Cohort profile: South Australian Aboriginal Birth Cohort (SAABC)-a prospective longitudinal birth cohort

Lisa M Jamieson; Joanne Hedges; X Ju; Kostas Kapellas; Cathy Leane; Dandara G Haag; Pedro Ribeiro Santiago; Davi Manzini Macedo; Rachel M Roberts; Lisa G Smithers

doi:10.1136/bmjopen-2020-043559

Cohort profile: South Australian Aboriginal Birth Cohort (SAABC)-a prospective longitudinal birth cohort

BMJ Open. 2021 Feb 22;11(2):e043559. doi: 10.1136/bmjopen-2020-043559.

Authors

Affiliations

¹ Faculty of Health and Medical Sciences, Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, South Australia, Australia lisa.jamieson@adelaide.edu.au.
² Australian Research Centre for Population Oral Health, The University of Adeliade, Adelaide, South Australia, Australia.
³ South Australian Government, Women's and Children's Health Network, Adelaide, South Australia, Australia.
⁴ Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
⁵ Better Start Child Health and Development Research Group, School of Public Health, The University of Adelaide, Adelaide, South Australia, Australia.
⁶ School of Psychology, University of Adelaide, Adelaide, South Australia, Australia.
⁷ School of Public Health, University of Adelaide, Australia, Adelaide, South Australia, Australia.

Abstract

Purpose: The South Australian Aboriginal Birth Cohort (SAABC) is a prospective, longitudinal birth cohort established to: (1) estimate Aboriginal child dental disease compared with population estimates; (2) determine the efficacy of an early childhood caries intervention in early versus late infancy; (3) examine if efficacy was sustained over time and; (4) document factors influencing social, behavioural, cognitive, anthropometric, dietary and educational attainment over time.

Participants: The original SAABC comprised 449 women pregnant with an Aboriginal child recruited February 2011 to May 2012. At child age 2 years, 324 (74%) participants were retained, at age 3 years, 324 (74%) participants were retained and at age 5 years, 299 (69%) participants were retained. Fieldwork for follow-up at age 7 years is underway, with funding available for follow-up at age 9 years.

Findings to date: At baseline, 53% of mothers were aged 14-24 years and 72% had high school or less educational attainment. At age 3 years, dental disease experience was higher among children exposed to the intervention later rather than earlier in infancy. The effect was sustained at age 5 years, but rates were still higher than general child population estimates. Experiences of racism were high among mothers, with impacts on both tooth brushing and toothache. Compared with population estimates, levels of self-efficacy and self-rated oral health of mothers at baseline were low.

Future plans: Our data have contributed to a better understanding of the environmental, behavioural, dietary, biological and psychosocial factors contributing to Aboriginal child oral and general health, and social and emotional well-being. This is beneficial in charting the trajectory of cohort participants' health and well-being overtime, particularly in identifying antecedents of chronic diseases which are highly prevalent among Aboriginal Australians. Funding for continued follow-up of the cohort will be sought.

Trial registration number: ACTRN12611000111976; Post-results.

Keywords: community child health; epidemiology; public health.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adult
Australia
Child
Child, Preschool
Cohort Studies
Female
Humans
Native Hawaiian or Other Pacific Islander*
Pregnancy
Prospective Studies
South Australia / epidemiology
Young Adult

Associated data

ANZCTR/ACTRN12611000111976