{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:55:36Z","timestamp":1780574136896,"version":"3.54.1"},"reference-count":42,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,9,3]],"date-time":"2014-09-03T00:00:00Z","timestamp":1409702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine whether the disparity gap is closing between stillbirth rates for Indigenous and non\u2010Indigenous women and to identify focal areas for future prevention efforts according to gestational age and geographic location.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Population\u2010based retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Queensland, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>All singleton births of at least 20\u00a0weeks of gestation or at least 400\u00a0g birthweight.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Routinely collected data on births were obtained for the period 1995 to 2011. Indigenous and non\u2010Indigenous stillbirth rates and percent reduction in the gap were compared over time and by geographic location and gestational age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>All\u2010cause and cause\u2010specific stillbirth rates (per 1000 ongoing pregnancies).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over the study period there was a 57.3% reduction in the disparity gap. Although marked reductions in the gap were shown for women in regional (57.0%) and remote (56.1%) locations, these women remained at increased risk compared with those in urban regions. There was no reduction for term stillbirths. Major conditions contributing to the disparity were maternal conditions (diabetes) (relative risk [<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>] 3.78, 95% confidence intervals [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] 2.59\u20135.51), perinatal infection (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 3.70, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.54\u20135.39), spontaneous preterm birth (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 3.08, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.51\u20133.77), hypertension (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 2.22, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.45\u20133.39), fetal growth restriction (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 1.78, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.17\u20132.71) and antepartum haemorrhage (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content> 1.58, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.13\u20132.22).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The gap in stillbirth rates between Indigenous and non\u2010Indigenous women is closing, but Indigenous women continue to be at increased risk due to a number of potentially preventable conditions. There is little change in the gap at term gestational ages.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.13047","type":"journal-article","created":{"date-parts":[[2014,8,29]],"date-time":"2014-08-29T13:33:20Z","timestamp":1409319200000},"page":"1476-1483","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Stillbirth rates among Indigenous and non\u2010Indigenous women in Queensland, Australia: is the gap closing?"],"prefix":"10.1111","volume":"122","author":[{"given":"I","family":"Ibiebele","sequence":"first","affiliation":[{"name":"Translating Research Into Practice (TRIP) Centre Mater Research Institute\u2014University of Queensland Brisbane Qld Australia"},{"name":"School of Population Health University of Queensland Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Coory","sequence":"additional","affiliation":[{"name":"Murdoch Childrens Research Institute Melbourne Vic. 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