Exploring cross-sectional associations between common childhood illness, housing and social conditions in remote Australian Aboriginal communities

被引：63

作者：

Bailie, Ross ^{[1
]}

Stevens, Matthew ^{[1
]}

McDonald, Elizabeth ^{[1
]}

Brewster, David ^{[2
]}

Guthridge, Steve ^{[3
]}

机构：

[1] Charles Darwin Univ, Inst Adv Studies, Menzies Sch Hlth Res, Darwin, NT 0909, Australia

[2] James Cook Univ, Sch Med, Cairns, Qld, Australia

[3] Nth Terr Govt Dept Hlth & Families, Hlth Gains Planning Div, Darwin, NT, Australia

来源：

BMC PUBLIC HEALTH | 2010年 / 10卷

基金：

英国医学研究理事会;

关键词：

RANDOMIZED CONTROLLED-TRIAL; PUBLIC-HEALTH; PSYCHOLOGICAL HEALTH; INDIGENOUS CHILDREN; DIARRHEA; STRESS; RISK; EPIDEMIOLOGY; IMPROVEMENT; INFECTION;

D O I：

10.1186/1471-2458-10-147

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: There is limited epidemiological research that provides insight into the complex web of causative and moderating factors that links housing conditions to a variety of poor health outcomes. This study explores the relationship between housing conditions (with a primary focus on the functional state of infrastructure) and common childhood illness in remote Australian Aboriginal communities for the purpose of informing development of housing interventions to improve child health. Methods: Hierarchical multi-level analysis of association between carer report of common childhood illnesses and functional and hygienic state of housing infrastructure, socio-economic, psychosocial and health related behaviours using baseline survey data from a housing intervention study. Results: Multivariate analysis showed a strong independent association between report of respiratory infection and overall functional condition of the house (Odds Ratio (OR) 3.00; 95% CI 1.36-6.63), but no significant association between report of other illnesses and the overall functional condition or the functional condition of infrastructure required for specific healthy living practices. Associations between report of child illness and secondary explanatory variables which showed an OR of 2 or more included: for skin infection - evidence of poor temperature control in the house (OR 3.25; 95% CI 1.06-9.94), evidence of pests and vermin in the house (OR 2.88; 95% CI 1.25-6.60); for respiratory infection - breastfeeding in infancy (OR 0.27; 95% CI 0.14-0.49); for diarrhoea/vomiting - hygienic state of food preparation and storage areas (OR 2.10; 95% CI 1.10-4.00); for ear infection - child care attendance (OR 2.25; 95% CI 1.26-3.99). Conclusion: These findings add to other evidence that building programs need to be supported by a range of other social and behavioural interventions for potential health gains to be more fully realised.

引用

页数：10

共 57 条

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[2]

[Anonymous], 2006, Population Characteristics, Aboriginal and Torres Strait Islander Australians

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