Residential mobility and potentially avoidable hospitalisations in a population-based cohort of New Zealand children

Kim Nathan1, Oliver Robertson2, Polly Atatoa Carr3

  • 1Department of Public Health, University of Otago Wellington, Wellington, New Zealand kim.nathan@otago.ac.nz.

Insights

Frequent childhood residential moves are linked to more hospitalizations. Higher residential mobility in young children increases the risk of potentially avoidable hospitalizations (PAH).

Area of Science:

  • Child Health Research
  • Public Health
  • Epidemiology

Background:

  • Residential mobility is common in early childhood.
  • Previous research links residential mobility to adverse child health outcomes.
  • Few studies have examined potentially avoidable hospitalizations (PAH) in relation to residential mobility.

Purpose of the Study:

  • To investigate the association between residential mobility and potentially avoidable hospitalizations (PAH) in a population-based cohort of New Zealand children.

Main Methods:

  • Retrospective cohort design using data from the Integrated Data Infrastructure.
  • Analyzed data for 314,283 children born since 2004 with recorded addresses by age 2.
  • Derived residential mobility from address data and PAH from hospital discharge data.

Main Results:

  • 52% of children experienced at least one residential move by age 2; 22% experienced two or more.
  • 15% of the cohort had one or more PAH between ages 2 and 4.
  • A linear association was found between residential mobility and PAH (RR=1.18), remaining robust after covariate adjustment. Similar associations were found for ambulatory care sensitive hospitalizations (aRR=1.10) and PAH attributable to the housing/physical environment (aRR=1.11).

Conclusions:

  • Higher residential mobility is linearly associated with an increased likelihood of potentially avoidable hospitalizations in young children.
  • Findings highlight the impact of residential instability on child health.
  • Further research is suggested to explore underlying mechanisms and interventions.
Abstract

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