Residential mobility and potentially avoidable hospitalisations in a population-based cohort of New Zealand children
Abstract
Background: Residential moves are common in early childhood and associations have been found between residential mobility and adverse child health and well-being outcomes. Although there are studies on potentially avoidable hospitalisations (PAH) in children, few have examined PAH in relation to residential mobility. Our aim, therefore, was to investigate residential mobility and PAH in a population-based cohort of New Zealand children. Methods: Using a retrospective cohort design, we analysed data from the Integrated Data Infrastructure for a cohort of 314 283 children born since the start of 2004, who had at least one residential address recorded by 2 years of age. Residential mobility was derived from address data and PAH were determined from hospital discharge data. Results: Half of the cohort children (52%) experienced at least one residential move by 2 years of age, and 22% experienced two or more moves. Fifteen per cent of the cohort experienced one or more PAH between 2 and 4 years of age. A linear association between residential mobility and PAH was found (relative risk (RR)=1.18, CI 1.17 to 1.19) and this remained robust when adjusting for several covariates. Sensitivity analyses for ambulatory care sensitive hospitalisations (ACSH) and PAH attributable to the housing/physical environment (PAH-HE) produced results very similar to those for PAH (ACSH: adjusted RR (aRR)=1.10, CI 1.09 to 1.11; PAH-HE: aRR=1.11, CI 1.10 to 1.12). Conclusion: This study found a linear association between higher residential mobility and an increased likelihood of PAH in young children. Avenues for further investigation are suggested.
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Using the same New Zealand cohort, the authors found a linear association between higher residential mobility and the increased likelihood of avoidable hospitalization.
“Using the same cohort, potentially avoidable hospitalizations were determined from hospital discharge data. Half of the children had moved by age 2, and again the authors found a linear association between higher residential mobility and the increased likelihood of avoidable hospitalization (109).”
From Review of the Impact of Housing Quality on Inequalities in Health and Well-Being (2023) · cites this paper as [109]
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Review of the Impact of Housing Quality on Inequalities in Health and Well-Being
Howden-Chapman, P., Bennett, J., Edwards, R., Jacobs, D., Nathan, K., & Ormandy, D. (2023) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-071521-111836 · Cited by 153 · see citing works
Self-citation
- Authors
- Nathan, K., Robertson, O., Atatoa Carr, P., Howden-Chapman, P., & Pierse, N.
- Affiliations
- Department of Public Health, University of Otago Wellington, Wellington, New Zealand
- University of Otago (NZ)
- Te Ngira: Institute for Population Research, University of Waikato, Hamilton, New Zealand
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2022-03-15
- Volume
- 76
- Issue
- 6
- Pages
- 606-612
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- OpenAlex
- W4220895007
- Cited by
- 7
- References
- 29
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Research Council of New Zealand (grant 15-429)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- residential mobility, child health, early childhood, hospital discharge, New Zealand children
- MeSH terms
- Child, Child, Preschool, Hospitalization, Humans, New Zealand, Population Dynamics, Retrospective Studies, Cohort Studies
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