Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis

Show simple item record Singleton, RJ en Valery, PC en Morris, P en Byrnes, Catherine en Grimwood, K en Redding, G en Torzillo, PJ en McCallum, G en Chikoyak, L en Mobberly, C en Holman, RC en Chang, AB en 2017-08-28T23:58:45Z en 2012-12-13 en 2014-02 en
dc.identifier.citation Pediatric Pulmonology, 49(2):189-200 Feb 2014 en
dc.identifier.issn 8755-6863 en
dc.identifier.uri en
dc.description.abstract Objective Indigenous children in developed countries are at increased risk of chronic suppurative lung disease (CSLD), including bronchiectasis. We evaluated sociodemographic and medical factors in indigenous children with CSLD/bronchiectasis from Australia, United States (US), and New Zealand (NZ). Methods Indigenous children aged 0.5-8 years with CSLD/bronchiectasis were enrolled from specialist clinics in Australia (n = 97), Alaska (n = 41), and NZ (n = 42) during 2004-2009, and followed for 1-5 years. Research staff administered standardized parent interviews, reviewed medical histories and performed physical examinations at enrollment. Results Study children in all three countries had poor housing and sociodemographic circumstances at enrollment. Except for increased household crowding, most poverty indices in study participants were similar to those reported for their respective local indigenous populations. However, compared to their local indigenous populations, study children were more often born prematurely and had both an increased frequency and earlier onset of acute lower respiratory infections (ALRIs). Most (95%) study participants had prior ALRI hospitalizations and 77% reported a chronic cough in the past year. Significant differences (wheeze, ear disease and plumbed water) between countries were present. Discussion Indigenous children with CSLD/bronchiectasis from three developed countries experience significant disparities in poverty indices in common with their respective indigenous population; however, household crowding, prematurity and early ALRIs were more common in study children than their local indigenous population. Addressing equity, especially by preventing prematurity and ALRIs, should reduce risk of CSLD/bronchiectasis in indigenous children. en
dc.description.uri en
dc.language English en
dc.publisher Wiley en
dc.relation.ispartofseries Pediatric Pulmonology en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis en
dc.type Journal Article en
dc.identifier.doi 10.1002/ppul.22763 en
pubs.issue 2 en
pubs.begin-page 189 en
pubs.volume 49 en
dc.rights.holder Copyright: Wiley en
dc.identifier.pmid 23401398 en en
pubs.end-page 200 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 427214 en Medical and Health Sciences en School of Medicine en Paediatrics Child & Youth Hlth en
dc.identifier.eissn 1099-0496 en
pubs.record-created-at-source-date 2017-08-29 en 2013-02-08 en
pubs.dimensions-id 23401398 en

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