Skin infection, housing and social circumstances in children living in remote Indigenous communities: testing conceptual and methodological approaches

Bailie, Ross S.; Stevens, Matthew R.; McDonald, Elizabeth; Halpin, Stephen; Brewster, David; Robinson, Gary; Guthridge, Steven
January 2005
BMC Public Health;2005, Vol. 5 Issue 1, p128
Academic Journal
Background: Poor housing conditions in remote Indigenous communities in Australia are a major underlying factor in poor child health, including high rates of skin infections. The aim of this study is to test approaches to data collection, analysis and feedback for a follow-up study of the impact of housing conditions on child health. Methods: Participation was negotiated in three communities with community councils and individual participants. Data were collected by survey of dwelling condition, interviews, and audit health centre records of children aged under seven years. Community feedback comprised immediate report of items requiring urgent repair followed by a summary descriptive report. Multivariate models were developed to calculate adjusted incidence rate ratios (IRR) for skin infections and their association with aspects of household infrastructure. Results: There was a high level of participation in all communities. Health centre records were inadequate for audit in one community. The records of 138 children were available for development of multivariate analytic models. Rates of skin infection in dwellings that lacked functioning facilities for removing faeces or which had concrete floors may be up to twice as high as for other dwellings, and the latter association appears to be exacerbated by crowding. Younger children living in older dwellings may also be at approximately two-fold higher risk. A number of socioeconomic and socio-demographic variables also appear to be directly associated with high rates of skin infections. Conclusion: The methods used in the pilot study were generally feasible, and the analytic approach provides meaningful results. The study provides some evidence that new and modern housing is contributing to a reduction in skin infections in Aboriginal children in remote communities, particularly when this housing leads to a reduction in crowding and the effective removal of human waste.


Related Articles

  • Chapter 5: Nutritional vulnerability in indigenous children of the Americas - a human rights issue. Damman, Siri // Indigenous Peoples & Poverty: International Perspective;2005, p69 

    Chapter 5 of the book "Indigenous Peoples & Poverty: An International Perspective is presented. It explores the vulnerability of indigenous children to nutrition and health in the U.S. It describes the human-rights-based approach to children health as well as the mortality and stunting of...

  • A Critical Reframing of Play in Relation to Indigenous Children in Canada. Gerlach, Alison; Browne, Annette; Suto, Melinda // Journal of Occupational Science;Jul2014, Vol. 21 Issue 3, p243 

    In this paper, we explore the implications of applying critical perspectives to the play occupations of Indigenous children in Canada, and of reframing play as an occupational determinant of health. First we consider the normalizing construction of play in early child development. We then apply...

  • Improving health of Indigenous children. Ellis, Isabelle // Australian Nursing Journal;Apr2004, Vol. 11 Issue 9, p37 

    Examines the effectiveness of the public health program 0-5 Program in Australia in providing health care to indigenous children. Concept of the program; Impact of the program on the health and well-being of indigenous children; Findings of a research on the health condition of children in...

  • A Regional Initiative to Reduce Skin Infections amongst Aboriginal Children Living in Remote Communities of the Northern Territory, Australia. Andrews, Ross M.; Kearns, Therese; Connors, Christine; Parker, Colin; Carville, Kylie; Currie, Bart J.; Carapetis, Jonathan R. // PLoS Neglected Tropical Diseases;Nov2009, Vol. 3 Issue 11, p1 

    Background: Linked to extreme rates of chronic heart and kidney disease, pyoderma is endemic amongst Aboriginal children in Australia's Northern Territory (NT). Many of those with pyoderma will also have scabies. We report the results of a community-based collaboration within the East Arnhem...

  • Mysterious slapped face race at holiday centre. Gunnell, D.J. // BMJ: British Medical Journal (International Edition);2/22/92, Vol. 304 Issue 6825, p477 

    Investigates the cause of an outbreak of facial rash in a holiday center in west England. Evaluation of the public health by the Somerset Health Authority; Infective causes of the rashes; Variations in the severity of the infection.

  • Review of the theoretical frameworks for the study of child development within public health and epidemiology. Avan, B. I.; Kirkwood, B. R. // Journal of Epidemiology & Community Health;May2010, Vol. 64 Issue 5, p4 

    Background Care for child development has gained international momentum in research and community-based programming. It encompasses various domains including cognitive, psychomotor, emotional, behavioural and social development, and a multitude of factors that have the potential to influence its...

  • Health financing in Africa: overview of a dialogue among high level policy makers. Sambo, Luis Gomes; Kirigia, Joses Muthuri; Ki-Zerbo, Georges // BMC Proceedings;Jan2011 Supplement 5, Vol. 5, p1 

    Background: Even though Africa has the highest disease burden compared with other regions, it has the lowest per capita spending on health. In 2007, 27 (51%) out the 53 countries spent less than US$50 per person on health. Almost 30% of the total health expenditure came from governments, 50%...

  • WHO wants safer medicines for children. Choonara, Imti // Archives of Disease in Childhood;Jun2008, Vol. 93 Issue 6, p456 

    The author reflects on the interest shown by the World Health Organization (WHO) in ensuring that children receive medicines that are both safe and effective. The author comments that the publication of "Promoting Safety of Medicine for Children" by the WHO recognizes that children have...

  • THE JECH GALLERY: Playing it safe. Coulson, Jo C.; Maudsley, Martin // Journal of Epidemiology & Community Health;Oct2007, Vol. 61 Issue 10, p876 

    The article highlights a social comment summarizing the complexities of health advocacy for the public health and child development communities, which was sprayed on a wall in an inner suburb of Bristol, England. The author believes that the artist has poignantly captured the risk-oriented...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics