Use of administrative record linkage to examine patterns of universal early childhood health and education service use from birth to Kindergarten (age four years) and developmental vulnerability in the Preparatory Year (age five years) in Tasmania, Australia.

Autor:	Taylor CL; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia., Christensen D; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia., Venn AJ; Menzies Institute for Medical Research, The University of Tasmania. Hobart, Tasmania, Australia., Preen DB; School of Population and Global Health, The University of Western Australia, Nedlands, Western Australia, Australia., Stafford J; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia., Hansen E; School of Social Sciences, University of Tasmania, Hobart, Tasmania., Jose K; Menzies Institute for Medical Research, The University of Tasmania. Hobart, Tasmania, Australia., Zubrick SR; Telethon Kids Institute, The University of Western Australia, Nedlands, Western Australia, Australia.
Jazyk:	angličtina
Zdroj:	International journal of population data science [Int J Popul Data Sci] 2022 Jan 18; Vol. 6 (3), pp. 1681. Date of Electronic Publication: 2022 Jan 18 (Print Publication: 2021).
DOI:	10.23889/ijpds.v6i1.1681
Abstrakt:	Background: In Australia, the health and education sectors provide universal early childhood services for the same population of children. Therefore, there is a strong imperative to view service use and outcomes through a cross-sectoral lens to better understand and address the service needs of young children and their families. Objectives: To investigate patterns of health and education service use from birth through Kindergarten (age four years), the associations with cumulative risks, and developmental vulnerability in the first year of full-time school (age five years). Methods: A retrospective cohort study that used population-wide linkage of health and education administrative data records for 5,440 children with a Tasmanian 2015 Australian Early Development Census (AEDC) record who were born in Tasmania (2008-2010). Results: Four service use patterns were identified: Regular (46% of children), Declining (24%); Low (18%); and Selective service use (12%). Regular service use (aOR 0.8, 95% CI 0.7 to 0.9), adjusted for cumulative risks, was associated with decreased odds of developmental vulnerability, compared to the other service use groups. Low (OR 6.1, 95% CI 4.5 to 8.2) and Declining service use (OR 2.5 95% CI 1.9 to 3.4) were more likely for children with the highest levels of cumulative risks. Low and Declining service use, adjusted for cumulative risks were associated with increased odds of developmental vulnerability, compared to the Regular service use group. Conclusion: This study provides a whole population view of the differential use of universal services and the complex risk circumstances that influence service use. The association between patterns of multiple risk and service use points to barriers to service use, and the varying level of developmental vulnerability within each service use group draws attention to children who may benefit from higher sustained participation in core health and education services across the whole of early childhood. Competing Interests: Statement on conflicts of interest: The authors declare they have no conflicts of interest.
Databáze:	MEDLINE
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