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Australia Risk of Catastrophic Expenditure for Surgical Care: % of People at Risk data was reported at 0.100 % in 2021. This stayed constant from the previous number of 0.100 % for 2020. Australia Risk of Catastrophic Expenditure for Surgical Care: % of People at Risk data is updated yearly, averaging 0.300 % from Dec 2003 (Median) to 2021, with 17 observations. The data reached an all-time high of 0.600 % in 2008 and a record low of 0.100 % in 2021. Australia Risk of Catastrophic Expenditure for Surgical Care: % of People at Risk data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Australia – Table AU.World Bank.WDI: Social: Health Statistics. The proportion of population at risk of catastrophic expenditure when surgical care is required. Catastrophic expenditure is defined as direct out of pocket payments for surgical and anaesthesia care exceeding 10% of total income.;The Program in Global Surgery and Social Change (PGSSC) at Harvard Medical School (https://www.pgssc.org/);Weighted average;
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Demographic data describing whole sample and Indigenous and non-Indigenous groups.
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Summaries of the posterior means of the area-specific relative risk (‘Spatial’) and the area specific yearly multiplicative change in risk (‘Temporal’) grouped by the Index of Relative Socio-economic Advantage and Disadvantage (IRSAD), classified from 1 (most disadvantage), to 5 (most advantaged).
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Predictors of BMI accounting for indigenous status.
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Predictors of BMI.
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BackgroundHealth risk factors, including smoking, excessive alcohol consumption, overweight, obesity, and insufficient physical activity, are major contributors to many poor health conditions. This study aimed to assess the impact of health risk factors on healthcare resource utilization, work-related outcomes and health-related quality of life (HRQoL) in Australia.MethodsWe used two waves of the nationally representative Household, Income, and Labor Dynamics in Australia (HILDA) Survey from 2013 and 2017 for the analysis. Healthcare resource utilization included outpatient visits, hospitalisations, and prescribed medication use. Work-related outcomes were assessed through employment status and sick leave. HRQoL was assessed using the SF-6D scores. Generalized estimating equation (GEE) with logit or log link function and random-effects regression models were used to analyse the longitudinal data on the relationship between health risk factors and the outcomes. The models were adjusted for age, sex, marital status, education background, employment status, equilibrium household income, residential area, country of birth, indigenous status, and socio-economic status.ResultsAfter adjusting for all other health risk factors covariates, physical inactivity had the greatest impact on healthcare resource utilization, work-related outcomes, and HRQoL. Physical inactivity increased the likelihood of outpatient visits (AOR = 1.60, 95% CI = 1.45, 1.76 p < 0.001), hospitalization (AOR = 1.83, 95% CI = 1.66–2.01, p < 0.001), and the probability of taking sick leave (AOR = 1.31, 95% CI = 1.21–1.41, p < 0.001), and decreased the odds of having an above population median HRQoL (AOR = 0.48, 95% CI = 0.45–0.51, p < 0.001) after adjusting for all other health risk factors and covariates. Obesity had the greatest impact on medication use (AOR = 2.02, 95% CI = 1.97–2.29, p < 0.001) after adjusting for all other health risk factors and covariates.ConclusionOur study contributed to the growing body of literature on the relative impact of health risk factors for healthcare resource utilization, work-related outcomes and HRQoL. Our results suggested that public health interventions aim at improving these risk factors, particularly physical inactivity and obesity, can offer substantial benefits, not only for healthcare resource utilization but also for productivity.
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TwitterBackgroundIn recent decades, there has been a shift to later childbearing in high-income countries. There is limited large-scale evidence of the relationship between maternal age and child outcomes beyond the perinatal period. The objective of this study is to quantify a child’s risk of developmental vulnerability at age five, according to their mother’s age at childbirth.Methods and findingsLinkage of population-level perinatal, hospital, and birth registration datasets to data from the Australian Early Development Census (AEDC) and school enrolments in Australia’s most populous state, New South Wales (NSW), enabled us to follow a cohort of 99,530 children from birth to their first year of school in 2009 or 2012. The study outcome was teacher-reported child development on five domains measured by the AEDC, including physical health and well-being, emotional maturity, social competence, language and cognitive skills, and communication skills and general knowledge. Developmental vulnerability was defined as domain scores below the 2009 AEDC 10th percentile cut point.The mean maternal age at childbirth was 29.6 years (standard deviation [SD], 5.7), with 4,382 children (4.4%) born to mothers aged <20 years and 20,026 children (20.1%) born to mothers aged ≥35 years. The proportion vulnerable on ≥1 domains was 21% overall and followed a reverse J-shaped distribution according to maternal age: it was highest in children born to mothers aged ≤15 years, at 40% (95% CI, 32–49), and was lowest in children born to mothers aged between 30 years and ≤35 years, at 17%–18%. For maternal ages 36 years to ≥45 years, the proportion vulnerable on ≥1 domains increased to 17%–24%. Adjustment for sociodemographic characteristics significantly attenuated vulnerability risk in children born to younger mothers, while adjustment for potentially modifiable factors, such as antenatal visits, had little additional impact across all ages. Although the multi-agency linkage yielded a broad range of sociodemographic, perinatal, health, and developmental variables at the child’s birth and school entry, the study was necessarily limited to variables available in the source data, which were mostly recorded for administrative purposes.ConclusionsIncreasing maternal age was associated with a lesser risk of developmental vulnerability for children born to mothers aged 15 years to about 30 years. In contrast, increasing maternal age beyond 35 years was generally associated with increasing vulnerability, broadly equivalent to the risk for children born to mothers in their early twenties, which is highly relevant in the international context of later childbearing. That socioeconomic disadvantage explained approximately half of the increased risk of developmental vulnerability associated with younger motherhood suggests there may be scope to improve population-level child development through policies and programs that support disadvantaged mothers and children.
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Predictors of sleep duration.
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Excluding men with prostate cancer and/or previous prostate surgery.Total numbers in Table 3 do not include missing cases, but odds ratios and confidence intervals include the missing cases. Percentage missing: Education attainment = 1.3%; Annual household income = 14.8%; Alcoholic drinks per week = 1.2%; Tobacco smoking = 0.3%; Body mass index = 5.9%; Sessions of physical activity per week = 2.1%; other variables = 0 missing.**Adjusted for age, education, income, alcohol consumption, smoking, BMI and physical activity.Relationship of overall, storage and voiding severe Lower Urinary Tract Symptoms (LUTS) to demographic factors and health behaviours among men in the 45 and Up Study.*
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Australia Risk of Catastrophic Expenditure for Surgical Care: % of People at Risk data was reported at 0.100 % in 2021. This stayed constant from the previous number of 0.100 % for 2020. Australia Risk of Catastrophic Expenditure for Surgical Care: % of People at Risk data is updated yearly, averaging 0.300 % from Dec 2003 (Median) to 2021, with 17 observations. The data reached an all-time high of 0.600 % in 2008 and a record low of 0.100 % in 2021. Australia Risk of Catastrophic Expenditure for Surgical Care: % of People at Risk data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Australia – Table AU.World Bank.WDI: Social: Health Statistics. The proportion of population at risk of catastrophic expenditure when surgical care is required. Catastrophic expenditure is defined as direct out of pocket payments for surgical and anaesthesia care exceeding 10% of total income.;The Program in Global Surgery and Social Change (PGSSC) at Harvard Medical School (https://www.pgssc.org/);Weighted average;