The respiratory health of urban indigenous children aged less than 5 years: study protocol for a prospective cohort study

Hall, Kerry; Chang, Anne B.; Sloots, Theo P.; Anderson, Jennie; Kemp, Anita; Hammill, Jan; Otim, Michael; O’Grady, Kerry-Ann

doi:10.1186/s12887-015-0375-y

Cited by 20 publications

(37 citation statements)

References 30 publications

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“…Senior members of the community indicated that oral health ought to be researched as well because there were limited data available on the oral health of urban Indigenous families, and the community was unable to effectively advocate for additional oral health resources. In conjunction with the respiratory study, a quantitative oral health study investigating the prevalence of caries and the associated risk factors was undertaken, and the results published [22][23][24][25]. Additionally, a qualitative study was proposed to provide a voice to the participants and assist in understanding the impact child oral health was having on families.…”

Section: Setting and Contextmentioning

confidence: 99%

“…Women of all ages were eligible for the study if they were or had been the parent or carer of an Indigenous child under the age of five. Purposive sampling was used and participants were recruited from the previous respiratory and oral health studies [22][23][24][25] and through word-ofmouth at the Aboriginal-owned and operated primary health care clinic. Two researchers undertook recruitment.…”

Section: Participantsmentioning

confidence: 99%

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Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

et al. 2020

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Background: Many factors influence how a person experiences oral health and how such experiences may facilitate supportive oral health behaviours. Women in particular face different challenges due to their environment, responsibilities and physiological differences to men. Within Australia, Aboriginal and Torres Strait Islander women are reported to have poorer oral health and are faced with additional barriers to supporting their oral health compared with non-Indigenous women. The objective of this paper is to report the experiences and perceptions of oral health from the perspective of urban, Aboriginal and Torres Strait Islander women. Methods: The present data derive from a descriptive study that used yarning circles and face-to-face interviews with women who were mothers/carers of urban, Aboriginal and/or Torres Strait Islander children. This was a qualitative study to investigate the impact of child oral health on families. Participants used the opportunity to share their own personal experiences of oral health as women, thus providing data for the present analyses. Information collected was transcribed and analysed thematically. Results: Twenty women shared their personal narratives on the topic of oral health which were reflective of different time points in their life: growing up, as an adult and as a mother/carer. Although women are trying to support their oral health across their life-course, they face a number of barriers, including a lack of information and the costs of accessing dental care. The teenage years and pregnancy were reported as important time periods for oral health support. Conclusions: To improve the oral health of Indigenous Australian women, policymakers must consider the barriers reported by women and critically review current oral health information and services. Current oral health services are financially out of reach for Indigenous Australian women and there is not sufficient or appropriate, oral information across the life-course.

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Section: Setting and Contextmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

et al. 2020

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“…The full protocol of the prospective study has been previously published [10]. The study was conducted in a large primary healthcare clinic in the northern suburbs of subtropical Brisbane which has a patient population of approximately 11,500 people.…”

Section: Methodsmentioning

confidence: 99%

“…Children were eligible for inclusion in the primary cohort study [10] if they were: a) identified by the parent/guardian as being Indigenous; b) a regular patient of the clinic; c) aged less than five years at time of enrolment, and; d) parents/guardians were willing and able to complete the study requirements. The reason for presentation and the presence of ARIwC were not determined until after the child had been enrolled.…”

Section: Methodsmentioning

confidence: 99%

Upper airway viruses and bacteria in urban Aboriginal and Torres Strait Islander children in Brisbane, Australia: a cross-sectional study

