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Child Social Exclusion Risk and Child Health Outcomes in Australia

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  • Itismita Mohanty
  • Martin Edvardsson
  • Annie Abello
  • Deanna Eldridge

Abstract

Introduction: This paper studies the relationship between the risk of child social exclusion, as measured by the Child Social Exclusion (CSE) index and its individual domains, and child health outcomes at the small area level in Australia. The CSE index is Australia’s only national small-area index of the risk of child social exclusion. It includes five domains that capture different components of social exclusion: socio-economic background, education, connectedness, housing and health services. Methods: The paper used data from the National Centre for Social and Economic Modelling (NATSEM), University of Canberra for the CSE Index and its domains and two key Australian Institute of Health and Welfare (AIHW) data sources for the health outcome measures: the National Hospital Morbidity Database and the National Mortality Database. Results: The results show positive associations between rates of both of the negative health outcomes: potentially preventable hospitalisations (PPH) and avoidable deaths, and the overall risk of child social exclusion as well as with the index domains. This analysis at the small-area level can be used to identify and study areas with unexpectedly good or bad health outcomes relative to their estimated risk of child social exclusion. We show that children’s health outcomes are worse in remote parts of Australia than what would be expected solely based on the CSE index. Conclusions: The results of this study suggest that developing composite indices of the risk of child social exclusion can provide valuable guidance for local interventions and programs aimed at improving children’s health outcomes. They also indicate the importance of taking a small-area approach when conducting geographic modelling of disadvantage.

Suggested Citation

  • Itismita Mohanty & Martin Edvardsson & Annie Abello & Deanna Eldridge, 2016. "Child Social Exclusion Risk and Child Health Outcomes in Australia," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-16, May.
    • Handle: RePEc:plo:pone00:0154536
    DOI: 10.1371/journal.pone.0154536
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    References listed on IDEAS

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    1. Flavio Cunha & James J. Heckman, 2009. "The Economics and Psychology of Inequality and Human DEvelopment," Journal of the European Economic Association, MIT Press, vol. 7(2-3), pages 320-364, 04-05.
    2. Justin McNamara & Ann Harding, 2009. "Child Social Exclusion: An Updated Index From the 2006 Census," Australian Journal of Labour Economics (AJLE), Bankwest Curtin Economics Centre (BCEC), Curtin Business School, vol. 12(1), pages 41-64.
    3. Riyana Miranti & Ann Harding & Justine McNamara & Vu Quoc Ngu & Robert Tanton, 2010. "Children with Jobless Parents: National and Small Area Trends for Australia in the Past Decade," Australian Journal of Labour Economics (AJLE), Bankwest Curtin Economics Centre (BCEC), Curtin Business School, vol. 13(1), pages 27-47.
    4. Flavio Cunha & James J. Heckman, 2009. "The Economics & Psychology of Inequality and Human Development," Working Papers 200905, Geary Institute, University College Dublin.
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    1. Matheus Pereira Libório & Alexandre Magno Alves Diniz & Hamidreza Rabiei-Dastjerd & Oseias da Silva Martinuci & Carlos Augusto Paiva da Silva Martins & Petr Iakovlevitch Ekel, 2023. "A Decision Framework for Identifying Methods to Construct Stable Composite Indicators That Capture the Concept of Multidimensional Social Phenomena: The Case of Social Exclusion," Sustainability, MDPI, vol. 15(7), pages 1-17, April.
    2. Biswas, Raaj Kishore & Kabir, Enamul, 2018. "A macro-level approach to assess the early developmental vulnerabilities of children in Australia: A local government area-based analysis," Children and Youth Services Review, Elsevier, vol. 93(C), pages 161-169.
    3. Jiang, Shan & Jiang, Chaoxin & Cheng, Yuhang & Li, Weimin, 2022. "Multidimensional measurement of child social exclusion: Development and psychometric properties of the social exclusion scale for children (SESC)," Children and Youth Services Review, Elsevier, vol. 141(C).

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