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Health service use and costs for infant behaviour problems and maternal stress

Le, Ha N. D., Gold, Lisa, Mensah, Fiona K., Cook, Fallon, Bayer, Jordana K. and Hiscock, Harriet 2016, Health service use and costs for infant behaviour problems and maternal stress, Journal of paediatrics and child health, vol. 52, no. 4, pp. 402-409, doi: 10.1111/jpc.13095.

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Title Health service use and costs for infant behaviour problems and maternal stress
Author(s) Le, Ha N. D.ORCID iD for Le, Ha N. D. orcid.org/0000-0001-8279-8324
Gold, LisaORCID iD for Gold, Lisa orcid.org/0000-0002-2733-900X
Mensah, Fiona K.
Cook, Fallon
Bayer, Jordana K.
Hiscock, Harriet
Journal name Journal of paediatrics and child health
Volume number 52
Issue number 4
Start page 402
End page 409
Total pages 8
Publisher Wiley-Blackwell
Place of publication Chichester, Eng.
Publication date 2016-04
ISSN 1440-1754
Keyword(s) health service use
infant behaviour
maternal depression
Summary AIM: We aim to describe health service (HS) use in the first 6 months post-partum and to examine the associations between service costs, infant behaviour and maternal depressive symptoms. METHODS: Participants were 781 infants and mothers in Melbourne, Australia. Mothers reported infant feeding, sleeping and crying problems, depressive symptoms and health service use. Costs were valued in 2012 Australian dollars. RESULTS: The most common services used were maternal child health nurses, general practitioners (GP) and allied health. Infant feeding problems were associated with increased costs for services relevant to infant behaviour including maternal child health nurses (P = 0.007), GP (P = 0.008) and paediatricians (P = 0.03). Maternal depressive symptoms were associated with increased costs for services relevant to depressive symptoms including parenting centres (P = 0.04), GP (P = 0.004), psychiatrists (P = 0.02) and psychologists (P = 0.001). Mothers who completed high school had higher service costs for infant problems than those with lower education (P = 0.02). Single mothers had higher costs for services used for their depressive symptoms than partnered mothers (P < 0.001). Mothers with English as a second language had lower service costs for their depressive symptoms (P = 0.02). CONCLUSIONS: Infant feeding problems and maternal depressive symptoms are associated with higher costs for health services relevant to these conditions. Cost-effective strategies to manage these conditions are needed with accessibility being ensured for mothers who are experiencing social adversity.
Language eng
DOI 10.1111/jpc.13095
Field of Research 111499 Paediatrics and Reproductive Medicine not elsewhere classified
1114 Paediatrics And Reproductive Medicine
Socio Economic Objective 920501 Child Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083392

Document type: Journal Article
Collection: Population Health
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