Indigenous Healthcare Worker involvement for Indigenous adults and children with asthma

Chang, Anne B.; Brown, ADH

doi:10.1002/14651858.cd006344

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…inclusion of indigenous healthcare workers, appropriate education resources). 5,15 The problems of poor access to high-quality health care, affordable medications for indigenous and other minority groups in affluent countries has been documented. 1 Indigenous children have very high rates of ETS exposure, a particular concern in people with asthma.…”

Section: Management Of Asthmamentioning

confidence: 99%

Lung disease in indigenous children

Chang

Brown

Toombs

et al. 2014

Paediatric Respiratory Reviews

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A c c e p t e d M a n u s c r i p t 2 EDUCATIONAL AIMSThe reader will be able to:• Discuss the common respiratory problems encountered by indigenous children.• Appreciate the similarities and differences in the aetiology, associations and management of these common respiratory problems.• Understand the many facets that impact on the clinical outcomes of common respiratory conditions affecting indigenous children.• Discuss potential intervention targets that can reduce the morbidity and mortality of respiratory diseases in indigenous children. Page 3 of 27A c c e p t e d M a n u s c r i p t 3 SUMMARY Children in indigenous populations have substantially higher respiratory morbidity than nonindigenous children. Indigenous children have more frequent respiratory infections that are, more severe and, associated with long-term sequelae. Post-infectious sequelae such as chronic suppurative lung disease and bronchiectasis are especially prevalent among indigenous groups and have lifelong impact on lung function. Also, although estimates of asthma prevalence among indigenous children are similar to non-indigenous groups the morbidity of asthma is higher in indigenous children. To reduce the morbidity of respiratory illness, best-practice medicine is essential in addition to improving socio-economic factors, (eg household crowding), tobacco smoke exposure, and access to health care and illness prevention programs that likely contribute to these issues. Although each indigenous group may have unique health beliefs and interfaces with modern health care, a culturally sensitive and community-based comprehensive care system of preventive and long term care can improve outcomes for all these conditions. This article focuses on common respiratory conditions encountered by indigenous children living in affluent countries where data is available.

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Section: Management Of Asthmamentioning

confidence: 99%

Lung disease in indigenous children

Chang

Brown

Toombs

et al. 2014

Paediatric Respiratory Reviews

View full text Add to dashboard Cite

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“…[61][62][63] However, ethnic minority representation in USA trials remains low and less than adequate in light of national policies on the inclusion of women and In addition, even when ethnic minority populations are included, the research analysis may not be stratified or the hypothesis examined according to ethnicity. 51 A recent Cochrane systematic review 65 identified four randomised controlled trials (RCTs) that looked at the effectiveness of culturally adapted interventions to improve asthma outcomes, while another Cochrane systematic review 66 identified one RCT that explored the effectiveness of involving an indigenous healthcare worker for indigenous adults and children to improve asthma outcomes. Both systematic reviews found that culturally adapted/healthcare worker-matched interventions, when compared to a generic programme, improved many, but not all, asthma outcomes.…”

Section: Research On the Impact Of Ethnicity And Potential Interventionsmentioning

confidence: 99%

The impact of ethnicity on asthma care

Davidson

Liu

Sheikh

2010

Primary Care Respiratory Journal

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Asthma is a significant global health problem. Asthma prevalence, its related health outcomes, and associated healthcare utilisation, vary by population group both across and within nations. Evidence of ethnic variations in the prevalence and outcomes of asthma within nations have been well documented. This review examines the impact of ethnicity on asthma, with a focus on the literature from the UK and the USA. Explanations for the unequal burden of disease experienced by ethnic minority groups include: their health beliefs, attitudes, experiences and behaviours; the problem of poor health literacy, which tends to compound the challenges inherent in crosscultural communication; concerns about the quality of care; and the relatively poor socio-economic position of minority ethnic groups and how this impacts on the wider determinants of health. We conclude by suggesting research priorities for asthma and ethnicity, along with practical actions within a collaborative care model.

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Indigenous Healthcare Worker involvement for Indigenous adults and children with asthma

Cited by 2 publications

References 13 publications

Lung disease in indigenous children

Lung disease in indigenous children

The impact of ethnicity on asthma care

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