Comparing risks of cerebral palsy in births between Australian Indigenous and non-Indigenous mothers

Developmental Medicine and Child Neurology
Eve BlairAustralian Cerebral Palsy Register Group

Abstract

To compare proportions of live births subsequently described as having cerebral palsy (CP), the distributions of associated impairments, and the causes of postneonatal CP between Aboriginal and Torres Strait Islander (Indigenous) and non-Indigenous populations in Australia. Data from statutory birth records and CP registers for the 1996 to 2005 birth cohort in Queensland, Western Australia, and the Northern Territory were stratified by Indigenous status and whether the CP was acquired pre/perinatally or postneonatally. Relative risks associated with Indigenous status were estimated and the distributions of causes of postneonatal CP compared. Indigenous births had a relative risk of 4.9 (95% confidence interval [CI] 3.0-7.9) for postneonatal CP but only of 1.42 (95% CI 1.2-1.7) for pre/perinatal CP. Almost half of postneonatal CP in Indigenous infants resulted from infection, whereas for non-Indigenous infants the most frequent cause was cerebrovascular accident. The impairments of Indigenous CP and of postneonatally acquired CP tended to be more numerous and more severe. Indigenous children are at significantly greater risk of CP, particularly postneonatal CP. The predominant cause of postneonatal CP in non-Indigenous children ...Continue Reading

References

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Citations

Jul 25, 2019·Journal of Child Neurology·Emmanuel Segnon SogbossiYannick Bleyenheuft
Oct 6, 2017·Developmental Medicine and Child Neurology·Shona GoldsmithMichele Hansen
Jan 15, 2016·Developmental Medicine and Child Neurology·Hayley Smithers-SheedyUNKNOWN Australian Cerebral Palsy Register Group
Dec 15, 2020·Developmental Medicine and Child Neurology·Anjellica ChenUNKNOWN Canadian Cerebral Palsy Registry

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