; 1877-8860
    ISSN (online) 1877-8879
    ISSN 1877-8860
    DOI 10.1515/sjpain-2020-0185
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Socio-economic deprivation and healthcare service use of young people with type 1 and type 2 diabetes.

    Wijayaratna, Sasini / Lee, Arier / Jo, Emmanuel / Young Park, Hyun / Cundy, Tim / Bagg, Warwick

    The New Zealand medical journal

    2022  Volume 135, Issue 1565, Page(s) 74–82

    Abstract: Aim: Lower socio-economic status (SES) is linked to greater morbidity in people with young-onset type 2 (T2D) and type 1 diabetes (T1D). We assessed healthcare utilisation from this population and the impact of SES.: Methods: Retrospective analysis ... ...

    Abstract Aim: Lower socio-economic status (SES) is linked to greater morbidity in people with young-onset type 2 (T2D) and type 1 diabetes (T1D). We assessed healthcare utilisation from this population and the impact of SES.
    Methods: Retrospective analysis of 1,350 people with T2D and 731 with T1D diagnosed between 15-30 years of age referred to secondary diabetes services in Auckland, New Zealand. Primary care visits, referral to/attendance at diabetes clinics, and hospital admissions were recorded; their relationship to a validated national index of deprivation (NZDep) was assessed.
    Results: The proportion with primary care attendance was similar in both groups with no significant variation with NZDep. For T2D, NZDep was a predictor of delayed referral (≧1-year post-diagnosis) to diabetes services, following adjustment for age and HbA1c in the year of diagnosis (OR 1.15 for every decile increase in NZDep, 95% CI 1.07-1.24, p=0.0003). The median number of appointments offered over a 2-year period was greater for T1D (2.0 (IQR 0, 7) vs (0 (IQR 0, 2), p<0.001); non-attendance increased with NZDep for T2D (p=0.016). The proportion with hospital admissions was similar in both groups and increased with NZDep (T1D p<0.001, T2D p=0.015).
    Conclusion: SES impacts several measures of healthcare utilisation. Current healthcare models are inadequately servicing people with young-onset T2D.
    MeSH term(s) Humans ; Adolescent ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/therapy ; Diabetes Mellitus, Type 1/epidemiology ; Diabetes Mellitus, Type 1/therapy ; Retrospective Studies ; New Zealand/epidemiology ; Poverty ; Delivery of Health Care
    Language English
    Publishing date 2022-11-11
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Understanding the context of hospital transfers and away-from-home hospitalisations for Māori.

    Cormack, Donna / Masters-Awatere, Bridgette / Lee, Arier / Rata, Arama / Boulton, Amohia

    The New Zealand medical journal

    2022  Volume 135, Issue 1565, Page(s) 41–50

    Abstract: In Aotearoa New Zealand, people regularly travel away from their home to receive hospital care. While the role of whānau support for patients in hospital is critical for Māori, there is little information about away-from-home hospitalisations. This paper ...

    Abstract In Aotearoa New Zealand, people regularly travel away from their home to receive hospital care. While the role of whānau support for patients in hospital is critical for Māori, there is little information about away-from-home hospitalisations. This paper describes the frequency and patterning of away-from-home hospitalisations and inter-hospital transfers for Māori. Data from the National Minimum Dataset (NMDS), for the 6-year period of 1 January 2009-31 December 2014, were analysed. Basic frequencies, means and descriptive statistics were produced using SAS software. We found that more than 10% of all routine hospitalisations constituted an away-from-home hospitalisation for Māori; that is, a hospitalisation that was in a district health board (DHB) other than the DHB of usual residence for the patient. One quarter (25.19%) of transfer hospitalisations were to a DHB other than the patient's DHB of domicile. Away-from-home hospital admissions increase for Māori as deprivation increases for both routine and transfer admissions, with over half of Māori hospital admissions among people who live in areas of high deprivation. This analysis aids in understanding away-from-home hospitalisations for Māori whānau, the characteristics associated with these types of hospitalisations and supports the development and implementation of policies which better meet whānau Māori needs. The cumulative impact of the need to travel to hospital for care, levels of poverty and a primarily reimbursement-based travel assistance system all perpetuate an unequal cost burden placed upon Māori whānau.
    MeSH term(s) Humans ; Native Hawaiian or Other Pacific Islander ; New Zealand ; Hospitalization ; Hospitals
    Language English
    Publishing date 2022-11-11
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 390590-1
    ISSN 1175-8716 ; 0028-8446 ; 0110-7704
    ISSN (online) 1175-8716
    ISSN 0028-8446 ; 0110-7704
    Database MEDical Literature Analysis and Retrieval System OnLINE

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