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

doi:10.5172/conu.2013.46.1.73

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

Menzies School of Health Research

Research output: Contribution to journal › Article › peer-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 language	English
Pages (from-to)	73-82
Number of pages	10
Journal	Contemporary Nurse
Volume	46
Issue number	1
DOIs	https://doi.org/10.5172/conu.2013.46.1.73
Publication status	Published - 2013

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title = "Antenatal emotional wellbeing screening in Aboriginal and Torres Strait Islander primary health care services in Australia",

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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author = "Kaniz Gausia and Sandra Thompson and Tricia Nagel and Alice Rumbold and Christine Connors and Veronica Matthews and Boyle, {Jacqueline Anne} and Gillian Schierhout and Bailie, {Ross Stewart}",

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AU - Connors, Christine

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

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