Stressful life events and resilience among carers of Aboriginal children in urban New South Wales: Cross-sectional findings from the Study of Environment on Aboriginal Resilience and Child Health (SEARCH)
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Objective: In caregivers of urban Aboriginal children, to determine the frequency of major stressful life events, the proportion who meet criteria for resilience, and factors that are associated with resilience. Design: Cross-sectional survey. Setting: Four Aboriginal Community Controlled Health Services located in urban or regional areas in New South Wales, Australia. Participants: 574 caregivers of Aboriginal children participating in the Study of Environment on Aboriginal Resilience and Child Health. Primary outcome measure: Resilience, defined as having experienced three or more stressful life events in the last 12 months, and having scores of ≤21 on the Kessler 10 Psychological Distress scale. Results: Over half (315, 55%) of the caregivers reported three or more stressful life events—the most common being a close family member who was hospitalised with a serious medical problem (259, 45%). Of the participants who experienced three or more stressful life events, almost three-quarters (227, 72%) met the criteria for resilience. Using multivariable analysis, two factors were independently associated with resilience: not having a physical health problem that limited normal activities (adjusted OR (aOR) 4.3; 95% CI 2.0 to 9.0), and not having problems caused by alcohol within the home (aOR 5.3; 95% CI 2.2 to 12.8). Having a child whose behaviour placed a great deal of burden on the family was associated with less resilience (aOR 0.25; 95% CI 0.09 to 0.68). Conclusions: Caregivers of urban Aboriginal children experienced a large number of stressful events, the most common being the poor health of close family members, but most exhibited resilience. Resilience was associated with stable family environments and good physical health. The high number of stressful life events that caregivers experience is reflective of broader inequalities that Aboriginal communities face. The availability of easily accessible and long-term health and support services may go some way to reducing this inequality and improving social and emotional well-being for Aboriginal families.
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Caregivers of children with cancer experience stressful events, the most common of which are poor health, caregiver burden and burnout.
“caregivers of such children experience a host of stressful events, the most common of which are poor health [11], caregiver burden and burnout [12,13]”
From Psychosocial Factors Predicting Resilience in Family Caregivers of Children with Cancer: A Cross-Sectional Study (2021) · cites this paper as [11]
The Results (Frequency, spectrum and correlations between SLEs) identify family members’ health problems as the most commonly reported stressful events among carers of Aboriginal children. The study does not establish this finding for caregivers of children with cancer. In the citing sentence, caregiver burden and burnout are attached to other citations, not this source. (LLM, conf=0.88)
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- Authors
- Young, C., Craig, J. C., Clapham, K., Williams, S., & Williamson, A.
- Affiliations
- The University of Sydney (AU)
- University of Wollongong (AU)
- Tharawal Aboriginal (AU)
- Sax Institute (AU)
- Corresponding author
- Young, Christian
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2018-06
- Volume
- 8
- Issue
- 6
- Pages
- e021687
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC6009629
- OpenAlex
- W2806283444
- Cited by
- 12
- References
- 35
- Citations by year
- 2023: 2 · 2022: 1 · 2021: 5 · 2020: 2 · 2019: 1 · 2018: 1
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- Australian Postgraduate Award
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- life events, resilience, Aboriginal children, urban Aboriginal communities, psychological distress, child behavior problems, family environment, physical health, health disparities, Aboriginal Community Controlled Health Services
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Female, Humans, Male, Mental Health Services, Middle Aged, New South Wales, Parents, Surveys and Questionnaires, Social Environment, Socioeconomic Factors, Stress, Psychological, Cohort Studies, Multivariate Analysis, Logistic Models, Caregivers, Native Hawaiian or Other Pacific Islander, Resilience, Psychological, Young Adult
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