期刊
GLOBAL PEDIATRIC HEALTH
卷 8, 期 -, 页码 -出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/2333794X21991006
关键词
Aboriginal; emergency department presentation; pediatric; rural and remote; Australia
类别
资金
- National Health and Medical Research Council of Australia (NHMRC) [457084, 1021480, 1024474]
- Australian Research Council [0130007]
- Australian Government Departments of Health and Ageing (DoHA)
- Families, Housing, Community Services and Indigenous Affairs (FaHCSIA)
- Save the Children Australia
- Foundation for Alcohol Research and Education
- University of Sydney Poche Institute
- MC Saatchi
- Blake Dawson solicitors
- Australian Human Rights Commission
- NHMRC TRIP (Translating Research into Practice) Fellowship (2016-2018)
- Australian National University College of Medicine, Biology and Environment
- Avant Doctors-in-Training scholarship
The study revealed that children in the remote Fitzroy Crossing communities in Western Australia have high rates of preventable emergency department presentations, especially those with Prenatal Alcohol Exposure (PAE). Commonly associated socio-economic factors include household over-crowding, financial and food insecurity. Support for culturally appropriate preventative programs and improved access to primary health services need to be provided in remote Australia.
Background. Aboriginal leaders invited us to examine the frequency and reasons for emergency department (ED) presentations by children in remote Western Australia, where Prenatal Alcohol Exposure (PAE) is common. Methods. ED presentations (2007-11 inclusive) were examined for all children born in the Fitzroy Valley in 2002-03. Results. ED data for 127/134 (94.7%) children (95% Aboriginal) showed 1058 presentations over 5-years. Most (81%) had at least 1 presentation (median 9.0, range 1-50). Common presentations included: screening/follow-up/social reasons (16.0%), injury (15.1%), diseases of the ear (14.9%), skin (13.8%), respiratory tract (13.4%), and infectious and parasitic diseases (9.8%). PAE and higher presentations rates were associated. Commonly associated socio-economic factors were household over-crowding, financial and food insecurity. Conclusion. Children in very remote Fitzroy Crossing communities have high rates of preventable ED presentations, especially those with PAE. Support for culturally appropriate preventative programs and improved access to primary health services need to be provided in remote Australia.
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