et al. 2017

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BackgroundRespiratory morbidity in Australian Indigenous children is higher than their non-Indigenous counterparts, irrespective of urban or remote residence. There are limited studies addressing acute respiratory illness (ARI) in urban Indigenous children, particularly those that address the upper airway microbiome and its relationship to disease. We aimed to describe the prevalence of upper airway viruses and bacteria in symptomatic and asymptomatic urban-based Australian Indigenous children aged less than 5 years.MethodsA cross-sectional analysis of data collected at baseline in an ongoing prospective cohort study of urban Aboriginal and Torres Strait Islander children registered with a primary health care service in the northern suburbs of Brisbane, Australia. Clinical, demographic and epidemiological data and bilateral anterior nasal swabs were collected on enrolment. Polymerase chain reaction was performed on nasal swabs to detect 17 respiratory viruses and 7 bacteria. The primary outcome was the prevalence of these microbes at enrolment. Logistic regression was performed to investigate differences in microbe prevalence between children with and without acute respiratory illness with cough as a symptom (ARIwC) at time of specimen collection.ResultsBetween February 2013 and October 2015, 164 children were enrolled. The median age at enrolment was 18.0 months (IQR 7.2–34.3), 49.4% were boys and 56 children (34.2%) had ARIwC. Overall, 133/164 (81%) nasal swabs were positive for at least one organism; 131 (79.9%) for any bacteria, 59 (36.2%) for any virus and 57 (34.8%) for both viruses and bacteria. Co-detection of viruses and bacteria was more common in females than males (61.4% vs 38.6%, p = 0.044). No microbes, alone or in combination, were significantly associated with the presence of ARIwC.ConclusionsThe prevalence of upper airways microbes in asymptomatic children is similar to non-Indigenous children with ARIwC from the same region. Determining the aetiology of ARIwC in this community is complicated by the high prevalence of multiple respiratory pathogens in the upper airways.Study registrationAustralia New Zealand Clinical Trial Registry Registration Number: 12,614,001,214,628. Retrospectively registered.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-017-2349-1) contains supplementary material, which is available to authorized users.

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“…This paper reports on results from a retrospective analysis of children at the time of enrolment into a prospective cohort study of paediatric acute respiratory illnesses (ARI) currently underway at the centre [12]. Children presenting to the centre for any reason, including accompanying another person, are invited to participate.…”

Section: Methodsmentioning

confidence: 99%

Immunisation timeliness in a cohort of urban Aboriginal and Torres Strait Islander children

et al. 2016

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BackgroundTo evaluate immunisation coverage, timeliness and predictors of delayed receipt in urban Australian Indigenous children during the first 18 months of life.MethodsCross-sectional retrospective analysis of data collected from 140 Australian Indigenous children aged < 5 years at the time of enrolment in a prospective cohort study on respiratory illness between 14 February 2013 and 28 January 2015. Children were recruited through an urban community primary health care centre in the Northern suburbs of Brisbane, Queensland.ResultsThe proportion of children with completed immunisation schedules was 50 of 105 (47.6%) at 7 months, 30 of 85 (35.3%) at 13 months and 12 of 65 (18.5%) at 19 months. Timely receipt of diphtheria-tetanus-pertussis decreased from 78.4% at 2 months of age to 63.7 and 59.3% at 4 and 6 months respectively. Amongst the 105 parents/guardians with children ≥7 months at enrolment, 71 (67.6%) incorrectly reported their child’s immunisation status. Delayed vaccine receipt was significantly associated (p ≤0.05) with having multiple children in the household, mother’s unemployment and premature birth.ConclusionsCoverage and timeliness among this population is suboptimal and decreases as children age. Parent/guardian reporting of vaccination status was unreliable. Children of unemployed mothers and those with multiple siblings should be targeted to improve community immunisation timeliness due to a greater risk of vaccination delay. High quality trials, conducted in several settings to account for the diversity of Australian Indigenous communities are urgently needed to identify culturally appropriate, effective and sustainable strategies to improve immunisation targets in children.

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The respiratory health of urban indigenous children aged less than 5 years: study protocol for a prospective cohort study

Cited by 20 publications

References 30 publications

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

Upper airway viruses and bacteria in urban Aboriginal and Torres Strait Islander children in Brisbane, Australia: a cross-sectional study

Immunisation timeliness in a cohort of urban Aboriginal and Torres Strait Islander children

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