Senthilselvan Ambikaipakan, Niruban Selvanayagam John, King Malcolm, Majaesic Carina, Veugelers Paul, Laing Lory, Rowe Brian H
University of Alberta.
Can J Public Health. 2016 Mar 16;106(8):e483-8. doi: 10.17269/cjph.106.5147.
To explore the prevalence and determine the risk factors of asthma in First Nations children aged 0 to 11 years living on reserves in Canada.
In this cross-sectional study, we considered the data collected as part of the First Nations Regional Health Survey involving 6,657 children living in 238 First Nations communities in the 10 Canadian provinces, the Northwest Territories and the Yukon.
The overall prevalence of asthma that has lasted or is expected to last at least six months (ever-asthma) among children living on reserves was 14.6%: a prevalence of 12.9% among 0 to 4 year olds and 15.6% among 5 to 11 year olds. The prevalence of ever-asthma was greater among boys (16.1%) than girls (13.2%). Children from homes with two or more children aged less than 11 years and those who were engaged in daily physical activities were less likely to have a report of ever-asthma. Children from high-income families and smoke-free homes were more likely to have a report of ever-asthma. The association between allergy and ever-asthma was stronger in children with low birth weight. The association between chronic ear infections and ever-asthma was stronger in girls than boys.
The overall prevalence of ever-asthma and factors associated with ever-asthma in First Nations children living on reserves were similar to those reported for off-reserve Aboriginal children and non-Aboriginal Canadian children.
探讨加拿大保留地0至11岁原住民儿童哮喘的患病率，并确定其危险因素。
在这项横断面研究中，我们分析了作为原住民地区健康调查一部分收集的数据，该调查涉及加拿大10个省、西北地区和育空地区238个原住民社区的6657名儿童。
居住在保留地的儿童中，持续或预计持续至少六个月的哮喘（曾患哮喘）总体患病率为14.6%：0至4岁儿童患病率为12.9%，5至11岁儿童患病率为15.6%。曾患哮喘的患病率男孩（16.1%）高于女孩（13.2%）。来自有两个或更多11岁以下儿童家庭的儿童以及每天进行体育活动的儿童报告曾患哮喘的可能性较小。来自高收入家庭和无烟家庭的儿童报告曾患哮喘的可能性较大。低出生体重儿童中过敏与曾患哮喘之间的关联更强。慢性耳部感染与曾患哮喘之间的关联在女孩中比在男孩中更强。
居住在保留地的原住民儿童中曾患哮喘的总体患病率以及与曾患哮喘相关的因素与非保留地原住民儿童和加拿大非原住民儿童报告的情况相似。
