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

Singleton, Rosalyn J., Valery, Patricia C., Morris, Peter S., Byrnes, Catherine A., Grimwood, Keith, Redding, Greg, Torzillo, Paul J., McCallum, Gabrielle B., Chikoyak, Lori, Mobberly, Charmaine, Holman, Robert C. and Chang, Anne B. (2014). Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis. Pediatric Pulmonology,49(2):189-200.

Document type: Journal Article
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IRMA ID 11035xPUB21
Title Indigenous children from three countries with non-cystic fibrosis chronic suppurative lung disease/bronchiectasis
Author Singleton, Rosalyn J.
Valery, Patricia C.
Morris, Peter S.
Byrnes, Catherine A.
Grimwood, Keith
Redding, Greg
Torzillo, Paul J.
McCallum, Gabrielle B.
Chikoyak, Lori
Mobberly, Charmaine
Holman, Robert C.
Chang, Anne B.
Journal Name Pediatric Pulmonology
Publication Date 2014
Volume Number 49
Issue Number 2
ISSN 8755-6863   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84873429108
Start Page 189
End Page 200
Total Pages 12
Place of Publication United States
Publisher John Wiley & Sons, Inc.
HERDC Category C1 - Journal Article (DIISR)
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.
Keywords indigenous population
bronchiectasis
chronic suppurative lung diseases
pneumonia
 
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Created: Thu, 07 Aug 2014, 16:55:37 CST