Antenatal emotional wellbeing screening in Aboriginal and Torres Strait Islander primary health care services in Australia

Kaniz Gausia, Sandra Thompson, Tricia Nagel, Alice Rumbold, Christine Connors, Veronica Matthews, Jacqueline Anne Boyle, Gillian Schierhout, Ross Stewart Bailie

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objectives: The aim of this study was to examine the extent to which antenatal emotional wellbeing (EW) assessments are undertaken in primary health care (PHC) centres and factors associated with completion of EW screening. 

Methods: Medical records of 797 pregnant women from 36 PHC centres in five states (NSW, QLD, SA, WA and NT) were audited. 

Results: Overall, 85% of the women were Aboriginal. The proportion of women with documented screening for EW varied from 5 to 38% between states (mean 17%). Aboriginal women were four times more likely (adjusted Odds Ratio (OR = 4.13, 95% CI = 2.46–6.92) to not be screened for antenatal EW than non-Aboriginal women. Aboriginality, <4 antenatal visits, absence of an antenatal and birth care plan, and lack of counselling on financial support were independently linked with no screening of EW.

Conclusion: Provision of training for health service providers and further research on appropriate screening tools for Aboriginal women are needed to help redress this gap.

Original languageEnglish
Pages (from-to)73-82
Number of pages10
JournalContemporary Nurse
Volume46
Issue number1
DOIs
Publication statusPublished - 2013

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Gausia, Kaniz ; Thompson, Sandra ; Nagel, Tricia ; Rumbold, Alice ; Connors, Christine ; Matthews, Veronica ; Boyle, Jacqueline Anne ; Schierhout, Gillian ; Bailie, Ross Stewart. / Antenatal emotional wellbeing screening in Aboriginal and Torres Strait Islander primary health care services in Australia. In: Contemporary Nurse. 2013 ; Vol. 46, No. 1. pp. 73-82.
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abstract = "Objectives: The aim of this study was to examine the extent to which antenatal emotional wellbeing (EW) assessments are undertaken in primary health care (PHC) centres and factors associated with completion of EW screening.  Methods: Medical records of 797 pregnant women from 36 PHC centres in five states (NSW, QLD, SA, WA and NT) were audited.  Results: Overall, 85{\%} of the women were Aboriginal. The proportion of women with documented screening for EW varied from 5 to 38{\%} between states (mean 17{\%}). Aboriginal women were four times more likely (adjusted Odds Ratio (OR = 4.13, 95{\%} CI = 2.46–6.92) to not be screened for antenatal EW than non-Aboriginal women. Aboriginality, <4 antenatal visits, absence of an antenatal and birth care plan, and lack of counselling on financial support were independently linked with no screening of EW. Conclusion: Provision of training for health service providers and further research on appropriate screening tools for Aboriginal women are needed to help redress this gap.",
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Gausia, K, Thompson, S, Nagel, T, Rumbold, A, Connors, C, Matthews, V, Boyle, JA, Schierhout, G & Bailie, RS 2013, 'Antenatal emotional wellbeing screening in Aboriginal and Torres Strait Islander primary health care services in Australia', Contemporary Nurse, vol. 46, no. 1, pp. 73-82. https://doi.org/10.5172/conu.2013.46.1.73

Antenatal emotional wellbeing screening in Aboriginal and Torres Strait Islander primary health care services in Australia. / Gausia, Kaniz; Thompson, Sandra; Nagel, Tricia; Rumbold, Alice; Connors, Christine; Matthews, Veronica; Boyle, Jacqueline Anne; Schierhout, Gillian; Bailie, Ross Stewart.

In: Contemporary Nurse, Vol. 46, No. 1, 2013, p. 73-82.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Thompson, Sandra

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AU - Rumbold, Alice

AU - Connors, Christine

AU - Matthews, Veronica

AU - Boyle, Jacqueline Anne

AU - Schierhout, Gillian

AU - Bailie, Ross Stewart

PY - 2013

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N2 - Objectives: The aim of this study was to examine the extent to which antenatal emotional wellbeing (EW) assessments are undertaken in primary health care (PHC) centres and factors associated with completion of EW screening.  Methods: Medical records of 797 pregnant women from 36 PHC centres in five states (NSW, QLD, SA, WA and NT) were audited.  Results: Overall, 85% of the women were Aboriginal. The proportion of women with documented screening for EW varied from 5 to 38% between states (mean 17%). Aboriginal women were four times more likely (adjusted Odds Ratio (OR = 4.13, 95% CI = 2.46–6.92) to not be screened for antenatal EW than non-Aboriginal women. Aboriginality, <4 antenatal visits, absence of an antenatal and birth care plan, and lack of counselling on financial support were independently linked with no screening of EW. Conclusion: Provision of training for health service providers and further research on appropriate screening tools for Aboriginal women are needed to help redress this gap.

AB - Objectives: The aim of this study was to examine the extent to which antenatal emotional wellbeing (EW) assessments are undertaken in primary health care (PHC) centres and factors associated with completion of EW screening.  Methods: Medical records of 797 pregnant women from 36 PHC centres in five states (NSW, QLD, SA, WA and NT) were audited.  Results: Overall, 85% of the women were Aboriginal. The proportion of women with documented screening for EW varied from 5 to 38% between states (mean 17%). Aboriginal women were four times more likely (adjusted Odds Ratio (OR = 4.13, 95% CI = 2.46–6.92) to not be screened for antenatal EW than non-Aboriginal women. Aboriginality, <4 antenatal visits, absence of an antenatal and birth care plan, and lack of counselling on financial support were independently linked with no screening of EW. Conclusion: Provision of training for health service providers and further research on appropriate screening tools for Aboriginal women are needed to help redress this gap.

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