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Table 2 Adjusted incidence rate ratio for ALRI hospitalisations among children aged <2 years according to risk factors

From: Morbidity due to acute lower respiratory infection in children with birth defects: a total population-based linked data study

Risk factor

Aboriginal

Non-Aboriginal

 

IRR*

(95% CI)

IRR*

(95% CI)

Any birth defect

2.3

(1.9, 2.8)

2.0

(1.8, 2.2)

Gender

   
 

Female

 

Reference

 

Reference

Male

1.4

(1.3, 1.5)

1.4

(1.3, 1.5)

Gestational age

    
 

≥37 weeks

 

Reference

 

Reference

35-36 weeks

1.5

(1.3, 1.8)

1.7

(1.5. 1.8)

33-34 weeks

1.7

(1.3, 2.3)

2.1

(1.7, 2.5)

<33 weeks

3.0

(2.4, 3.9)

4.6

(4.0, 5.4)

Percent optimal birthweight

   
 

Normal 85-114%

 

Reference

 

Reference

Low < 85%

1.1

(1.0, 1.2)

1.2

(1.1, 1.2)

High ≥ 115%

1.0

(0.8, 1.2)

1.0

(0.9, 1.1)

Number of previous pregnancies

   
 

0

 

Reference

 

Reference

1

1.0

(0.9, 1.2)

1.7

(1.5, 1.8)

2

1.4

(1.1, 1.6)

2.1

(1.9, 2.3)

≥ 3

1.7

(1.5, 2.0)

2.5

(2.4, 2.7)

Season of birth

    
 

Spring

 

Reference

 

Reference

 

Summer

1.3

(1.1, 1.5)

1.2

(1.1, 1.2)

Autumn

1.4

(1.2, 1.6)

1.5

(1.4, 1.6)

Winter

1.3

(1.1, 1.4)

1.3

(1.2, 1.4)

Mode of delivery

    
 

Vaginal

 

Reference

 

Reference

Instrumental

1.1

(0.9, 1.4)

1.0

(0.9, 1.0)

Elective caesarean

1.1

(0.9, 1.3)

1.3

(1.2, 1.4)

Emergency caesarean

1.1

(0.9, 1.3)

1.2

(1.1, 1.2)

Maternal smoking during pregnancy

   
 

No

 

Reference

 

Reference

Yes

1.2

(1.1, 1.4)

1.3

(1.2, 1.4)

Maternal asthma during pregnancy

   
 

No

 

Reference

 

Reference

Yes

1.1

(0.9, 1.3)

1.5

(1.4, 1.5)

Maternal age

   
 

≥ 35 years

 

Reference

 

Reference

30-34 years

1.0

(0.8, 1.3)

1.2

(1.1, 1.3)

25-29 years

1.3

(1.0, 1.6)

1.6

(1.4, 1.7)

20-24 years

1.5

(1.2, 1.9)

2.0

(1.8, 2.2)

< 20 years

2.0

(1.6, 2.6)

2.7

(2.4, 3.1)

SEIFA Index of disadvantage**

   
 

91-100%

 

Reference

 

Reference

76-90%

0.9

(0.3, 2.4)

1.1

(1.0, 1.3)

26-75%

1.5

(0.6, 3.7)

1.2

(1.0, 1.3)

11-25%

1.5

(0.6, 3.8)

1.3

(1.2, 1.5)

0-10%

1.8

(0.7, 4.3)

1.4

(1.2, 1.6)

Accessibility/Remoteness index of Australia

   
 

Very remote

 

Reference

 

Reference

Remote

0.6

(0.5, 0.7)

1.5

(1.1, 1.9)

Outer regional

0.7

(0.6, 0.8)

1.7

(1.3, 2.2)

Inner regional

0.5

(0.4, 0.6)

1.1

(0.8, 1.5)

 

Major cities

0.5

(0.4, 0.6)

1.2

(0.9, 1.6)

  1. *IRR, incidence rate ratio.
  2. **91-100% is least disadvantaged and 0-10% is most disadvantaged.